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After amiodarone and several defibrillations and about 20 minutes after initial arrest, stable ROSC was achieved. The ECG below show a very clean and text book example of triangular QRST waveform also know "Shark Fin". How did the PM Cardio Queen of Hearts perform: Not OMI with low confidence. ECG#3 Resuscitation efforts were ongoing.
Sure, the classwork comes from a book, and if you take notes, and learn terminology, you should be good, right? You must also pass your practical examinations, which can include things like HARE traction splints, manual airway management, or proper CPR and AED (Automated External Defibrillator) use. This, however, is not an easy feat.
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.
One randomized control trial by showed that in patients with ventricular arrhythmias, an implantable cardioverter-defibrillator plus amiodarone may reduce sudden cardiac death and CHF exacerbations/hospitalizations when compared with amiodarone alone. Trypanosomiasis, American / Chagas Disease | CDC Yellow Book 2024. Sarabanda, A.
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