2024 Liftl - Renal replacement therapy is clinically useful for enhanced elimination of selected toxic agents. The RRT mode (IHD versus CRRT) and duration is important and the optimal choice varies depending on the agent. At present, there is a lack of high-level evidence guiding the use of RRT in toxicology.

 
26. März 1864 in Allentsteig † 10. September 1932 in Wien.. Liftl

LIFE IN THE FASTLANE: liftl.com. Apnoeic CPAP for oxygenation of COVID-19 patients prior to intubation : https://litfl.com/apnoeic-cpap-for-oxygenation-of ...Anterior myocardial infarction carries the poorest prognosis of all infarct locations, due to the larger area of myocardium infarct size. A study comparing outcomes from anterior and inferior infarctions (STEMI + NSTEMI) found that compared with inferior MI, patients with anterior MI had higher incidences of: In-hospital mortality (11.9 vs 2.8%)Einkauf · Maximilian Beinhauer · Nimche Gantumur · Christoph Liftl · Peter Müller · Damir Ostrihon · Alfred Petracs · Marijana Simic · Birgit Wenhardt.Life is for the learning liftl.org Reimagining SchoolingDelivering fresh learning to childen and young people join the global Liftl community 1. to 5.Gamma glutamyl transferase (GGT) is associated with transfer of amino acids across cell membranes. GGT is produced in the renal tubules, liver, biliary tract, pancreas, lymphocytes, brain, testes. GGT is most useful when looking for hepatocellular damage. More sensitive than ALP and AST – but much less specific.PATHOPHYSIOLOGY. sympathetic drive plays a role in many cases. hence the electrical storm mantra: “beta-blockers good, adrenaline bad!”. however, electrical storm may result from different underlying pathologies, e.g. VF storm in the setting of Brugada syndrome or early repolarisation may respond to isoprenaline.Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University.. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors …Hypothermia occurs when core body temperature is < 35°C. mild: 32-35°C. moderate: 28-32°C. severe: < 28°C. Swiss staging system. I – clearly conscious and shivering. II – impaired consciousness without shivering. III – unconscious. IV – not breathing.100% satisfaction guaranteed on every domain we sell. 30-day, no questions asked, money-back guarantee. Easy, fast and convenient shopping.Aug 23, 2022. Home Ultrasound Library. Pulmonary oedema is a common cause of acute respiratory distress in critical care environments. Cardiogenic pulmonary oedema occurs when raised left ventricular filling pressure leads to raised left atrial pressure, raised pulmonary venous pressures and then elevated pulmonary capillary pressure.Abdominal CT: Interpretation. Abdominal CT: Understanding the basics. Abdominal CT: Choosing the right study. Abdominal CT: abdominal organs and bowel. Abdominal CT: other important abdominal structures. Acute abdomen and bowel pathology. Acute abdomen. Solid organ and Vascular pathology. GFR increases by 50% -> lower Cr, urea, uric acid. Placenta. uterine blood flow @ term = 10% (600-700mL/min) under stress maternal blood flow will be maintained at the expense of the fetus. oxygen consumption = 20mL/min -> can survive 10 min by shunting blood flow to vital organs and decreasing O2 consumption.AMAX4 is the initiative of emergency physician Dr Ben McKenzie and his wife Tamara McKenzie following the tragic death of their 15-year-old son Max McKenzie. Max sustained an hypoxic brain injury secondary to food anaphylaxis related bronchospasm/asthma. The promotion of the AMAX4 algorithm aims to raise awareness …Nov 28, 2023 · LITFL is a website that provides educational resources and articles for emergency medicine and critical care professionals. It covers topics such as AI, urgent care, orthopaedics, radiology, ophthalmology, urology, neurology, neurosurgery, anaesthesiology, and more. Scroll to annotate: Left Anterior Fascicular Block (LAFB) Typical ECG of LAFB, demonstrating: rS complexes in leads II, III, aVF, with small R waves and deep S waves. qR complexes in leads I, aVL, with small Q waves and tall R waves. Left Axis Deviation (LAD): Leads II, III and aVF are NEGATIVE; Leads I and aVL are POSITIVE.Tyler holds a Ph.D. in Microbiology from MIT, where he served as student coordinator for the new MIT+K12 video outreach project. Chemistry Basics collates a series of Dr Tyler DeWitt’s Basic Science tutorials. Medical Podcasts and Vodcasts hosted by LITFL including RAGE, the JellyBean, Chemistry Basics, Mastering Intensive Care and Medmastery.LITFL Further Reading. ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation; ECG A to Z by diagnosis – ECG interpretation in clinical context; ECG Exigency and Cardiovascular Curveball – ECG Clinical Cases; 100 ECG Quiz – Self-assessment tool for examination practice; ECG Reference SITES and BOOKS – the best …Atrioventricular Re-entry Tachycardia (AVRT) is a form of paroxysmal supraventricular tachycardia that occurs in patients with accessory pathways, usually due to formation of a re-entry circuit between the AV node and accessory pathway. ECG features depend on the direction of conduction, which can be orthodromic or antidromic. Orthodromic AVRT ...Jellybean 89 with Dr Michelle Johnston, Doctor and Novelist. The fabulous @eleytherius. You may know her as Dr Johnston, as a long term LIFTL contributor, ...Multifocal Atrial Tachycardia (MAT) Overview. A rapid, irregular atrial rhythm arising from multiple ectopic foci within the atria. Most commonly seen in patients with severe COPD or congestive heart failure. It is typically a transitional rhythm between frequent premature atrial complexes (PACs) and atrial flutter / fibrillation.CT Case 053. A 25-year-old man is brought in by ambulance having been found on the side of a motorway after a presumed pedestrian vs car accident. He …Learn ECG interpretation skills with clinical cases and self assessment quizzes on the top 150 ECG problems. Search by keywords, disease process, condition or eponym and prepare for examinations with the ECG Library Basics, the ECG Exam template and the ECG Differential Diagnosis.ECG features of HCM. Left ventricular hypertrophy with increased precordial voltages and non-specific ST segment and T-wave abnormalities. Deep, narrow (“dagger-like”) Q waves in lateral (I, aVL, V5-6) +/- inferior (II, III, aVF) leads. Other associated features may include: Left atrial enlargement (“P mitrale”) — left ventricular ...You may know her as Dr Johnston, as a long term LIFTL contributor, as a Mega-FOAM performer, as a some-time feline choreographer or as a Fabulous Female …Aslanger 2020. In April 2020, Aslanger et al identified a specific ECG pattern concerning for acute inferior occlusion MI (OMI) in patients with concomitant multi-vessel disease, that does not display contiguous ST-segment elevation or fulfil STEMI criteria. The publishers reviewed ECG and angiography findings from 1000 NSTEMI, 1000 control (no ...100% satisfaction guaranteed on every domain we sell. 30-day, no questions asked, money-back guarantee. Easy, fast and convenient shopping.If IV/IO cannot be attained, and an ETT is present, administration of SOME medications is possible, with variable absorption. Give 3-10x the dose diluted in 10 mL of water to aid in absorption. The only drugs recommended are: Adrenaline, lignocaine, and atropine. Other drugs may cause mucosal and alveolar damage.17 ian. 2017 ... From LIFTL, human factors can be broken up into: team factors; task factors; situational factors; organizational factors. Human factors leading ...Life in the Fast Lane (LITFL) Library, anthologies and collections of emergency medicine and critical care education. LITFL Libraries. CRITICAL CARE COMPENDIUM (CCC) with compendium of Investigations; SMILE …ECG Library Homepage. Accidental misplacement of the limb lead electrodes is a common cause of ECG abnormality and may simulate pathology such as ectopic atrial rhythm, chamber enlargement or myocardial ischaemia and infarction. When the limb electrodes (LA, RA, LL) are exchanged without disturbing the neutral electrode …Definition of Mobitz I block (Wenckebach phenomenon) Progressive prolongation of the PR interval culminating in a non-conducted P wave: PR interval is longest immediately before dropped beat. PR interval is shortest immediately after dropped beat.OVERVIEW. Acute Respiratory Distress Syndrome (ARDS) is an acute diffuse, inflammatory lung injury, leading to increased pulmonary vascular permeability, increased lung weight, and loss of aerated lung tissue with hypoxemia and bilateral radiographic opacities, associated with increased venous admixture, increased …OMI: Replacing the STEMI misnomer. Robert Buttner and Mike Cadogan. Aug 10, 2023. Home