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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…

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…

Cardiac arrest during sepsis

…the context of sepsis induced cardiac arrest, consider the following recommendations: Administer 100% oxygen at the maximum flow rate . Hypoxia can precipitate cardiac arrest in…

Sinus bradycardia: definitions, ECG, causes and management

…limb lead II. Normal (physiological) causes of sinus bradycardia Sinus bradycardia (SB) is considered a normal finding in the following circumstances: During sleep . Well trained…

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…

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)…

Neutropenic fever: quick reference for emergency management

…malignancy, stem cell transplantation, immunosuppressive drugs, radiotherapy, bone marrow failure and certain targeted cancer treatments. Fever is not obligatory Hypothermia, new confusion, tachypnoea, hypotension, rigors…

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…

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