By David C. Sprigings, John B. Chambers
This very popular name has develop into the definitive pocket consultant to the administration of scientific emergencies for front-line sanatorium medical professionals. It presents specific tips at the prognosis and remedy of all universal stipulations and incorporates a step by step advisor to the 9 most vital functional tactics in acute drugs.
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Extra info for Acute Medicine: A Practical Guide to the Management of Medical Emergencies
Htm). Broad complex regular tachycardia Refer to a cardiologist if episodes are frequent or severe or if pre-excitation is found F IG U R E 4 . 1 Monomorphic ventricular tachycardia (VT). g. myocardial infarction). g. ventriculo-atrial dissociation, capture or fusion beats and QRS concordance) are speciﬁc but not often seen. Broad complex regular tachycardia 24 COMMON PR ESENTATIONS Broad complex regular tachycardia F IG U R E 4 . 2 Pseudoventricular tachycardia. There are native QRS complexes at the cycle length of the baseline rhythm within the artifact, best seen in C4 and C5.
2) • Second degree AV block, Mobitz type 2 (Fig. 3) • Third degree/complete AV block (Fig. 4) T AB L E 8 . 2 Second degree atrioventricular block, Mobitz type 1 (Wenckebach). Progressively lengthening PR interval followed by dropped beat. 1 Junctional bradycardia. Heart rate 30–60 bpm with P wave absent or position constant either after, immediately before or hidden in QRS complex. Occurs when junctional pacemaker overtakes slow sinus node pacemaker. 4 Complete atrioventricular block. Relationship of P wave to QRS varies randomly, and P waves are absent if there is atrial ﬁbrillation.
Php/mainpage/en/). Weisfeldt ML, Becker LB. Resuscitation after cardiac arrest: a 3-phase time-sensitive model. JAMA 2002; 288: 3035–38. Cardiac arrest Aim 17 Cardiac arrhythmias: general approach 3 Cardiac arrhythmias: general approach Cardiac arrhythmia Yes Cardiac arrest or BP unrecordable? Call resuscitation team ALS algorithm (p. 1) Patient unstable? g. 1 Focused assessment of the patient with an arrhythmia Cardiac arrhythmias: general approach Symptoms? • Of arrhythmia (palpitation, presyncope, syncope) • Of underlying cardiac disease (chest pain, breathlessness) Hemodynamically stable?