ECG Library. Under the current STEMI paradigm, 25-30% of NSTEMI patients are found to have total occlusion on delayed cardiac catheterisation. Using expert ECG interpretation instead of strict STEMI criteria, cardiologists are able to successfully reclassify ...A comprehensive guide to the clinical interpretation of ECGs by diagnosis, with definitions, examples, and references. Learn about the causes, symptoms, and ECG features of various arrhythmias, cardiomyopathies, …Aug 23, 2022 · Short path reverberation artefact (B-lines or ring-down) The image shows how a B-line is formed. A pulse of ultrasound gets trapped between two very small, close reflective surfaces such as a fluid filled alveolus, or a tiny area of interstitial fibrosis. Where the reflective surfaces are less than half an ultrasound pulse length apart, a true ... Nov 3, 2020 · An Emergency physician based in Perth, Western Australia. Professionally my passion lies in integrating advanced diagnostic and procedural ultrasound into clinical assessment and management of the undifferentiated patient. Sharing hard fought knowledge with innovative educational techniques to ensure knowledge translation and dissemination is ... Einkauf · Maximilian Beinhauer · Nimche Gantumur · Christoph Liftl · Peter Müller · Damir Ostrihon · Alfred Petracs · Marijana Simic · Birgit Wenhardt.The J (junction) point in the ECG is the point where the QRS complex joins the ST segment. It represents the approximate end of depolarization and the beginning of repolarization as determined by the surface ECG. There is an overlap of around 10ms. The J point marks the end of the QRS complex, and is often situated above the baseline ...VR is altered by: muscle pump. thoracic pump (negative intrathoracic pressure -> inspiration (increased RV filling) and expiration (reduced RV filling) intrapericardial pressure. venous tone. posture. blood volume. (2) HR – high HR reduces time for diastolic filling. (3) Atrial contraction -> ventricular filling.OMI: Replacing the STEMI misnomer. Robert Buttner and Mike Cadogan. Aug 10, 2023. Home ECG Library. Under the current STEMI paradigm, 25-30% of NSTEMI patients are found to have total occlusion on delayed cardiac catheterisation. Using expert ECG interpretation instead of strict STEMI criteria, cardiologists are able to successfully reclassify ...Note: SAM has a lot of degrees because he studied long and hard to become Super-Axis-Man. The degrees go in lots of 30. They are 0° , MINUS 30° , +60° , +90°, and +120°. Start at 0° at lead I, add MINUS 30° to aVL, then +60° to II, +90° to aVF, and +120° to III. If you want to you can add +210° to aVR (which may also be called -150 ...Nov 28, 2023 · LITFL is a website that provides educational resources and articles for emergency medicine and critical care professionals. It covers topics such as AI, urgent care, orthopaedics, radiology, ophthalmology, urology, neurology, neurosurgery, anaesthesiology, and more. The ST segment is the flat, isoelectric section of the ECG between the end of the S wave (the J point) and the beginning of the T wave. The ST Segment represents the interval between ventricular depolarization and repolarization. The most important cause of ST segment abnormality (elevation or depression) is myocardial ischaemia or infarction.Pharmacokinetics. Many different routes of administration: IV/IM/IN, SC, transdermal patch, epidural. Transdermal, mucosal and IM absorption are good. Highly lipid soluble. High first pass metabolism (low bioavailability) Redistribution half-life 15 minutes, elimination half-life 3 hours.PZM-NFPRO360-LIFTL. 2pcs PC clips+2sets of hanging wire + 2pcs screws. PZM-NFPRO360-LIFTVA. 1 set of Surface vertical lifting accessories + 2pcs screw + 2pcs ...Hyperkalaemia. Robert Buttner and Ed Burns. Mar 24, 2022. Home ECG Library. Hyperkalaemia is defined as a serum potassium level of > 5.2 mmol/L. ECG changes generally do not manifest until there is a moderate degree of hyperkalaemia (≥ 6.0 mmol/L). The earliest manifestation of hyperkalaemia is an increase in T wave amplitude.Learn the basics of ECG interpretation, diagnosis and waves, intervals, segments and clinical diagnosis from LITFL, a comprehensive online library of electrocardiography …You may know her as Dr Johnston, as a long term LIFTL contributor, as a Mega-FOAM performer, as a some-time feline choreographer or as a Fabulous Female of FOAM ...Learn ECG interpretation skills with clinical cases and self assessment quizzes on the top 150 ECG problems. Search by keywords, disease process, condition or eponym and prepare for examinations with the ECG Library Basics, the ECG Exam template and the ECG Differential Diagnosis.LITFL Further Reading. ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation. ECG A to Z by diagnosis – ECG interpretation in clinical context. ECG Exigency and Cardiovascular Curveball – ECG Clinical Cases. 100 ECG Quiz – Self-assessment tool for examination practice. How long path reverberation artefact is formed (A-lines) The ultrasound beam hits the highly reflective pleural surface and is reflected back to the transducer. The first return results in a true image of the pleural surface on the monitor. The beam however reflects back again off the transducer face and the cycle repeats.The J (junction) point in the ECG is the point where the QRS complex joins the ST segment. It represents the approximate end of depolarization and the beginning of repolarization as determined by the surface ECG. There is an overlap of around 10ms. The J point marks the end of the QRS complex, and is often situated above the baseline ...Liftl.org is a worldwide directory of services for parents, teachers, educators and policy makers. Through the Liftl.org directory, parents, teachers, educators and policy makers …This ECG shows a full set of right-sided leads (V3R-V6R), with V1 and V2 in their original positions. RV infarction is diagnosed based on the following findings: There is an inferior STEMI with ST elevation in lead III > lead II. V1 is isoelectric while V2 is significantly depressed. There is ST elevation throughout the right-sided leads V3R-V6R.Inferior STEMI can result from occlusion of any of the three main coronary arteries: Dominant right coronary artery (RCA) in 80% of cases. Dominant left circumflex artery (LCx) in 18%. Occasionally, a “type III” or “wraparound” left anterior descending artery ( LAD ), producing the unusual pattern of concomitant inferior and anterior ST ...ECG Features of Dextrocardia. Lead I: inversion of all complexes, aka ‘global negativity’ (inverted P wave, negative QRS, inverted T wave) Absent R-wave progression in the chest leads (dominant S waves throughout) These changes can be reversed by placing the precordial leads in a mirror-image position on the right side of the chest and ...Liftl-franz-josef-tir-schuetzen-staend-festpolon-op-188-a-gut-alt-zeit-op-72-444912 - Secondo das Notenfachgeschäft in Hamburg.ECG features of HCM. Left ventricular hypertrophy with increased precordial voltages and non-specific ST segment and T-wave abnormalities. Deep, narrow (“dagger-like”) Q waves in lateral (I, aVL, V5-6) +/- inferior (II, III, aVF) leads. Other associated features may include: Left atrial enlargement (“P mitrale”) — left ventricular ...Note: SAM has a lot of degrees because he studied long and hard to become Super-Axis-Man. The degrees go in lots of 30. They are 0° , MINUS 30° , +60° , +90°, and +120°. Start at 0° at lead I, add MINUS 30° to aVL, then +60° to II, +90° to aVF, and +120° to III. If you want to you can add +210° to aVR (which may also be called -150 ...Jul 13, 2022 · RBBB is a common ECG finding that occurs when the left ventricle is activated before the right ventricle. It can be caused by various conditions, such as heart disease, pulmonary embolus, or chest pain. Learn about the diagnosis, causes, sequence of conduction, and ECG examples of RBBB from LITFL. LITFL Further Reading. ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation. ECG A to Z by diagnosis – ECG interpretation in clinical context. ECG Exigency and Cardiovascular Curveball – ECG Clinical Cases. 100 ECG Quiz – Self-assessment tool for examination practice. Complete heart block: There is AV dissociation, with the atrial rate (~100 bpm) independent of the ventricular rate (~40 bpm) In complete heart block, there is complete absence of AV conduction, with none of the supraventricular impulses conducted to the ventricles. The perfusing rhythm is maintained by junctional or ventricular escape rhythm.Uses during cardiac arrest: gradual fall in ETCO2 suggests compressionist fatigue during CPR -> time to change compressionists. abrupt increase in ETCO2 suggests ROSC during CPR (detectable before pulse check) ETCO2 at 20 minutes of CPR is prognostically useful. Prognosis. >20 mmHg at 20 minutes CPR -> higher chance of ROSC.Nov 30, 2021 · ECG Features: Sinus tachycardia – the most common abnormality (seen in 44% of patients with PE) Right ventricular strain pattern – T wave inversions in the right precordial leads (V1-4) ± the inferior leads (II, III, aVF). This pattern is associated with high pulmonary artery pressures (34%) Right axis deviation (16%). 