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Neutropenic fever: quick reference for emergency management

…immunotherapies may require separate local protocols. Definition Criterion Practical definition : : Fever A single temperature of at least 38.3 degrees, or at least 38.0…

Cardiac arrest in hypothermia (accidental hypothermia)

…2° F) are not compatible with signs of life (Frei et al.). When hypothermia precedes cardiac arrest, the body has undergone cooling before circulatory cessation…

ECG J wave syndromes: hypothermia, early repolarization, hypercalcemia & Brugada syndrome

…hypercalcemia and hypothermia The J wave – also referred to as Osborn's wave – is defined as a wave occurring at the J point ( Figure 1…

Targeted temperature management after cardiac arrest

…or functional outcome; more arrhythmias with haemodynamic compromise in the hypothermia group HYPERION (2019) 33 °C for 24 hours versus 37 °C, with a non…

Atropine: Dosing in Bradycardia and Its Limitations

…pneumothorax, preexisting acidosis, drug overdose, hypothermia, and hyperkalemia. Clinical Presentation and Symptoms The clinical manifestation of bradycardia depends on the adequacy of cardiac output. Isolated…

Isoprenaline and Dopamine Infusions for Bradycardia

…tension pneumothorax, preexisting acidosis, drug overdose, hypothermia, and hyperkalemia. When bradycardia occurs in the context of inflammatory heart disease, it often reflects myocardial pathology that…

Drugs in the emergency setting

…mmol in hyperkalaemia or tricyclic poisoning 1 mmol/kg Reversible causes: hypoxia, hypovolaemia, hypo /hyperkalaemia and metabolic disturbance, hypothermia, tamponade, toxins, thrombosis (coronary or pulmonary)…

Transcutaneous and transvenous pacing

…underlying cause. Contraindications Hypothermia with a body temperature below about 30 °C — the hypothermic myocardium is irritable and pacing can precipitate ventricular fibrillation. Prioritise rewarming…

QT duration & corrected QT (QTc) duration: ECG features & implications

…foscarnet, atazanavir) Hypokalemia Hypocalcemia Hypomagnesemia Cerebrovascular insult (bleeding) Myocardial ischemia Cardiomyopathy Bradycardia Hypothyroidism Hypothermia A separate chapter discusses Long QT syndrome (LQTS). A complete list…

Cardiac arrest due to hypoxia and asphyxia

…in hospital cardiac arrest and influence on outcome. Resuscitation 2012;83:120611. Wood S. Interactions between hypoxia and hypothermia. Annu Rev Physiol 1991;53:7185.

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