• Can J Emerg Med · Oct 2018

    Case Reports

    Bolus dose of epinephrine for refractory post-arrest hypotension.

    • Michael Gottlieb.
    • *Department of Emergency Medicine,Rush University Medical Center,Chicago,IL.
    • Can J Emerg Med. 2018 Oct 1; 20 (S2): S9-S13.

    AbstractPost-cardiac arrest hypotension is associated with worse outcomes. However, a significant proportion of patients may not be responsive to intravenous (IV) fluids, and vasopressor infusions require significant time to initiate. This case series describes the successful use of a bolus dose of epinephrine to rapidly treat IV fluid refractory hypotension among three patients in the post-arrest period. A bolus dose of epinephrine may be considered as a treatment for post-arrest hypotension that does not respond to IV fluids, but further studies should be performed prior to routine use.

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