Bradycardia & Heart Block

Size: px
Start display at page:

Download "Bradycardia & Heart Block"

Transcription

1 Bradycardia & Heart Block

2 Cardiac rhythm: Impulse formation - SA node Impulse conduction

3 Diagnosis of Heart Blocks Sinoatrial block Atrioventricular block - First degree - Second degree Mobitz I (Wenckebach) Mobitz II - Third degree

4 Bradyarrhythmia Diagnosis Sinus Bradycardia

5 Sick sinus syndrome

6 AV Blocks First degree Second degree Mobitz I (Wenckebach) Mobitz II Third degree Constant PR interval PR Interval > 0.20 s Progressive increase PR Dropped QRS complex Grouping of beats First PR after drop QRS is shorter Constant PR interval QRS usually widened Suddenly blocked P wave AV dissociation QRS narrow or wide

7 Relationship between P and QRS 1:1 Intermittent block Dissociated First degree AV Block Complete Heart Block Second degree Mobitz I (Wenckebach) Second degree Mobitz II 2:1 AV block

8 AV Block Diagnosis First-Degree AV Block

9 AV Block Diagnosis Second-Degree Type I AV Block

10 AV Block Diagnosis Second-Degree Type II AV Block

11 Second degree AV block, type II Rate : Rhythm : P waves : PRI : QRS : Atrial rate > ventricular rate Atrial regular (P s plot through); Ventricular IRREGULAR Normal in size and configuration Some P waves are not followed by a QRS (more P s than QRS) May be within normal limits or prolonged but is CONSTANT FOR EACH CONDUCTED QRS >.10 but is dropped periodically

12 AV Block Diagnosis 2:1 AV Block With Wide QRS

13 AV Block Diagnosis Third-Degree AV Block With Narrow Complexes

14 AV Block Diagnosis Third-Degree AV Block With Wide Complexes

15 Bradycardia Algorithm Primary Primary ABCD ABCD Survey Survey Assess Assess rhythm rhythm Bradycardia Bradycardia Slow Slow (absolute (absolute bradycardia bradycardia = = rate<60 rate<60 bpm bpm or or Relatively Relatively slow slow (rate (rate less less than than expected expected relative relative to to underlying underlying condition condition or or cause) cause) Secondary Secondary ABCD ABCD Survey Survey Serious Serious signs signs or or symptoms? symptoms? Due Due to to the the bradycardia? bradycardia?

16 Bradycardia Algorithm Serious Serious signs signs or or symptoms? symptoms? Due Due to to the the bradycardia? bradycardia? No Yes Type Type II II second-degree second-degree AV AV block block or or Third-degree Third-degree AV AV block? block? No Yes Intervention Intervention sequence sequence Atropine Atropine to to mg mg a a Transcutaneous Transcutaneous pacing pacing if if available available b b Dopamine Dopamine 2 2 to to mcg/kg mcg/kg per per minute minute Adrenaline Adrenaline 2 2 to to mcg/min mcg/min Infusion Infusion Observe Observe Note a. Atropine is given in a dose of 0.6 mg intravenously & may be repeated every 3-5 min up to a maximum dose of 2.4 mg Prepare Prepare for for transvenous transvenous pacer pacer If If symptoms symptoms develop, develop, use use transcutaneous transcutaneous pacemaker pacemaker until until transvenous transvenous pacer pacer placed placed Note b. If the patient is symptomatic, do not delay transcutaneous pacing while awaiting IV access & IV atropine to take effect

17 If the patient has serious signs or symptoms, make sure they are related to the slow rate Look for symptoms and signs related to the slow heart rate

18 Symptoms: Signs : Chest pain Shortness of breath Decreased level of consciousness Dizziness/syncope Weak/tiredness Hypotension Heart failure (bibasal crepitations) Cool, clammy peripheries Ventricular ectopics

19 Denervated transplanted hearts will not respond to atropine, go at once to pacing, catecholamine infusion or both

20 Never treat third-degree heart block plus ventricular escape beats with lignocaine (or any agent that suppresses ventricular escape rhythms)

21 Transcutaneous pacemakers Basic features : Either fixed-rate or demand mode Rate selection from 30 to 180 beats per minute Current output from 0 to 200 ma Pacing electrodes can be used as defibrillation electrodes

22 Technique of Transcutaneous pacing Attach pacing electrodes. Set at rate of 80 beats per minute In symptomatic bradycardia, increase current slowly until capture (may require sedation) Assess electrical and mechanical capture Continue pacing at a slightly higher output (10%)

23 Transcutaneous pacing

24

25

26

27

28 Pitfalls and Complications of Transcutaneous Pacing Failure to recognize underlying VF Failure to recognize failure of capture Pain Induction of VF (rare) Skin burns (rare)

Cardiac Arrest VF/Pulseless VT Learning Station Checklist

Cardiac Arrest VF/Pulseless VT Learning Station Checklist Cardiac Arrest VF/Pulseless VT Learning Station Checklist VF/VT 00 American Heart Association Adult Cardiac Arrest Shout for Help/Activate Emergency Response Epinephrine every - min Amiodarone Start CPR

