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Abscess incision and drainage

…scalpel until pus appears. Take a culture from the wall of the cavity before irrigating. 5. Let the pus drain out. Empty it with gentle…

Interpretation of Pacemaker ECG

…in left bundle branch block (LBBB), which explains why paced QRS complexes are similar to the QRS morphology during LBBB. Stimulation in other regions of…

Transcutaneous and transvenous pacing

…wide QRS complexes; do not delay pacing in order to try yet another dose. Chronotropic support is given as an infusion of isoprenaline, adrenaline or…

Tachycardia induced cardiomyopathy

…PVC) Premature atrial contractions (PAC) PACEMAKER RELATED Pacing with rapid ventricular response rate The incidence of tachycardia induced cardiomyopathy is 8–10% among patients with…

Atrial Fibrillation in the Critically Ill Patient

…artery disease. Proposed explanations in the source material include cardiac memory after abnormal ventricular activation, transient rate related conduction abnormalities, pacing related repolarization changes, and…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…and degree of myocardial involvement The anatomical territory, including anterior, inferoposterolateral or right ventricular involvement Pre existing abnormalities such as prior infarction, left bundle branch…

Advanced cardiopulmonary resuscitation (CPR) - Advanced cardiovascular life support (ACLS)

…thrust is preferred if there is suspicion of cervical spine injury, in which scenario head tilt chin lift should only be used if other methods…

Epistaxis — compression, cautery and anterior nasal packing

…pinches the nasal bone instead of the soft part, and lets go after two minutes. Management is a ladder — compression, cautery, anterior packing — and each…

Introduction to Cardiac Pacing and Devices: Pacemaker, ICD, CRT

ECG The artificial pacemaker is one of the great medical inventions of the 20th century. Cardiac pacing has evolved from a hazardous experiment in the…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…intrinsic rhythm may develop prolonged pauses. Pacing dependent patients therefore require protection against inhibition during the period of anticipated EMI. The perioperative strategy should also…

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