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Single ventricle defects and the hunt for the best shunt

Don't Forget the Bubbles

Whilst waiting for an operation, they need to be managed medically. The underlying heart defect determines the precise operation performed – you might have heard of the Norwood procedure , an example used for HLHS specifically. Six hours post-operatively, they become more mottled, with weak pulses – signs of poor systemic perfusion.

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CICM Second Part Exam Practice SAQs 22082024

Intensive Blog

Outline the key considerations for the early post-operative ICU care of a patient who had open surgery for Type A aortic dissection. Operative course? pacing, PAC) Post-operative management: Specific: BP management targets? Show Q3 suggested answer guide Relevant history? Extent of type A dissection – Branches involved?

Burns 52
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The Lethal Trauma Triad: A Guide for Emergency Workers

Emergency Live

Hypothermia, coagulopathy and acidosis: a major cause of death in traumatized patients The lethal triad of trauma is a lethal combination of three medical conditions – hypothermia, coagulopathy and acidosis – which often develop in chain reaction in severely traumatised patients.

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Symptomatic Bradycardia: Considering the Differential Diagnosis

Northwestern EM Blog

Myocardial Infarction Medication Sinus node dysfunction Infectious Disease Hypothermia Metabolic Abnormalities (hypothyroidism, hyperkalemia, ect.) Hypothermia Moderate to severe hypothermia can cause significant bradycardia leading to hypotension. Operational definition of normal sinus heart rate. Hypothermia.

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Penetrating chest trauma

Don't Forget the Bubbles

Traditionally thought to result from the dilutional effects of massive transfusion, acidaemia or hypothermia, trauma-induced coagulopathy is now known to be triggered at the time of injury, long before these factors have developed or any medical intervention has taken place. These procedures require an experienced operator.

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Rethinking the Role of TXA: Are We Asking Too Much?

RebelEM

This balance is upset in trauma by loss of blood and factors, acidosis, hypothermia and the inflammatory cascade. We should expect TXA to help in immediate stabilization and allow trauma teams the time to intervene (whether that be continued resuscitation, interventional or operative procedures).

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Bubble Wrap PLUS – May 2023

Don't Forget the Bubbles

Post-operative pain in children: Comparison of pain scores between parents and children. To feed or not to feed during therapeutic hypothermia in asphyxiated neonates: a systematic review and meta-analysis. J Pediatr Gastroenterol Nutr. 2023 Apr 24. Eosinophilia in children: characteristics, etiology and diagnostic algorithm.