CPR Post resuscitation care Victims of out of hospital cardiac arrest (OHCA) who achieve ROSC in the emergency room (ER) are transferred to the intensive…

…8 days including oral step down Hospital acquired pneumonia, severe piperacillin–tazobactam 4 g × 4 IV Exacerbation of COPD with an indication for antibiotics amoxicillin…

…procedure reserved for very serious poisonings in which the patient reaches hospital early. The benefit of both methods falls steeply with the time since ingestion…

…Although BLS is primarily developed for out of hospital cardiac arrest (OHCA), it can be used in any setting until advanced cardiac life support (ACLS…

…cardiac arrest in a pregnant individual, either within or outside the hospital, prompt communication with an obstetrician and neonatologist is critical. Cardiopulmonary resuscitation (CPR) should…

…chain of survival in out of hospital cardiac arrest. Although the required skills, complexity and costs of interventions increase with each step in the chain…

…for dialysis? AKI occurs in about one fifth of adults during a hospital episode in international studies and is linked to substantial mortality, even though…

…Lathundar Definition and aims of treatment Convulsive status epilepticus in adults is present with: an ongoing generalised tonic clonic seizure lasting at least 5 minutes…

…intervention (PCI). Contraindications Prasugrel should not be used in the following situations: Hypersensitivity to the active substance or any of the excipients. Active pathological bleeding…

…organ damage. Although BP reduction is required, these patients generally do not need hospital admission or intravenous treatment. Some patients with acute pain, anxiety, or…

…immediately life threatening; reported in hospital mortality was 42.4% for STEMI associated mechanical complications and 18% for those associated with NSTEMI. The timing of…

…mandated during hospital initiation to detect excessive QT prolongation, proarrhythmia, and severe bradycardia. Patients should be monitored for arrhythmias and QT prolongation with each dose…

…observational databases report approximately 5–10%. Only about 10% of patients who develop shock present with it at hospital admission; approximately 90% deteriorate during hospitalization…

…pre hospital fibrinolysis is reasonable when it provides a substantial time saving, particularly with prolonged transport times of 60–90 minutes or more and appropriately…

…segment elevation myocardial infarction (STEMI) is an acute myocardial infarction associated with a working diagnosis of persistent ST segment elevation or an accepted equivalent in…

…is not the one making it simple In the thrilling and ever evolving field of medicine, a question echoes in the hallways of hospitals, universities…

…be delivered by virtually anyone, advanced cardiopulmonary resuscitation (ACLS) is provided by healthcare professionals with the skills and equipment required. Although ACLS is more advanced…

…be interrogated (if possible) to determine whether it has recorded any shockable rhythms. In in hospital cardiac arrest (IHCA) 20 30% of victims have continuous…

…was associated with a threefold increased risk of an adverse neurological outcome. In summary, while the absence of a pupillary reflex upon hospital admission post…

…with potential tracheal deviation to the opposite side Distended jugular veins Management Decompression using a venous cannula Can be executed in a pre hospital setting…

…Stephen et al.). Figure 1 illustrates the decline in cardiopulmonary function and consciousness with decreasing body temperature. There appears to be a linear relationship between…

…pre hospital setting ( Perkins et al. ). Figure 1 presents data from the Swedish Cardiac Arrest Registry, which has recorded causes of cardiac arrest with a…

…had higher crude in hospital and 6 month mortality (up to 18% at 6 months for 1 mm elevation, vs 7.6% with no elevation)…

…arrest. The EuReCA registry includes resuscitation data from 27 European nations and the Get With the Guidelines Resuscitation Investigators reports data from the United States…

…syndrome is the result of a perfect storm scenario, where disruption of an atherosclerotic plaque coincides with a pro thrombogenic moment in thrombocytes, coagulation factors…

…in conjunction with defibrillation, is sufficient to resuscitate 10 15% of out of hospital cardiac arrests (OHCA) and 30 40% of in hospital cardiac arrests…

