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.…
Many bacteria (e.g., Vibrio cholerae) secrete toxins that inhibit the ability of mucosal enterocytes to absorb NaCl and water and, at the same time, stimulate mucosal secretory activity. Bacteria or…
Arresting Patient ED Thoracotomy indications: Trauma patient, CPR, no signs of life (SOL) +:Blunt trauma with CPR <10minPenetrating trauma with CPR <15minPenetrating trauma to neck/extremity < 5 min No Signs…
Second-degree AVB is divided into two types, Mobitz type I and type II. It is important for the emergency provider to be able to distinguish between these two types of second-degree AVB, as treatment, disposition, and prognosis can be vastly different.
In the area of a gastric or duodenal peptic ulcer, the mucosa has been attacked by digestive juices to such an extent as to expose the subjacent connective tissue layer (submucosa).