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Paracentesis

…should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal pain and peritonism and instead presents as encephalopathy, renal failure or simply deterioration…

Spontaneous Coronary Artery Dissection

Cardiology Myocardial ischemia and infarction Definition and pathophysiology Spontaneous coronary artery dissection (SCAD) is an acute coronary disorder caused by separation within the coronary arterial…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

CPR A standard 12 lead ECG should be recorded in all patients after return of spontaneous circulation (ROSC). The purpose of a 12 lead ECG…

Sudden cardiac arrest: Case 4

…ECG 1 . Sinus rhythm interrupted by ventricular tachycardia (VT). ECG 2 . Spontaneous termination of ventricular tachycardia (VT). ECG 3 . A single ventricular beat, followed by…

Extracorporeal cardiopulmonary resuscitation (ECPR)

…aged 18 to 70, who received bystander CPR and initially presented with a ventricular arrhythmia without return of spontaneous circulation within 15 minutes, were included…

Ivabradine: Indications, Dosing and Heart-Rate Targets

…sinoatrial node pacemaker cells. This current is a mixed inward Na⁺/K⁺ current activated by hyperpolarisation and contributes to spontaneous diastolic depolarisation. By inhibiting the…

Sudden cardiac arrest: Case 7

…Polymorphic ventricular tachycardia. ECG 3 . Spontaneous termination of the ventricular tachycardia. ECG 4 . Recurrence and spontaneous termination of ventricular tachycardia. ECG 5 . Polymorphic ventricular tachycardia…

The 3-phase model of sudden cardiac arrest

…demonstrate that the available interventions are time sensitive, and to maximize the likelihood of restoring spontaneous circulation, interventions should be adapted to the current phase…

Acute vertigo: quick reference for HINTS and differential diagnosis

…triggers it [1,2]. The single most important practical rule is: Continuous acute dizziness with spontaneous nystagmus: consider HINTS plus, but only if the examiner…

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