…NSTEMI and unstable angina. Management begins in parallel with the diagnostic work up. Obtain an interpretable 12 lead ECG within 10 minutes of first medical…

…the same time, exacerbation is a clinical syndromic diagnosis, not a sufficient explanation for all acute dyspnoea in a patient with COPD. Pneumonia, heart failure…

…in a person with type 1 diabetes , not even before fasting or an investigation. Stopping it leads to ketoacidosis within hours. Treatment with correction doses…

…active hypothermia is still used in some units with a non shockable rhythm; this is the clearest area in which Swedish practice differs between hospitals …

Info This page summarises the most current recommendations for the management of acute coronary syndromes with persistent ST segment elevations (i.e STEMI, ST segment…

…The Sahlgrenska University Hospital, Sweden References Jervell A, Lange Nielsen F. Congenital deaf mutism, functional heart disease with prolongation of the Q T interval and…

…CKD). These agents interfere with the renin angiotensin aldosterone system (RAAS) by inhibiting the enzyme responsible for the conversion of angiotensin I to angiotensin II…

…and infarction Definition and Purpose Cardiac rehabilitation is a comprehensive, multidisciplinary secondary prevention intervention for patients with cardiovascular disease, including those recovering from myocardial infarction…

…TnT). In hospital mortality rate was 59.6% among cases with elevated TnT levels, as compared with 8.9% among patients with normal TnT levels…

…of shock. Patients with moderate to severe chronic kidney disease have a higher burden of comorbidity and an increased risk of in hospital complications, including…

…outcomes: Mortality in STEMI : Patients presenting with ST elevation myocardial infarction (STEMI) and bundle branch blocks exhibit higher long term and in hospital mortality rates…

…not establish a benign diagnosis. ANOCA/INOCA is associated with recurrent symptoms, impaired quality of life, repeated hospital presentations and angiography, and increased short and…

…exhibits some type 3 phosphodiesterase inhibitor (PDEI) activity, which may contribute to its inotropic profile. The drug possesses an active, acetylated metabolite with a half…

…the absence of persistent ST segment elevation. This does not imply low risk: patients with NSTE ACS may have substantial myocardial ischaemia, dynamic ECG abnormalities…

…patients with suspected ST segment elevation myocardial infarction to a percutaneous coronary intervention capable hospital. The initial ECG should be interpreted in conjunction with the…

…branch block. Cardiac monitoring is indicated for patients with a high pretest probability of arrhythmia causing syncope. In hospital monitoring is reserved for those wit

…of management of patients with chest pain. A 12 lead ECG recording must be registered and interpreted within 10 minutes of arrival at the hospital…

…individuals, screening with ECG may reveal atrial fibrillation. Unfortunately, atrial fibrillation is too often discovered first at hospital admission due to its complications (stroke, thromboembolism…

…al. and Safar et al. The majority of all asphytic cardiac arrests begin with PEA and progress to asystole. Shockable rhythms (ventricular fibrillation [VF], ventricular…

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

…CPR in patients with refractory out of hospital cardiac arrest. Patients aged 18 to 70, who received bystander CPR and initially presented with a ventricular…

…OHCA) and in hospital cardiac arrest (IHCA). Initiating or withholding CPR In cases of an unexpected cardiac arrest in an individual with any likelihood of…

…double blind study involving 192 patients with cardiogenic shock, researchers compared the effectiveness of milrinone and dobutamine . The primary composite outcome included in hospital mortality…

…The chain of care in acute STEMI Optimal care for patients with STEMI requires a well coordinated system involving both prehospital and hospital based services…

…during the hospital stay. As discussed previously, the presence of bundle branch blocks renders ischemia interpretation more difficult, which explains why individuals with bundle branch…

…within 3 minutes of the collapse (Hessulf et al). In out of hospital cardiac arrest (OHCA), the delay from collapse to defibrillation is substantially longer…

…able to diagnose ventricular tachycardia. Causes of ventricular tachycardia Patients with ventricular tachycardia almost invariably have significant underlying heart disease. The most common causes are…