More information

Basics of Pacing. Ruth Hickling, RN-BSN Tasha Conley, RN-BSN

Basics of Pacing. Ruth Hickling, RN-BSN Tasha Conley, RN-BSN Basics of Pacing Ruth Hickling, RN-BSN Tasha Conley, RN-BSN The Cardiac Conduction System Cardiac Conduction System Review Normal Conduction Conduction QRS QRS Complex Complex RR PP ST ST segment segment

More information

Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University

Crash Cart Drugs Drugs used in CPR. Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Crash Cart Drugs Drugs used in CPR Dr. Layla Borham Professor of Clinical Pharmacology Umm Al Qura University Introduction A list of the drugs kept in the crash carts. This list has been approved by the

More information

Banner Staff Service ECG Study Guide

Banner Staff Service ECG Study Guide Banner Staff Service ECG Study Guide Edited by Larry H. Lybbert, MS, RN Table of Contents ECG STUDY GUIDE... 3 ECG INTERPRETATION BASICS... 4 EKG GRAPH PAPER...4 RATE MEASUREMENT...9 The Six Second Method...9

More information

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011. 2011 American Heart Association

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Precourse Self-Assessment. May 2011. 2011 American Heart Association E C C American Heart Association Advanced Cardiovascular Life Support Written Precourse Self-Assessment May 2011 2011 American Heart Association 2011 ACLS Written Precourse Self-Assessment 1. Ten minutes

More information

Advanced Cardiac Life Support

Advanced Cardiac Life Support Advanced Cardiac Life Support Dr Teo Wee Siong NATIONAL RESUSCITATION COUNCIL Singapore Guidelines 2006 Prof Anantharaman A/Prof Lim Swee Han Dr Chee Tek Siong A/Prof Peter Manning A/Prof Eillyne Seow

More information

Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109

Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109 Present : PGY 王 淳 峻 Supervisor: F1 王 德 皓 991109 Interventions to prevent cardiac arrest + Airway management + Ventilation support + Treatment of bradyarrhythmias & Tachyarrhythmias Treat cardiac arrest

More information

Current Management of Atrial Fibrillation DISCLOSURES. Heart Beat Anatomy. I have no financial conflicts to disclose

Current Management of Atrial Fibrillation DISCLOSURES. Heart Beat Anatomy. I have no financial conflicts to disclose Current Management of Atrial Fibrillation Mary Macklin, MSN, APRN Concord Hospital Cardiac Associates DISCLOSURES I have no financial conflicts to disclose Book Women: Fit at Fifty. A Guide to Living Long.

More information

ADVANCED LIFE SUPPORT LEARNING PACKAGE

ADVANCED LIFE SUPPORT LEARNING PACKAGE SOUTH WEST HEALTHCARE WARRNAMBOOL ADVANCED LIFE SUPPORT LEARNING PACKAGE Prepared by: J. Brown, ICU Last revised February, 2010. C. Joseph, Nursing Education. CONTENTS: Page: Objectives 3-5 Basic Life

More information

Treatments to Restore Normal Rhythm

Treatments to Restore Normal Rhythm Treatments to Restore Normal Rhythm In many instances when AF causes significant symptoms or is negatively impacting a patient's health, the major goal of treatment is to restore normal rhythm and prevent

More information

It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive.

It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive. It is recommended that the reader review each medical directive presented in this presentation along with the actual PCP Core medical directive. This presentation will highlight the changes and any new

More information

Management of Adult Cardiac Arrest

Management of Adult Cardiac Arrest 73991_CH27_page68-73.qxd 6/6/11 3:54 PM Page 68 27.68 Section 5 Medical Guidelines for Performing a 12-Lead ECG The only way to learn how to obtain a 12-lead ECG is to practice with the equipment itself.

More information

About the British Heart Foundation

About the British Heart Foundation Pacemakers About the British Heart Foundation As the nation s heart charity, we have been funding cutting-edge research that has made a big difference to people s lives. But the landscape of heart disease

More information

Quiz 4 Arrhythmias summary statistics and question answers

Quiz 4 Arrhythmias summary statistics and question answers 1 Quiz 4 Arrhythmias summary statistics and question answers The correct answers to questions are indicated by *. All students were awarded 2 points for question #2 due to no appropriate responses for

More information

Drug Treatment for Heart Rhythm Disorders (Arrhythmia)

Drug Treatment for Heart Rhythm Disorders (Arrhythmia) Drug Treatment for Heart Rhythm Disorders (Arrhythmia) Promoting better understanding, diagnosis, treatment and quality of life for those affected by heart rhythm disorders (cardiac arrhythmias) www.heartrhythmcharity.org.uk

More information

22 Arrhythmias. C. Scharf and F. Duru. Siegenthaler, Differential Diagnosis in Internal Medicine (ISBN9783131421418), 2007 Georg Thieme Verlag

22 Arrhythmias. C. Scharf and F. Duru. Siegenthaler, Differential Diagnosis in Internal Medicine (ISBN9783131421418), 2007 Georg Thieme Verlag 22 22 Arrhythmias C. Scharf and F. Duru 22 712 Arrhythmias 22.1 Differential Diagnosis of Arrhythmias 714 Medical History 714 Clinical Examination 714 Electrocardiogram (ECG) 715 Additional Tools for the

