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In this month's EM Quick Hits podcast, Anand Swaminathan on postpartum hemorrhage, Justin Morgenstern on phenobarbital in pediatric status epilepticus, Michelle Klaiman on managed alcohol programs, Andrew Petrosoniak on traumatic cardiacarrest, Brit Long on cholangitis pearls and pitfalls and Bourke Tillman on ED approach to ARDS.
Additionally, 38(45%) were ischemic and 34(40%) were hemorrhagic strokes.Of MCA was affected in 22(26%), PCA 8(9%), ACA 8(9%), MCA+ACA 5(6%), and MCA+PCA 2(2%).
In this pediatric study, it was 71% successful and better than amiodarone. Procainamide is another reasonable solution to the problem. It does not block the AV node but does slow phase 0 of depolarization, which will also frequently break the re-entrant cycle.
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