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Otoscopy and ear syringing

…of the tympanic membrane — including a history of grommets, ear discharge or pain on contact with water. A history of ear surgery in which the…

Sinoatrial arrest & sinoatrial pause (sinus pause / arrest)

…of 40 beats per minute. QRS complexes are normal (provided that intraventricular conduction is normal). If the P wave is visible, it is retrograde in…

Foreign body in the ear and nose

…Unilateral, foul smelling nasal discharge in a small child is a foreign body until proven otherwise. Contraindications Absolute: that you cannot see the object, or…

Gynaecological examination and cervical smear

…anaesthesia. Placenta praevia or ruptured membranes in pregnancy — a speculum may be used, but not digital examination until the position of the placenta is known…

Cardiac electrophysiology and ECG interpretation

…components of the conduction system, the heart and the classical ECG waveforms. Figure 1 . The cardiac cycle starts when cells in the sinoatrial node discharge…

Junctional rhythm (escape rhythm) and junctional tachycardia

…facilitate understanding of this article. As discussed in Chapter 1 the atrioventricular node does not exhibit automaticity, meaning that it does not discharge spontaneous action…

Risk factors for sudden cardiac arrest

…to hospital discharge is 8.8% and survival to 30 days is 10.7% in out of hospital cardiac arrest ( Yan et al ). The low…

Sinoatrial block (SA block): ECG criteria, causes and clinical features

…because discharge of the impulse in the sinoatrial node is not noticeable on surface ECG). Figure 1. Upper tracing shows normal impulse conduction from the…

Sinus node dysfunction (SND) and sick sinus syndrome (SSS)

…diminished). Chronotropic incompetence (inability of the sinoatrial node to adequately increase its automaticity during physical activity). Sinus arrest & sinus pause (intermittent failures to discharge impulses)…

The physiology of cardiopulmonary resuscitation (CPR)

…survival to hospital discharge ( Idris et al ). Duval et al studied 3,643 cases of out of hospital cardiac arrest in the ROC PRIMED trial…

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