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See these publications for more information Overall, management for cardiac contusion is mostly supportive unless surgical complications develop, involving appropriate treatment of dysrhythmias and hemodynamic instability. Circulation: Cardiovascular Imaging. Troponins and EKGs should be trended until normalization (Sybrandy).
I also believe that we physicians and medics are eager to treat dysrhythmias, and we want to see them even when they are not there. Henry Ford Hospital. Henry Ford Hospital. Circulation 2008;117(14):1897-907. We want to do something, like give adenosine or cardiovert, and so we are not as eager to diagnose sinus tach.
Post by Smith, with short article by Angie Lobo ( [link] ), a third year intermal medicine resident at Abbott Northwestern Hospital Case A 30-something woman with no past history, who is very fit and athletic, presented with 1.5 It was late evening and the patient will be in the hospital overnight with a potentially very unstable LAD lesion.
Hospital admission had been recommended, but she left that ED against medical advice. mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 There is some ST depression and peaked T-waves. mEq/L and a creatinine 1.5 At that discharge, she was prescribed KCl 40 mEq tabs to take 3 times daily.
Author continued : STE in aVR is often due to left main coronary artery obstruction (OR 4.72), and is associated with in-hospital cardiovascular mortality (OR 5.58). Circulation. Circulation 67, No. Circulation 1970;41:623-627 9. 2 The astute paramedic recognized this possibility and announced a CODE STEMI.
Could the dysrhythmias have been prevented? mEq of K pushed fast and circulated theoretically would raise serum K immediately by 1.0 Severe hypokalemia in the setting of STEMI or dysrhythmias is life-threatening and needs very rapid treatment. Since it takes some time (how long?) mEq/L, and 10 mEq would increase it by 3.3
The patient was given furosemide and admitted to the hospital. Here is one full text article on the topic from Clinical Cardiology 2008: Diagnostic Approach and Treatment Strategy in Tachycardia-induced Cardiomyopathy Atrial Tachycardia (AT): another SVT in the ED Rapid dysrhythmia from non-sinus focus above AV node.
Clinical predictors of cardiac syncope at initial evaluation in patients referred urgently to general hospital: the EGSYS score. Dysrhythmia, pacer), 4) valvular heart disease, 5) FHx sudden death, 6) volume depletion, 7) persistent abnormal vitals, 8) primary CNS event __ 3) Mendu ML et al. Del Rosso A, et al.
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