More information

Basic Cardiac Rhythms Identification and Response

Basic Cardiac Rhythms Identification and Response Basic Cardiac Rhythms Identification and Response Module 1 ANATOMY, PHYSIOLOGY, & ELECTRICAL CONDUCTION Objectives Describe the normal cardiac anatomy and physiology and normal electrical conduction through

More information

Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT

Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT Adding IV Amiodarone to the EMS Algorithm for Cardiac Arrest Due to VF/Pulseless VT Introduction Before the year 2000, the traditional antiarrhythmic agents (lidocaine, bretylium, magnesium sulfate, procainamide,

More information

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Exams. May 2011

E C C. American Heart Association. Advanced Cardiovascular Life Support. Written Exams. May 2011 E C C American Heart Association Advanced Cardiovascular Life Support Written Exams Contents: Exam Memo Student Answer Sheet Version A Exam Version A Answer Key Version A Reference Sheet Version B Exam

More information

Atrial Fibrillation Centre

Atrial Fibrillation Centre About this guide We have prepared this guide to help you to: learn about atrial fibrillation manage atrial fibrillation and reduce the risk of stroke find out about medicines and other treatment options

More information

Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new?

Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? Update on Small Animal Cardiopulmonary Resuscitation (CPR)- is anything new? DVM, DACVA Objective: Update on the new Small animal guidelines for CPR and a discussion of the 2012 Reassessment Campaign on

More information

ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE

ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE ROC CONTINUOUS CHEST COMPRESSIONS STUDY (CCC): MEDICAL CARDIAC ARREST MEDICAL DIRECTIVE An Advanced Care Paramedic will provide the treatment based on the randomization scheme and as prescribed in this

More information

Basic principles of pacing

Basic principles of pacing CHAPTER 1 Basic principles of pacing Malcolm Kirk The aim of this chapter is to give sufficient background and information about cardiac pacemakers to allow interpretation of electrocardiograms (ECGs)

More information

TENNESSEE EMERGENCY MEDICAL SERVICES PROTOCOL GUIDELINES. Index

TENNESSEE EMERGENCY MEDICAL SERVICES PROTOCOL GUIDELINES. Index Introduction Definitions Index Cardiac Emergency (Adult & Pediatric) 101 Automatic External Defibrillator 102 New Onset Atrial Fibrillation and Flutter 103 Bradycardia 104 Acute Coronary Syndrome/STEMI

More information

Treatment Options for Atrial Fibrillation Patient Information

Treatment Options for Atrial Fibrillation Patient Information Patient Information Treatment Options for Atrial Fibrillation Page 1 of 8 Treatment Options for Atrial Fibrillation Patient Information Emory University Hospital Midtown Cardiac Electrophysiology Service

More information

Portable, cordless, single-channel ECG Monitor HCG-801-E

Portable, cordless, single-channel ECG Monitor HCG-801-E Portable, cordless, single-channel ECG Monitor HCG-801-E Screening & Self -Monitoring of cardiac events Compact - Cordless - Simple operation Fast - Discrete Records about 30 seconds heart rhythm and waveform

More information

Arrest. What s a Nurse to do?

Arrest. What s a Nurse to do? Benzo s, Blockers, Coma & Cardiac Arrest What s a Nurse to do? Objectives Review of ACLS Algorithms for Cardiac Arrest Management Discuss the toxicology of Beta Blocker Poisoning Describe the clinical

More information

Anaphylaxis: Treatment in the Community

Anaphylaxis: Treatment in the Community : Treatment in the Community is likely if a patient who, within minutes of exposure to a trigger (allergen), develops a sudden illness with rapidly progressing skin changes and life-threatening airway

More information

Paediatric Advanced Life Support

Paediatric Advanced Life Support Paediatric Advanced Life Support Introduction There is concern that resuscitation from cardiac arrest is not performed as well as it might because the variations in guidelines for different age groups

More information

The management of cardiac arrest

The management of cardiac arrest CHAPTER 6 The management of cardiac arrest LEARNING OBJECTIVES In this chapter you will learn: How to assess the cardiac arrest rhythm and perform advanced life support 6.1. INTRODUCTION Cardiac arrest

More information

Il loop recorder esterno. Roberto Maggi

Il loop recorder esterno. Roberto Maggi Il loop recorder esterno Roberto Maggi ECG monitoring and syncope In-hospital monitoring Holter Monitoring Event recorder External loop recorder Remote (at home) telemetry Implantable loop recorder External

More information

Non-emergency patient transport. Clinical practice protocols

Non-emergency patient transport. Clinical practice protocols Non-emergency patient transport Clinical practice protocols Intensive care for adults in Victorian public hospitals 2003 i Non-emergency patient transport Clinical practice protocols ii Intensive care

