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The post EM Quick Hits 11 Blunt Cerebrovascular Injury, Physostigmine, TEE in CardiacArrest, Understanding Nystagmus, Subtle Inferior MI, Choicebo appeared first on Emergency Medicine Cases.
Bedside cardiacultrasound showed moderately decreased LV function. See this post: How a pause can cause cardiacarrest 2. In this specific case, Left Bundle Branch (LBB) area pacing was pursued to achieve cardiac resynchronization. She was intubated. The plan: 1. Place temporary pacemaker 3. J Am Coll Cardiol.
His ED cardiacultrasound (which is not at all ideal for detecting wall motion abnormalities, and is also very operator dependent for this finding) was significant for depressed global EF. I think a good start would be a posterior EKG and a high quality contrast echocardiogram read by an expert.
This case was provided by Spencer Schwartz, an outstanding paramedic at Hennepin EMS who is on Hennepin EMS's specialized "P3" team, a team that receives extra training in advanced procedures such as RSI, thoracostomy, vasopressors, and prehospital ultrasound. She was defibrillated and resuscitated. It can only be seen by IVUS.
See this case: what do you think the echocardiogram shows in this case? Thirty-six patients (36%) presented with cardiacarrest, and 78% (28/36) underwent emergent angiography. Widespread ST-depression with reciprocal aVR ST-elevation can be cause by: Heart rate related: tachyarrhythmia (e.g.,
Patients who present with chest pain or cardiacarrest and have an ECG diagnostic of STEMI could have myocardial rupture. In a report of 6 cases at our institution (Hennepin County Medical Center), 2 survived with cardiac surgery. In contrast to re-occlusion of the infarct-related artery, this reversal should be gradual.
In this case, a patient experienced sudden cardiacarrest during sexual activity, which has not previously been reported.Case presentationSix years ago, a 37-year-old man was admitted with sudden cardiacarrest during sexual intercourse. No previous history of hypertension or diabetes.
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