By David C. Sprigings, John B. Chambers

This highly regarded identify has develop into the definitive pocket advisor to the administration of clinical emergencies for front-line sanatorium medical professionals. It offers designated assistance at the prognosis and therapy of all universal stipulations and encompasses a step by step consultant to the 9 most crucial useful systems in acute medication.

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G. rare symptomatic sinus pauses, or complete heart block with a stable escape rhythm and no hemodynamic compromise • Discuss management with a cardiologist. Consider using standby external pacing system instead of transvenous pacing • Prosthetic tricuspid valve Complications • Complications of central vein cannulation (p. 590), especially bleeding in patients with acute coronary syndromes treated with thrombolytic therapy (reduced with ultrasound-guided approach, p. 591) • Cardiac perforation by pacing lead (may rarely result in cardiac tamponade) • Arrhythmias (including ventricular fibrillation) during placement of pacing lead • Infection of pacing lead AV, atrioventricular.

1 Broad complex irregular tachycardia: differential diagnosis and management Arrhythmia Comment Management Atrial fibrillation with bundle branch block (Fig. 1) Difference between maximum and minimum instantaneous heart rates, calculated from the shortest and longest RR intervals is usually >30 bpm, with QRS showing typical LBBB or RBBB morphology DC cardioversion (p. g. amiodarone, sotalol, erythromycin, psychotropic drugs), especially in patients with hypokalemia and/or bradycardia DC cardioversion (p.

1) QT prolongation before ventricular tachycardia (VT)? Yes No • Stop drugs which may prolong QT interval • Correct hypokalemia (p. 447) • Temporary pacing (p. 2) • If evidence of myocardial ischemia, manage as acute coronary syndrome (pp. 1 Broad complex irregular tachycardia: differential diagnosis and management Arrhythmia Comment Management Atrial fibrillation with bundle branch block (Fig. 1) Difference between maximum and minimum instantaneous heart rates, calculated from the shortest and longest RR intervals is usually >30 bpm, with QRS showing typical LBBB or RBBB morphology DC cardioversion (p.

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