27 mar. 2018 ... ... LIFTL. Contributed by. Dr. Gerald Diaz. @GeraldMD. Board Certified Internal Medicine Hospitalist, GrepMed Editor in Chief - Sign up ...eponym: a person, place, or thing after whom or after which something is named, or believed to be named. Origin: from Greek epōnumos ‘given as a name, giving one’s name to someone or something’, from epi ‘upon’ + onoma ‘name’. noun: eponym; plural noun: eponyms; adjective: eponymous.PATHOPHYSIOLOGY. sympathetic drive plays a role in many cases. hence the electrical storm mantra: “beta-blockers good, adrenaline bad!”. however, electrical storm may result from different underlying pathologies, e.g. VF storm in the setting of Brugada syndrome or early repolarisation may respond to isoprenaline.WPW Syndrome refers to the presence of a congenital accessory pathway (AP) and episodes of tachyarrhythmias. The term is often used interchangeablely with pre-excitation syndrome. First described in 1930 by Louis Wolff, John Parkinson and Paul Dudley White. Incidence is 0.1 – 3.0 per 1000. Associated with a small risk of sudden cardiac death.Inverted T waves are seen in the following conditions: Myocardial ischaemia and infarction (including Wellens Syndrome) ** T wave inversion in lead III is a normal variant. New T-wave inversion (compared with prior ECGs) is always abnormal. Pathological T wave inversion is usually symmetrical and deep (>3mm).Premature Atrial Complex (PAC) A premature atrial complex (PAC) is a premature beat arising from ectopic pacemaking tissue within the atria. There is an abnormal P wave, usually followed by a normal QRS complex. AKA: Atrial ectopics, atrial extrasystoles, atrial premature beats, atrial premature depolarisations.Intrinsic PEEP is also known as autoPEEP or PEEPi. Intrinsic PEEP occurs when the expiratory time is shorter than the time needed to fully deflate the lungs, preventing the lung and chest wall from reaching an elastic equilibrium point. This is sometimes referred to as ‘gas trapping’. ARDS or cardiogenic pulmonary oedema tend to have low ...Anterior myocardial infarction carries the poorest prognosis of all infarct locations, due to the larger area of myocardium infarct size. A study comparing outcomes from anterior and inferior infarctions (STEMI + NSTEMI) found that compared with inferior MI, patients with anterior MI had higher incidences of: In-hospital mortality (11.9 vs 2.8%)ECG features of normal sinus rhythm. Regular rhythm at a rate of 60-100 bpm (or age-appropriate rate in children) Each QRS complex is preceded by a normal P wave. Normal P wave axis: P waves upright in leads I and II, inverted in aVR. The PR interval remains constant.ECG Features: Sinus tachycardia – the most common abnormality (seen in 44% of patients with PE) Right ventricular strain pattern – T wave inversions in the right precordial leads (V1-4) ± the inferior leads (II, III, aVF). This pattern is associated with high pulmonary artery pressures (34%) Right axis deviation (16%).U -wave size is inversely proportional to heart rate: the U wave grows bigger as the heart rate slows down. U waves generally become visible when the heart rate falls below 65 bpm. The voltage of the U wave is normally < 25% of the T-wave voltage: disproportionally large U waves are abnormal. Maximum normal amplitude of the U wave …VR is altered by: muscle pump. thoracic pump (negative intrathoracic pressure -> inspiration (increased RV filling) and expiration (reduced RV filling) intrapericardial pressure. venous tone. posture. blood volume. (2) HR – high HR reduces time for diastolic filling. (3) Atrial contraction -> ventricular filling.Effects on membrane potentials. Mg deficiency leads to a drop in ICF potassium and a rise in the ICF Na. This leads to an elevation in the resting potential, and in turn a rise in the inward Ca current and hence enhanced