By David C. Sprigings, John B. Chambers

ISBN-10: 0470691204

ISBN-13: 9780470691205

ISBN-10: 140512962X

ISBN-13: 9781405129626

This very hot identify has develop into the definitive pocket consultant to the administration of clinical emergencies for front-line health center medical professionals. It presents specified assistance at the prognosis and remedy of all universal stipulations and encompasses a step by step consultant to the 9 most vital useful techniques in acute drugs.

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Extra resources for Acute Medicine: A Practical Guide to the Management of Medical Emergencies

Sample text

1 Junctional bradycardia. Heart rate 30–60 bpm with P wave absent or position constant either after, immediately before or hidden in QRS complex. Occurs when junctional pacemaker overtakes slow sinus node pacemaker. 4 Complete atrioventricular block. Relationship of P wave to QRS varies randomly, and P waves are absent if there is atrial fibrillation. Escape rhythm may be junctional (narrow complex) or ventricular (broad complex). Even in asymptomatic patients, this carries a risk of sudden death due to ventricular standstill or polymorphic ventricular tachycardia/ventricular fibrillation.

Atrial fibrillation commonly complicates pneumonia and other infection • Electrolyte disorders (especially of potassium) should be excluded/ corrected AV, atrioventricular; LV, left ventricular. g. ) • Echocardiogram (for LV function, RV function, valve disease) LV, left ventricular; RV, right ventricular. pdf). 4 Broad complex regular tachycardia See p. 1) Patient unstable? 1) Check electrolytes/creatinine ECG abnormality due to artifact (pseudoventricular tachycardia)? 1, Fig. 2) Yes No action needed No ECG identical with previously confirmed supraventricular tachycardia (SVT) with bundle branch block?

8 Bradycardia and atrioventricular block See p. 1) Bradycardia and atrioventricular block Patient unstable? 4) Poor response to drug therapy or bradycardia likely to recur? 5; p. 4) Refer to cardiologist 47 48 COMMON PR ESENTATIONS T AB L E 8 . 3 for causes) • Junctional bradycardia (Fig. 1) • Slow atrial fibrillation (distinguished from atrial fibrillation with complete AV block by variability in RR interval) • Atrial flutter/atrial tachycardia with 4 : 1 AV block • Complete AV block with junctional or ventricular escape rhythm (Fig.

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Acute Medicine: A Practical Guide to the Management of Medical Emergencies by David C. Sprigings, John B. Chambers


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