Steps Doses of Synchronized Cardioversion Initial recommended doses:• Narrow regular: 50 – 100 J• : 120 – 200 J biphasic OR 200 J monophasic • Wide regular: 100 J • : defibrillation dose (not for synchronized cardioversion) Aim Risks / Complications[1] Defibrillation VS Synchronized Cardioversion Related Post References
Cardiac Arrest Algorithm Related Posts ACLS BLS References Guidelines for CPR and Emergency Cardiovascular Care (ECC) 2020
Toxidrome Toxidrome mnemonic Antidotes Toxins That Can Be Dialysed Mnemonic: I STUMBLED • Isopropyl alcohol // Isopropanol• Salicylate• Theophylline• Uraemia• Methanol• Barbiturates • Lithium / Laxatives• Ethylene glycol• Dabigatran Q&A References https://www.grepmed.com/images/11579/mnemonic-hemodialysis-nephrology-istumbled-removed
Types of Shock & Causes (i) Hypovolemic shock • Haemorrhagic shock (ii) Cardiogenic shock • Myocardial infarction • Acute heart failure• Cardiomyopathy (iii) Obstructive shock • Cardiac tamponade• Tension pneumothorax• Pulmonary embolism (iv) Distributive shock • Anaphylactic shock• Septic shock• Neurogenic shock Shock Index = Heart Rate ÷ SBP • Normal: <0.7• Shock: >0.9• Poor […]
Danger • Identify and make sure the is no at the surroundings Response • Tap on patient’s shoulder, and ask “Hello, are you okay?”• Quick assessment at GCS level Shout for Help • Shout to call 999, get AED Airway Assessment • Look for any of upper airway obstruction • Open airway – head tilt […]
“Is the patient responsive to fluid? Does the patient require more fluid? Will further fluid resuscitation cause overload?” How to Predict Fluid Responsiveness? • : Inferior vena cava diameter• Central venous pressure (CVP)• Passive leg raise test Input & Output Balance • Insensible fluid loss in an adult is ≈500 mL per day Further Reading […]
“Intubation is not just about inserting an ET tube. You must know how to prepare the patient, recognize difficult airway. You must also need to make sure the patient survives post-intubation” • Preparation• Pre-Oxygenation• Pre-Medication• Paralysis with Induction• Positioning• Placement with Proof• Post-Intubation Management Introduction • Also known as crash induction • A special process […]
“Don’t make laryngoscope as a murder weapon!” Preparation • sdsdsd Top Airway Adjunct Other Airway Equipment
Airway Anatomy Airway Management Airway Manoeuvre
Head CT is required in minor head injury if patient has any of these signs: High risk (for neurological intervention) Age ≥65 years GCS <15 at 2 hours after injury Suspected open or depressed skull fracture Any sign of basal skull fracture Vomiting ≥2 episodes Medium risk (for brain injury on CT) Amnesia before impact […]