neurological and cardiac irritability. magnesium is required for potassium reabsorption by the kidneys.Complete heart block: There is AV dissociation, with the atrial rate (~100 bpm) independent of the ventricular rate (~40 bpm) In complete heart block, there is complete absence of AV conduction, with none of the supraventricular impulses conducted to the ventricles. The perfusing rhythm is maintained by junctional or ventricular escape rhythm.Killer ECG Patterns: Part 1. In many Emergency Departments, senior doctors are handed an ECG every 10-15 minutes. Typically, these ECGs come from ATS category 2 patients that have been triaged but not yet seen by a doctor. When you are busy with your own workload, it can be tempting to quickly “ sign off ” on the ECG, deferring further ...May 14, 2022 · The QT interval is the time from the start of the Q wave to the end of the T wave on an ECG. It represents the period of ventricular depolarisation and repolarisation. It is inversely proportional to heart rate and can be measured in different leads. It is used to diagnose and monitor arrhythmias, drugs, and conditions that affect the heart. ECG features of atrial fibrillation in WPW: Rate > 200 bpm. Irregular rhythm, with extremely high rates in some places — up to 300 bpm (this is too rapid to be conducted via the AV node) Wide QRS complexes due to abnormal ventricular depolarisation via AP. Subtle beat-to-beat variation in QRS morphology. Axis remains stable, unlike ...rhabdomyolysis. Post-renal. obstruction at any post-renal site (e.g. tumour, clot, papillary necrosis, foreign body, post-surgical, blocked IDC) abdominal compartment syndrome. Can also be categorised as: volume-responsive (50%) sepsis-induced (contributes to 50%) hypotension-related (Rx with fluids and noradrenaline)ECG Features of Dextrocardia. Lead I: inversion of all complexes, aka ‘global negativity’ (inverted P wave, negative QRS, inverted T wave) Absent R-wave progression in the chest leads (dominant S waves throughout) These changes can be reversed by placing the precordial leads in a mirror-image position on the right side of the chest and ...Objective: To demonstrate the equivalence of Normal Saline (NS) and Ringer Lactate (RL) for change in serum sodium levels during correction of severe dehydration in children with acute diarrhea based on World Health Organization (WHO) plan C. Design: Equivalence randomized control trial. Setting: Pediatric diarrhea unit of a tertiary care hospital from May, 2016 to April, 2017.STRONG ION DIFFERENCE. Strong ions are those ion that dissociate completely at the pH of interest in a particular solution. In blood at pH 7.4: strong cations are: Na +, K +, Ca 2+, Mg 2+. strong anions are: Cl - and SO 42-. Strong Ion Difference (SID) is the difference between the concentrations of strong cations and strong anions.Shock is a life-threatening state where there is globally insufficient delivery and/or utilisation of oxygen at the cellular level (1). It is characteristically (but not always) associated with low blood pressure and impaired tissue perfusion. The consequence of shock is cellular and tissue hypoxia and ultimately cellular death and organ ...Left Coronary artery. arises from aortic sinus. passes behind then to left of pulmonary trunk -> left part of the atrioventricular groove -> lateral round the left border of heart to reach the inferior interventricular groove. divides into: (1) LAD -> diagonal branches. anterolateral wall of left ventricle.Learn ECG interpretation skills with clinical cases and self assessment quizzes on the top 150 ECG problems. Search by keywords, disease process, condition or eponym and prepare for examinations with the ECG Library Basics, the ECG Exam template and the ECG Differential Diagnosis.Heart rates are highest in neonates and infants and decrease with age: Newborn: 110 – 150 bpm. 2 years: 85 – 125 bpm. 4 years: 75 – 115 bpm. > 6 years: 60 – 100 bpm. The right ventricular dominance of the neonate and infant is gradually replaced by left ventricular dominance so that by 3-4 years of age, the paediatric ECG largely ...ABG = arterial blood gas. pH, PaO2 & PaCO2 are all directly measured. HCO3-, base excess, SaO2 are derived. PaO2. PaO2 = partial pressure (tension) of O2 in arterial blood. Oxygen Tension Methods. oxygen (Clarke’s) electrode: amount of O2 producing a voltage. transcutaneous electrodes. fluorescence-based blood gas analysis: …Liftl.org is a worldwide directory of services for parents, teachers, educators and policy makers. Through the Liftl.org directory, parents, teachers, educators and policy makers have the opportunity to support children in the art of life and living.There is special support forTeifl, heint geat a Liftl! ... Teifl, heint geat a Liftl! 翻譯貼文. 圖片. 下午8:03 · 2014年9月12日 來自Innenstadtgürtel Süd, Nürnberg.Liftl