More information

An ECG Primer. Quick Look. I saw it, but I did not realize it. Elizabeth Peabody

An ECG Primer. Quick Look. I saw it, but I did not realize it. Elizabeth Peabody 4 An ECG Primer Quick Look Cardiac Monitoring System - p. 64 ECG Paper - p. 73 Lead Polarity and Vectors - p. 77 Basic ECG Components - p. 79 Heart Rate and Pulse Rate - p. 91 Summary - p. 94 Chapter Quiz

More information

Resuscitation and preparation for anaesthesia and surgery

Resuscitation and preparation for anaesthesia and surgery 13 Resuscitation and preparation for anaesthesia and surgery Key Points 13.1 MANAGEMENT OF EMERGENCIES AND CARDIOPULMONARY RESUSCITATION ESSENTIAL HEALTH TECHNOLOGIES The emergency measures that are familiar

More information

Cardiac Arrest. Perioperative. Summary of case. Length 15-20 minutes

Cardiac Arrest. Perioperative. Summary of case. Length 15-20 minutes scenario overview Summary of case This 45-year-old obese patient is positioned on the OR table for left inguinal hernia repair. New Anesthesia Provider comes to the ED to relieve the current Anesthesia

More information

Resuscitation Patient Management Tool May 2015 CPA Event

Resuscitation Patient Management Tool May 2015 CPA Event OPTIONAL: Local Event ID: Did pt. receive chest compressions and/or defibrillation during this event? criteria) (does NOT meet inclusion Date/Time the need for chest compressions ( or defibrillation when

More information

Sign up to receive ATOTW weekly - email worldanaesthesia@mac.com

Sign up to receive ATOTW weekly - email worldanaesthesia@mac.com ADRENALINE (EPINEPHRINE) ANAESTHESIA TUTORIAL OF THE WEEK 226 6 TH JUNE 2011 Prof. John Kinnear Southend University Hospital NHS Foundation Trust, UK Correspondence to John.Kinnear@southend.nhs.uk QUESTIONS

More information

IMGPT: Exercise After a Heart Attack 610 944 8140 805 N. RICHMOND ST (Located next to Fleetwood HS) Why is exercise important following a heart

IMGPT: Exercise After a Heart Attack 610 944 8140 805 N. RICHMOND ST (Located next to Fleetwood HS) Why is exercise important following a heart Why is exercise important following a heart attack? Slow progression back into daily activity is important to strengthen the heart muscle and return blood flow to normal. By adding aerobic exercises, your

More information

GUIDELINE 11.5 MEDICATIONS IN ADULT CARDIAC ARREST

GUIDELINE 11.5 MEDICATIONS IN ADULT CARDIAC ARREST AUSTRALIAN RESUSCITATION COUNCIL GUIDELINE 11.5 MEDICATIONS IN ADULT CARDIAC ARREST While the listed drugs have theoretical benefits in selected situations, no medication has been shown to improve long-term

More information

GUIDELINES FOR RESUSCITATION TRAINING

GUIDELINES FOR RESUSCITATION TRAINING GUIDELINES FOR RESUSCITATION TRAINING IN MINISTRY OF HEALTH MALAYSIA HOSPITALS & HEALTHCARE FACILITIES This guideline was developed by: National Committee on Resuscitation Training (NCORT) Ministry of

More information

New Approaches for Prehospital Cardiac Arrest Management 2010 NCEMSF Conference

New Approaches for Prehospital Cardiac Arrest Management 2010 NCEMSF Conference New Approaches for Prehospital Cardiac Arrest Management 2010 NCEMSF Conference Mark E. Pinchalk, MS, EMT-P Paramedic Crew Chief City of Pittsburgh EMS Out of Hospital Cardiac Arrest Poor outcomes: Arizona

More information

American Heart Association. Pediatric Advanced Life Support. Written Precourse Self-Assessment. Questions and Answer Key for Students.

American Heart Association. Pediatric Advanced Life Support. Written Precourse Self-Assessment. Questions and Answer Key for Students. E C C American Heart Association Pediatric Advanced Life Support Written Precourse Self-Assessment Questions and Answer Key for Students January 2012 PALS Written 2011 Precourse Self-Assessment ECG Rhythm

More information

Introduction to Atrial Fibrillation (AFib)

Introduction to Atrial Fibrillation (AFib) Introduction to Atrial Fibrillation (AFib) Learn About: 1. What is atrial fibrillation? 2. How will I feel? 3. Who gets AFib? 4. Risk of stroke 5. AFib treatment 6. How to live well with AFib 1. What is

More information

A CAREGIVER s Guide to. Complicated Atrial Fibrillation

A CAREGIVER s Guide to. Complicated Atrial Fibrillation A CAREGIVER s Guide to Complicated Atrial Fibrillation Introduction Atrial fibrillation (also known as AFib or AF) is a common heart condition, particularly among older people. It s estimated that AF affects

More information

Atrial Fibrillation. Patient Information. 828361 Dec 19-12

Atrial Fibrillation. Patient Information. 828361 Dec 19-12 Atrial Fibrillation Patient Information 828361 Dec 19-12 Contents Introduction 1 Treatment & decrease stroke options 2 Information for people who are taking warfarin (Coumadin ) 5 Information for people

More information

Double pumping of intravenous vasoactive drugs in the critical care setting.

