Remove CPR Remove EKG/ECG Remove Seizures
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Cardiac Rhythms/ECG Module

Don't Forget the Bubbles

Add into this that the majority of children will be in normal sinus rhythm (NSR) by the time of assessment so to truly identify those who have something wrong we have to be confident in identifying arrhythmias where they are present and critical when analysing an ECG in NSR. All were examined and 98% had an ECG.

EKG/ECG 98
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2023 AHA Update on ACLS

EMDocs

Avoid routine seizure prophylaxis in adult survivors of cardiac arrest (Level 3: no benefit), but treat seizures if they occur (Level 1: strong). For patients with OHCA, use of steroids during CPR is of uncertain benefit. Editorial Comment : Yes to PCI after arrest with STEMI on ECG. o C recommended (Level 1: strong).

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Grand Rounds Recap 10.4.23

Taming the SRU

morbidity and mortality - quality improvement - research grand rounds - r1 clinical knowledge: pres/rcvs - r4 case follow-up: compartment syndrome Morbidity and Mortality WITH dr. finney Takotsubo Cardiomyopathy with COVID-19 Increasing incidence of Takotsubo Cardiomyopathy with the COVID-19 pandemic Morbidity and mortality is similar to that of ACS (..)

Stroke 91
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AHA/NCS Statement on Critical Care Management of Post ROSC Patients

EMDocs

The neurologic section was divided into (1) brain oxygenation, perfusion, edema, and intracranial pressure (ICP); (2) seizures and the ictal-interictal continuum (IIC); and (3) sedation and analgesia. EEG Monitoring and Seizures Statements Takeaway: If possible, obtain an EEG to evaluate for seizure activity.

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ToxCard: Benzonatate

EMDocs

She received cardiopulmonary resuscitation (CPR) and standard advanced cardiovascular life support (ACLS). Her electrocardiogram (ECG) showed atrial fibrillation which was cardioverted to sinus rhythm. Benzodiazepines are first-line therapy for seizures. 5) From 2012 to 2019, pediatric benzonatate prescribing soared by 62%. (9)

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Brief Resolved Unexplained Event (BRUE)

Mind The Bleep

Some important causes to consider include reflux (very common), seizures, and maltreatment/NAI. Other tests: At most, guidelines suggest that an ECG and pertussis test may be undertaken. An event cannot be said to be unexplained unless you have tried to explain it.

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Catecholaminergic Polymorphic Ventricular Tachycardia: Recognize And Treat It Early

Critical Care Now

His coach and fellow players witnessed a seizure-like activity immediately after collapsing. CPR was started immediately after the coaching staff could not find a pulse and EMS arrived to find the patient in cardiac arrest. The first prehospital EKG showed Polymorphic Ventricular Tachycardia (PVT) that responded to defibrillation.