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In 2025, if I am still practicing which I hope to be, I will try to stay on the ball and make certain to sign up for my companies classes before my certs expire. For all the fancy changes over the year, the bottom line has always been to provide good CPR compressions and timely defibrillation. mg via syringe.* micrograms/kg/min.
Highlights include arterial blood pressure monitoring, intra-arrest DBP in cardiac arrest, SAPBs for rib fractures, the DanGer shock trial, and double sequential defibrillation timing. The post TBS Top papers 2025 (part 1) appeared first on St.Emlyn's.
We rapidly defibrillated her, and with return of normal sinus rhythm. Several minutes later the patient developed V-fib again > 200J defibrillation with return to NSR. Rapid sequence intubation was performed for airway protection in setting of recurrent V-fib and defibrillations. Chest X-ray also showed pulmonary edema.
In this case, you should get a second defibrillator and perform double sequential external defibrillation (DSED). Simply attach a second defibrillator as shown in the diagram below and deliver max shocks from both devices simultaneously. In the second case, the patient never converted meaning the shock did not do its job at all.
The submitter started the patient on amiodarone and arranged implantation of a defibrillator. == MY Comment , by K EN G RAUER, MD ( 12/27 /2024 ): == Superb discussion by Dr. Frick in today's case, that highlights a series of important points regarding the ECG recognition of stable VT ( V entricular T achycardia ).
Defibrillation was performed, and ROSC was achieved. Long term outcome is not available. == MY Comment, by K EN G RAUER, MD ( 2/1/2025 ): == We need to learn from cases like today's. Unfortunately, the ECG was interpreted as no significant change from prior , "no STEMI"!! Today's initial ECG is not an easy tracing to interpret.
Two more Cases of Takotsubo Stress Cardiomyopathy == MY Comment , by K EN G RAUER, MD ( 2/20 /2025 ): == Today's case provides an insightful example of how the History even more than the ECG made the diagnosis. Agitation, Confusion, and Unusual Wide Complex Tachycardia. What is it, why did it occur, and how to treat?
Second , when you have a rhythm problem, you are likely to be able to fix the problem with electricity (cardioversion, defibrillation, pacing). And if you wait for troponin, much myocardium is lost by the time you make the diagnosis. Third , while you are making a decision about a rhythm, myocardium is not rapidly dying.
Several 200 J shocks did not terminate the VF, so a second defibrillator was applied for double sequential defibrillation with 400 J. She was defibrillated perhaps 25 times. Propranolol versus Metoprolol for treatment of electrical storm in patients with implantable cardioverter-defibrillator. SanzRuiz, R., Solis, J., &
Most patients can be managed without and implantable cardioverter defibrillator (ICD) In patients with PVCs/VT and a presentation not typical for an idiopathic origin cardiac magnetic resonance (CMR) should be considered, even if the Echo is normal. Journal of Clinical Medicine , 12 (3), 930. [3] 3] Lavalle, C.
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