Double pumping of intravenous vasoactive drugs in the critical care setting. Back to contents Double pumping of intravenous vasoactive drugs in the critical care setting. Approved by & date of Publication Review date September 2006 Lead and contact details * Distribution/ availability

More information

MEDICAL POLICY No. 91104-R7 DETOXIFICATION I. POLICY/CRITERIA

MEDICAL POLICY No. 91104-R7 DETOXIFICATION I. POLICY/CRITERIA DETOXIFICATION MEDICAL POLICY Effective Date: January 7, 2013 Review Dates: 1/93, 2/97, 4/99, 2/01, 12/01, 2/02, 2/03, 1/04, 1/05, 12/05, 12/06, 12/07, 12/08, 12/09, 12/10, 12/11, 12/12, 12/13, 11/14 Date

More information

Local Steroid Injections to Joints and Soft Tissues. Rheumatology Patient Information Leaflet

Local Steroid Injections to Joints and Soft Tissues. Rheumatology Patient Information Leaflet Local Steroid Injections to Joints and Soft Tissues Rheumatology Patient Information Leaflet Welcome to The Dudley Group Rheumatology department. This leaflet will provide you with information about what

More information

Pediatric Advanced Life Support (PALS) Recertification Preparatory Materials

Pediatric Advanced Life Support (PALS) Recertification Preparatory Materials Pediatric Advanced Life Support (PALS) Recertification Preparatory Materials 1 PEDIATRIC ADVANCED LIFE SUPPORT (PALS) RECERTIFICATION TABLE OF CONTENTS CYCLIC APPROACH 03 PEDIATRIC ASSESSMENT FLOWCHART

More information

A PATIENT S GUIDE TO STROKE AND ATRIAL FIBRILLATION (AF)

A PATIENT S GUIDE TO STROKE AND ATRIAL FIBRILLATION (AF) A PATIENT S GUIDE TO STROKE AND ATRIAL FIBRILLATION (AF) This medicine is subject to additional monitoring. This will allow quick identification of new safety information. If you get any side effects,

More information

Laser sheath removal of pacing leads

Laser sheath removal of pacing leads NHS National Institute for Clinical Excellence Laser sheath removal of pacing leads Understanding NICE guidance information for people considering the procedure, and for the public June 2004 Laser sheath

More information

NHA Certified Clinical Medical Assistant (CCMA)

NHA Certified Clinical Medical Assistant (CCMA) NHA Certified Clinical Medical Assistant (CCMA) Detailed Test Plan 150 scored items, 20 pretest Exam Time: 2 hours 50 minutes # items 1. Patient Care 70 A. General Patient Care 53 1. Identify patients

More information

If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor.

If you do not wish to print the entire pre-test you may print Page 2 only to write your answers, score your test, and turn in to your instructor. This is a SAMPLE of the pretest you can access with your AHA PALS Course Manual at Heart.org/Eccstudent using your personal code that comes with your PALS Course Manual The American Heart Association strongly

More information

A PATIENT S GUIDE TO SECONDARY PREVENTION IN ACUTE CORONARY SYNDROME (ACS)

A PATIENT S GUIDE TO SECONDARY PREVENTION IN ACUTE CORONARY SYNDROME (ACS) A PATIENT S GUIDE TO SECONDARY PREVENTION IN ACUTE CORONARY SYNDROME (ACS) This medicine is subject to additional monitoring. This will allow quick identification of new safety information. If you get

More information

2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care

2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care 2010 American Heart Association Guidelines for Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Presenter Name Disclosures

More information

CARDIAC RESUSCITATION: A compazuson of 30:2 AND ccc cpr on ADMINISTRATION. A Thesis Submitted to the Honors Collese MAY 2011

CARDIAC RESUSCITATION: A compazuson of 30:2 AND ccc cpr on ADMINISTRATION. A Thesis Submitted to the Honors Collese MAY 2011 CARDIAC RESUSCITATION: A compazuson of 30:2 AND ccc cpr on BYSTANDER WILLINGNESS AND THE TIMING AND ROUTE OF EPINEPHRINE ADMINISTRATION By Sarah Nicole Peer A Thesis Submitted to the Honors Collese In

More information

9/5/14. Objectives. Atrial Fibrillation (AF)

9/5/14. Objectives. Atrial Fibrillation (AF) Novel Anticoagulation for Prevention of Stroke in Patients with Atrial Fibrillation Objectives 1. Review current evidence on use of warfarin in individuals with atrial fibrillation 2. Compare the three

More information

Sanlam Office Staff Trauma Insurance. February 2015

Sanlam Office Staff Trauma Insurance. February 2015 Sanlam Office Staff Trauma Insurance February 2015 content introduction 1 submission of claims 10 definitions 2 payment of claims 10 traumatic illnesses 2 exclusions 11 contracting of a traumatic illness

More information

Updated Cardiac Resynchronization Therapy Guidelines

Updated Cardiac Resynchronization Therapy Guidelines The Ohio State University Heart and Vascular Center Updated Cardiac Resynchronization Therapy Guidelines William T. Abraham, MD, FACP, FACC, FAHA, FESC Professor of Medicine, Physiology, and Cell Biology

