> Ahh yes, nothing treats heart hypo perfusion quite like forcing the heart into overdrive and massive vasoconstriction. Why is the US so far behind on this???

> Ahh yes, nothing treats heart hypo perfusion quite like forcing the heart into overdrive and massive vasoconstriction. Why is the US so far behind on this??? This is actually quite reasonable, especially if it’s paired with an existing defibrillator. Epinephrine is part of the advanced, cardiac life support algorithm, but it’s just not used in a pen format, since ACLS is typically performed in the hospital setting. https://cpr.heart.org/-/media/CPR-Images/CPR-Guidelines-Images/Part-3-Adult-Basic-and-Advanced-Life-Support/AlgorithmACLS_CA_200731.jpg?h=800&iar=0&mw=960&w=631&hash=CAC8C552AF9313CF3BAB8EBD355419CD https://cpr.heart.org/-/media/CPR-Images/CPR-Guidelines-Imag... Edit: Recently, in the news, there was a discussion of using ECMO in the setting of patients who would require CPR. Take a look at this article for more: https://www.nytimes.com/2024/03/27/magazine/what-to-know-ecpr.html https://www.nytimes.com/2024/03/27/magazine/what-to-know-ecp...