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@dkazakov
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По време на ресусцитация 1mg i.v. всеки 3 до 5 min, последвано от 20ml физиологичен серум. Ако пациентът е интубиран, но няма венозен достъп, адреналин се прилага през ЕТТ директно в бронхиалното дърво.
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Lazarus syndrome (autoresuscitation after failed cardiopulmonary resuscitation) is the return of spontaneous circulation after failed resuscitation.
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Infographic for ACS. / Clinical presentations ranging from those for STEMI to presentations found in NSTEMI or in unstable angina. / Medicine Handbook
High oxygen concentration in inspired air has been a central part of the standard treatment for suspected MI – MONA treatment. Is 100% oxygen good for you?
OXYGEN. ENOUGH, ALREADY.
OXYGEN. ENOUGH, ALREADY.
Oxygen therapy has been the standard therapy for all sorts of conditions. If you’re feeling sick in any way, you’re very likely to get some oxygen supplement as soon as you get inside an ambulance or a hospital. And high flow oxygen to achieve high oxygen concentration in inspired air has been a central part of the standard treatment for suspected MI – the infamous MONAtr…
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Pre-hospital use of epinephrine was consistently associated with a lower chance of survival, an association that showed a dose effect. / Medicine Handbook
Epinephrine and Cardiac Arrest
Epinephrine and Cardiac Arrest
Epinephrine During Cardiac Arrest Associated With Worse Outcomes in Resuscitated Patients?
pre-hospital use of epinephrine was consistently associated with a lower chance of survival, an association that showed a dose effect and persisted despite post-resuscitation interventions
Background
Although epinephrine is essential for successful return of spontaneous circulation (ROSC), the influence…
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The five main classes in the Singh-Vaughan Williams classification of antiarrhythmic agents are: Class I agents interfere with the sodium (Na+) channel...
Antiarrhythmics
antiarrhythmic classification
Class I Fast sodium (Na) channel blockers
Ia – Quinidine, procainamide, disopyramide (depress phase 0, prolonging repolarization)
Ib – Lidocaine, phenytoin, mexiletine (depress phase 0 selectively in abnormal/ischemic tissue, shorten repolarization)
Ic – Flecainide, propafenone, moricizine (markedly depress phase 0, minimal effect on repolarization)
Class II Betablo…
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ECMO restores normal physiology and unloads the venous system. ECMO in emergency trauma is feasible – and could be good. ECLS should be a viable therapy.
ECMO restores normal physiology and unloads the venous system
ECMO IN TRAUMA
ECMO IN TRAUMA
ECMO in multitrauma patients sounds like asking for complexity and lots of oozing blood – but it seems to have potential for actually stabilising the patient’s systems and get better outcome. ECMO restores normal physiology and unloads the venous system.
ECMO restores normal physiology and unloads the venous system
ECMO in trauma
Mostly, ECMO’s role in trauma has been as VV…
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Физичните и патофизиологичните основи на всички увреждания, които настъпват при преминаване на електрически ток през човешкото тяло. Съвременен алгоритъм.