More information

Case Report Cardiac Arrest following a Myocardial Infarction in a Child Treated with Methylphenidate

Case Report Cardiac Arrest following a Myocardial Infarction in a Child Treated with Methylphenidate Volume 2015, Article ID 905097, 4 pages http://dx.doi.org/10.1155/2015/905097 Case Report Cardiac Arrest following a Myocardial Infarction in a Child Treated with Methylphenidate Kim Munk, 1 Lise Gormsen,

More information

Report #14 CATASTROPHIC INJURIES: Paralysis, Amputation, Burns

Report #14 CATASTROPHIC INJURIES: Paralysis, Amputation, Burns Report #14 CATASTROPHIC INJURIES: Paralysis, Amputation, Burns Overview: A catastrophic injury or illness usually occurs suddenly and without warning. Injuries may be considered catastrophic when they

More information

INTERPRETATION OF THE ANI PARAMETER, THE EVOLVING ROLE OF ANALGESIC MONITORS.

INTERPRETATION OF THE ANI PARAMETER, THE EVOLVING ROLE OF ANALGESIC MONITORS. INTERPRETATION OF THE ANI PARAMETER, THE EVOLVING ROLE OF ANALGESIC MONITORS. The ANI technology calculates the power of the parasympathetic reflex loop as represented below: Brain stem Vagal nerve Sinus

More information

Medical Devices Landscape

Medical Devices Landscape Medical Devices Landscape A HIMSS Analytics White Paper Current and Future Adoption, Integration with EMRs, and Connectivity Sponsored by December 1, 2010 2 HIMSS Analytics Table of Contents Executive

More information

IntelliVue MP5/MP5T TRAINING GUIDE. IntelliVue Patient Monitor. MP5/MP5T Release G.0 with Software Revision G.0x.xx. Patient Monitoring

IntelliVue MP5/MP5T TRAINING GUIDE. IntelliVue Patient Monitor. MP5/MP5T Release G.0 with Software Revision G.0x.xx. Patient Monitoring IntelliVue MP5/MP5T TRAINING GUIDE IntelliVue Patient Monitor MP5/MP5T Release G.0 with Software Revision G.0x.xx Patient Monitoring Philips Medizin Systeme Boeblingen GmbH Hewlett-Packard-Str. 2 71034

More information

Clinical and epidemiological characteristics of patients with Chagas disease submitted to permanent cardiac pacemaker implantation

Clinical and epidemiological characteristics of patients with Chagas disease submitted to permanent cardiac pacemaker implantation ORIGINAL ARTICLE Rev Bras Cir Cardiovasc 24; 19(2): 17-4 Clinical and epidemiological characteristics of patients with disease submitted to permanent cardiac Estudo clínico e epidemiológico de pacientes

More information

Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy

Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast. Information for patients Pharmacy Rivaroxaban to prevent blood clots for patients who have a lower limb plaster cast Information for patients Pharmacy Your doctor has prescribed a tablet called rivaroxaban. This leaflet tells you about

More information

Electromagnetic Interference of Pacemakers

Electromagnetic Interference of Pacemakers 13 Electromagnetic Interference of Pacemakers Umashankar Lakshmanadoss MD 1, Priya Chinnachamy MD 2 and James P Daubert MD 3 1 Johns Hopkins Medical Institutions, Baltimore, MD, USA; 2 All India Institute

More information

The pre-hospital management of acute heart attacks

The pre-hospital management of acute heart attacks European Heart Journal (1998) 19, 1140 1164 Article No. 981106 Task Force Report The pre-hospital management of acute heart attacks Recommendations of a Task Force of the The European Society of Cardiology

More information

LAMC Reversal Agent Guideline for Anticoagulants 2013. Time to resolution of hemostasis (hrs) Therapeutic Options

LAMC Reversal Agent Guideline for Anticoagulants 2013. Time to resolution of hemostasis (hrs) Therapeutic Options LAMC Reversal Agent Guideline for Anticoagulants 2013 Medication resolution of hemostasis (hrs) Intervention Administration Instructions Heparin 3-4 Protamine 1mg IV for every 100 units of heparin Slow

More information

Online Learning Sites:

Online Learning Sites: Online Learning Sites: Basic Cardiac Rhythm Interpretation Sites: http://www.free-ed.net/sweethaven/medtech/cardiacrhythm/571.asp **Skill Stat Simulator. http://www.skillstat.com/flash/ecgsim531.html **Check

More information

Advanced Life Support Patient Care Standards

Advanced Life Support Patient Care Standards Advanced Life Support Patient Care Standards November 2011 Version 3.0 Emergency Health Services Branch Ministry of Health and Long-Term Care To all users of this publication: The information contained

More information

Package leaflet: Information for the patient. Bricanyl Tablets 5 mg terbutaline sulfate

Package leaflet: Information for the patient. Bricanyl Tablets 5 mg terbutaline sulfate Package leaflet: Information for the patient Bricanyl Tablets 5 mg terbutaline sulfate Read all of this leaflet carefully before you start taking this medicine because it contains important information

