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ToxCard: Local Anesthetic Systemic Toxicity

EMDocs

1] CV manifestations include: Bradycardia, tachycardia, ventricular dysrhythmias, cardiac arrest. [1-5] 1-3,5,7,9] All patients developing symptoms of LAST should be placed on a continuous cardiac monitor and have an ECG performed. [2] Epidemiology Most common cause: inadvertent intravascular injection.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

1-3 As many as 25% of acute PE cases present as sudden cardiac death. 4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Case A 25-year-old-female presented to the ED in cardiac arrest. During a short period of ROSC an ECG was performed.