Patients with acute life-threatening cardiac or pulmonary conditions frequently present with feelings of panic or impending doom in association with chest pain. This may even be in the setting of a stressful situation and mislead the EP to feel confident that anxiolytic therapy and reassurance is all that may be needed.
Benzodiazepines modify affective responses to sensory perceptions; specifically, they render a subject indifferent towards anxiogenic stimuli, i.e., anxiolytic action. Furthermore, benzodiazepines exert sedating, anticonvulsant, and muscle-relaxant (myotonolytic) effects.
The general approach to acute scrotal pain is to work-up the patient for testicular torsion by first risk stratifying them based on age group, history and physical.Based on the patient's…
Ventricular tachycardia is a wide complex tachycardia (WCT) that is typically associated with coronary artery disease or other significant heart disease. The rapid rate, often in conjunction with poor baseline…
In specific forms of epilepsy, initially a single drug is tried to achieve control of seizures, valproate usually being the drug of first choice in generalized seizures, and carbamazepine being preferred for partial (focal), especially partial complex, seizures.
1. General Approach and Resuscitation General Start with initial resuscitation and ABCs depending on stability of the patientThen rule-out ectopic pregnancy using pelvic ultrasound and HCG levelIf ultrasound shows Intrauterine…
It can be especially difficult to distinguish between ventricular tachycardia (VT) and supraventricular tachycardia (SVT) with aberrant conduction. Fortunately, if the patient is unstable, the initial treatment for both rhythms is synchronized electrical cardioversion.
Parkinson’s disease (shaking palsy) and its syndromal forms are caused by a degeneration of nigrostriatal dopamine neurons. Pharmacotherapeutic measures are aimed at restoring dopaminergic function or suppressing cholinergic hyperactivity.
Cardiac Arrest from Blunt Chest Trauma Read Also : Penetrating Chest Trauma Algorithm ED Thoracotomy indications: Trauma patient, CPR, no signs of life (SOL) +:Blunt trauma with CPR <10minPenetrating trauma…
In 1930, Wolff, Parkinson, and White described the combination of bundlebranch block, shortened PR interval, and recurrent episodes of tachycardia that occurred in young, healthy patients with structurally normal hearts.…