More information

Workers Compensation Form

Workers Compensation Form Workers Compensation Form Patient Name: Job Title: Employer: What is your current work status? Working full duty Off work due to injury, since: Working light or modified duty Other: Does your job require

More information

Selective Nerve Root Block

Selective Nerve Root Block Selective Nerve Root Block What is a selective nerve root block? Selective nerve root blocks is similar to epidural injections, as the preparation and approach is identical. Epidural refers to the space

More information

Cardiopulmonary Resuscitation

Cardiopulmonary Resuscitation Cardiopulmonary Resuscitation Jonathan E. Palmer, V.M.D. Author s address: Graham French Neonatal Section, Connelly Intensive Care Unit, New Bolton Center, University of Pennsylvania, 382 West Street Rd.,

More information

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia

INTRODUCTION Thrombophilia deep vein thrombosis DVT pulmonary embolism PE inherited thrombophilia INTRODUCTION Thrombophilia (Hypercoagulability) is a condition in which a person forms blood clots more than normal. Blood clots may occur in the arms or legs (e.g., deep vein thrombosis DVT), the lungs

More information

2014: nowadays the one shot technologies and the injectable monitor allow a wide and complete AF patient management. Why shouldn t we use them?

2014: nowadays the one shot technologies and the injectable monitor allow a wide and complete AF patient management. Why shouldn t we use them? 2014: nowadays the one shot technologies and the injectable monitor allow a wide and complete AF patient management. Why shouldn t we use them? Gaetano Senatore DIVISION OF CARDIOLOGY HOSPITAL OF CIRIE

More information

Your Atrial Fibrillation Catheter Ablation

Your Atrial Fibrillation Catheter Ablation UW MEDICINE PATIENT EDUCATION Your Atrial Fibrillation Catheter Ablation How to prepare and what to expect This handout explains how to prepare for your catheter ablation to treat atrial fibrillation.

More information

PATIENT REGISTRATION

PATIENT REGISTRATION PATIENT REGISTRATION Patient s Last Name: Patient s First Name: MI: Address: City, State Zip code: Patient s Date of Birth: Patient s Social Security: Best Number to contact: Secondary Number: Marital

More information

Symptom-Triggered Alcohol Detoxification: A Guideline for use in the Clinical Decisions Unit of the Emergency Department.

Symptom-Triggered Alcohol Detoxification: A Guideline for use in the Clinical Decisions Unit of the Emergency Department. Symptom-Triggered Alcohol Detoxification: A Guideline for use in the Clinical Decisions Unit of the Emergency Department. Dr Eugene Cassidy, Liaison Psychiatry; Dr Io har O Sulliva, E erge cy Department,

More information

The Pharmacist s Role in Advanced Cardiac Life Support (ACLS) Pharmacist Objectives. Pharmacists in the ER. Background

The Pharmacist s Role in Advanced Cardiac Life Support (ACLS) Pharmacist Objectives. Pharmacists in the ER. Background The Pharmacist s Role in Advanced Cardiac Life Support (ACLS) I have no actual or potential conflict of interest in relation to this activity. it James Jensen B.S., Pharm.D., BCPS Pharmacist Objectives

More information

Universitätsklinik für Kardiologie. Test. Thomas M. Suter Akute Herzinsuffizienz Diagnostik und Therapie thomas.suter@insel.ch 1

Universitätsklinik für Kardiologie. Test. Thomas M. Suter Akute Herzinsuffizienz Diagnostik und Therapie thomas.suter@insel.ch 1 Test Thomas M. Suter Akute Herzinsuffizienz Diagnostik und Therapie thomas.suter@insel.ch 1 Heart Failure - Definition European Heart Journal (2008) 29, 2388 2442 Akute Herzinsuffizienz Diagnostik und

More information

UCB s strong presence at International Epilepsy Congress reinforces value to epilepsy patients

UCB s strong presence at International Epilepsy Congress reinforces value to epilepsy patients UCB s strong presence at International Epilepsy Congress reinforces value to epilepsy patients Studies spanning from preclinical to clinical investigations of brivaracetam, UCB s new epilepsy portfolio

More information

Developed / Reviewed by the Collaborative Provider PGD (Patient Group Direction) Group (CPPGDG) and approved by the following members of the CPPGDG:

Developed / Reviewed by the Collaborative Provider PGD (Patient Group Direction) Group (CPPGDG) and approved by the following members of the CPPGDG: Patient Group Direction 7.02 version 4.0 Administration of Intravenous Adrenaline (Epinephrine) 1 in 10,000 (100micrograms per ml) Injection in Cardiopulmonary by Registered Practitioners in Torbay and

More information

A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation

A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation A Patient s Guide to Antithrombotic Therapy in Atrial Fibrillation PATIENT EDUCATION GUIDE What is atrial fibrillation? Atrial fibrillation

More information

Multiple Sclerosis in Practice. An Expert Commentary With Jeffrey Cohen, MD, PhD A Clinical Context Report

