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Atropine: Dosing in Bradycardia and Its Limitations

…level, producing atrioventricular (AV) or intraventricular blocks. Isolated sinus bradycardia in the early hours following infarction may be associated with hemodynamic compromise. More broadly, bradyarrhythmic…

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

…moreover, this condition is associated with five times as great a risk of sudden cardiac death. The prefix “benign” must therefore not be used. The…

Neutropenic fever: quick reference for emergency management

…A neutropenic patient with a suspected infection and organ dysfunction must therefore be managed as neutropenic sepsis even if the temperature criterion is not met…

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

…or diminished exercise tolerance. Whenever such symptoms are associated with ECG evidence of sinus node dysfunction, the condition is referred to as sick sinus syndrome…

Cardiac arrest in hypothermia (accidental hypothermia)

…circulation (ROSC) is typically not sustained at temperatures below 30°C. Concurrent Hypothermia and Asphyxia in Avalanche Incidents Hypothermia coupled with asphyxia is commonly observed in…

Targeted temperature management after cardiac arrest

…the bradycardia and reduced contractility of hypothermia are not tolerated. A decision to withhold further life sustaining treatment. Preparation and equipment Continuous core temperature measurement…

Drugs in the emergency setting

…below apply to adults unless otherwise stated, and paediatric doses are given per kilogram with the stated maximum. Always check against the local guideline and…

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…

Isoprenaline and Dopamine Infusions for Bradycardia

…activity (PEA). Evaluation and Physical Examination The source material does not provide specific details regarding the physical examination maneuvers for patients with bradycardia. Diagnostics Electrocardiography…

Sinus bradycardia: definitions, ECG, causes and management

…bradycardia. The small q waves in inferior leads (II, aVF, III) are not significant. Low voltage in limb leads. Click to zoom. Figure 4. Sinus…

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