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Otoscopy and ear syringing

…fitting of a hearing aid. Recurrent otitis externa in which the wax retains moisture. Contraindications Absolute contraindications to irrigation: A known or suspected perforation of…

Causes of sudden cardiac arrest

…heart failure or after myocardial infarction). Ventricular arrhythmias are easier to induce in the presence of arrhythmogenic substrates. A substrate is defined as a physiological…

Cardiac arrest due to pneumothorax

CPR Pneumothorax Pneumothorax is characterized by the presence of free air in the thoracic cavity. While this can occasionally be benign and manifest even in…

Basic cardiac pacing, pacemaker functions and settings

…myocardium may be excited by external electrical stimuli that drive the cells to threshold. Stimulation threshold is the minimum amount of energy required to reach…

Cardiac tamponade causing cardiac arrest

…on the right side can compromise venous return to the right ventricle. Therefore, in the presence of a tamponade, chest compressions have limited efficacy. Furthermore…

Principles and Preparations for Echocardiographic Examinations

…chapter presents recommendations for conducting a standard transthoracic echocardiographic (TTE) examination and it is in line with guidelines issued by ASE, EACVI and BSE. External…

Vasovagal Syncope: Diagnosis, Tilt Testing and Treatment

…instances, patients may present with adenosine sensitive syncope, a subtype of reflex syncope that manifests without a prodrome and usually features a nonrevealing cardiac workup…

Cardiac arrest during sepsis

…presents with hypotension or has a lactate level exceeding 4 mmol/l, commence an intravenous fluid resuscitation using a crystalloid solution at a dose of…

Assessment of the pupillary reflex in cardiac arrest

…dilated, light unresponsive pupils are indicative of cerebral anoxia or brain death and constitute an adverse prognostic sign. Notably, the presence of dilated, nonreactive pupils…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

…of an epicardial coronary artery (i.e. STEMI), pathological Q waves can develop already within 2 hours after the onset of infarction. The presence of…

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