Multiple Sclerosis in Practice. An Expert Commentary With Jeffrey Cohen, MD, PhD A Clinical Context Report Multiple Sclerosis in Practice An Expert Commentary With Jeffrey Cohen, MD, PhD A Clinical Context Report Clinical Context: Multiple Sclerosis in Practice Expert Commentary Jointly Sponsored by: and Clinical

More information

Asbestos Related Diseases

Asbestos Related Diseases Asbestos Related Diseases Asbestosis Mesothelioma Lung Cancer Pleural Disease Asbestosis and Mesothelioma (LUNG CANCER) Support Group 1800 017 758 www.amsg.com.au ii Helping you and your family through

More information

CENTRAL NERVOUS SYSTEM MANAGEMENT OF PARKINSON S DISEASE

CENTRAL NERVOUS SYSTEM MANAGEMENT OF PARKINSON S DISEASE MANAGEMENT CENTRAL NERVOUS SYSTEM MANAGEMENT OF PARKINSON S DISEASE Parkinson s Disease is classically determined by the triad or rest tremor (usually starting in one arm) with bradykinesia (slowing of

More information

CANCER TREATMENT: Chemotherapy

CANCER TREATMENT: Chemotherapy CANCER TREATMENT: Chemotherapy Chemotherapy, often called chemo, is the use of drugs to treat a disease. The term chemotherapy is now most often used to describe a type of cancer treatment. Dr. Khuri:

More information

SECTION OF EMERGENCY MEDICAL SERVICES MINIMUM REQUIRED EQUIPMENT LIST PARAMEDIC

SECTION OF EMERGENCY MEDICAL SERVICES MINIMUM REQUIRED EQUIPMENT LIST PARAMEDIC MINIMUM REQUIRED EQUIPMENT LIST PARAMEDIC Trauma Dressing (2) Isolation Kits (2) OB Kit (1) - must contain Bulb syringe Betadine Solution (1 Bottle) Hemostat Window Punch Scalpel Exam Gloves (1 Box) Sterile

More information

LATITUDE Patient Management. Purpose. Objectives

LATITUDE Patient Management. Purpose. Objectives Contents Purpose...1 Objectives...1 Application Overview...2 Component Definitions...3 Follow-up Information Retrieval...4 Patient Record Dismissal...6 Follow-up Information Transfer..10 Patient Record

More information

High dose versus standard dose epinephrine in cardiac arrest a meta-analysis

High dose versus standard dose epinephrine in cardiac arrest a meta-analysis Resuscitation 45 (2000) 161 166 www.elsevier.com/locate/resuscitation High dose versus standard dose epinephrine in cardiac arrest a meta-analysis C. Vandycke *, P. Martens Department of Emergency Medicine,

More information

DVT/PE Management with Rivaroxaban (Xarelto)

DVT/PE Management with Rivaroxaban (Xarelto) DVT/PE Management with Rivaroxaban (Xarelto) Rivaroxaban is FDA approved for the acute treatment of DVT and PE and reduction in risk of recurrence of DVT and PE. FDA approved indications: Non valvular

More information

Procedure for Community Detoxification using Prescribed Lofexidine with or without Naltrexone

Procedure for Community Detoxification using Prescribed Lofexidine with or without Naltrexone NHS Fife Community Health Partnerships Subject Title Addiction Services Procedure for Community Detoxification using Prescribed Lofexidine with or without Naltrexone Intranet Procedure No. A2 Author Dr

More information

Guidelines for the Use of Sedation and General Anesthesia by Dentists

Guidelines for the Use of Sedation and General Anesthesia by Dentists Guidelines for the Use of Sedation and General Anesthesia by Dentists I. Introduction The administration of local anesthesia, sedation and general anesthesia is an integral part of dental practice. The

More information

Malignant Mesothelioma

Malignant Mesothelioma Malignant mesothelioma is a tumour originating from mesothelial cells. 85 95% of mesotheliomas are caused by asbestos exposure. It occurs much more commonly in the chest (malignant pleural mesothelioma)

More information

Local Anaesthetic Systemic Toxicity. Dr Thomas Engelhardt, MD, PhD, FRCA Royal Aberdeen Children s Hospital, Scotland

Local Anaesthetic Systemic Toxicity. Dr Thomas Engelhardt, MD, PhD, FRCA Royal Aberdeen Children s Hospital, Scotland Local Anaesthetic Systemic Toxicity Dr Thomas Engelhardt, MD, PhD, FRCA Royal Aberdeen Children s Hospital, Scotland Conflict of interest None Overview Local anesthetic systemic toxicity (LAST) Background

More information

Treatment Guide Lung Cancer Management

Treatment Guide Lung Cancer Management Treatment Guide Lung Cancer Management The Chest Cancer Center at Cleveland Clinic, which includes specialists from the Respiratory Institute, Taussig Cancer Institute and Miller Family Heart & Vascular

More information

CARDIOPULMONARY RESUSCITATION (CPR)

CARDIOPULMONARY RESUSCITATION (CPR) Alert the Emergency Team Algorithm ABC Assess & Manage Defibrillation Medications Disability Exposure Secondary Survey Emergency Team Roles Medical Emergency Team Roles - Nursing Role in Wards Post-Resuscitation

More information