The exam starts by giving IV contrast (shown at zero seconds) and can span over more than eight minutes. The three common phases are: Zero point (before contrast) Arterial phase. Portal venous phase. All three of these phases occur within the first 1.5 minutes of the exam. The different phases simply refer to how quickly the CT is …. Liftl

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Learn ECG interpretation skills with clinical cases and self assessment quizzes on the top 150 ECG problems. Search by keywords, disease process, condition or eponym and prepare for examinations with the ECG Library Basics, the ECG Exam template and the ECG Differential Diagnosis.GFR increases by 50% -> lower Cr, urea, uric acid. Placenta. uterine blood flow @ term = 10% (600-700mL/min) under stress maternal blood flow will be maintained at the expense of the fetus. oxygen consumption = 20mL/min -> can survive 10 min by shunting blood flow to vital organs and decreasing O2 consumption.Liftl-franz-josef-tir-schuetzen-staend-festpolon-op-188-a-gut-alt-zeit-op-72-444912 - Secondo das Notenfachgeschäft in Hamburg.Liftl Franz Josef. Hans Pizka Verlag. ISBN 9990092421504. Buch. CHF 17.55. Wird für Sie besorgt. In den Warenkorb. Mein Konto. Anmelden · Konto anlegen · Neues ...CT Case 050. Leon Lam, Jennifer Davidson, Parvathy Suresh Kochath and Georgina Beech. Dec 5, 2023. Home Medical Specialty Radiology. A 50-year-old man presents to the emergency department with central abdominal pain, nausea, vomiting and fevers. Clinical examination demonstrates a very tender and erythematous umbilical mass.Ultrasound of the thorax relating specifically to lung anatomy, pathology, clinical cases, tips, tricks and pitfalls Anatomy Airway ultrasound transverse views Airway ultrasound longitudinal views Airway ultrasound of the oesophagus Related Clinical Cases LITFL Ultrasound library LITFL Top 100 ultrasound cases Ing. Gerhard Floquet. staatl. geprüfter Immobilienmakler-/verwalter. 0043 1 9974252/10 ; Andrea Adamik. Vertrieb. 0043 1 9974252/11 ; Alexander Liftl. staatl.Identifying enteritis and colitis. We review the most common presentations of gastrointestinal tract inflammation that do not require surgery. In terms of inflammation: Gastritis is inflammation of the stomach. Enteritis involves the small bowel. Enterocolitis involves the small and large bowel. Gastroenteritis includes the stomach and small bowel.Massive transfusion is defined as. replacement of >1 blood volume in 24 hours, or. >50% of blood volume in 4 hours (adult blood volume is approximately 70 mL/kg), or. in children: transfusion of >40 mL/kg (blood volume in children over 1 …Robert Buttner. MBBS (UWA) CCPU (RCE, Biliary, DVT, E-FAST, AAA) Adult/Paediatric Emergency Medicine Advanced Trainee in Melbourne, Australia. Special interests in diagnostic and procedural ultrasound, medical education, and ECG interpretation. Editor-in-chief of the LITFL ECG Library. Twitter: @rob_buttner.Aug 23, 2022. Home Ultrasound Library. Pulmonary oedema is a common cause of acute respiratory distress in critical care environments. Cardiogenic pulmonary oedema occurs when raised left ventricular filling pressure leads to raised left atrial pressure, raised pulmonary venous pressures and then elevated pulmonary capillary pressure.Scroll to annotate: Left Anterior Fascicular Block (LAFB) Typical ECG of LAFB, demonstrating: rS complexes in leads II, III, aVF, with small R waves and deep S waves. qR complexes in leads I, aVL, with small Q waves and tall R waves. Left Axis Deviation (LAD): Leads II, III and aVF are NEGATIVE; Leads I and aVL are POSITIVE.quantify severity and find cause. K +. Mg 2+. Ca 2+, phosphate. ECG: on seen in severe hypokalaemia, U waves, T wave flattening, ST depression -> VT/VF, long QT and Torsades. digoxin level -> particularly at risk if become hypokalaemic.The LITFL Clinical Case Collection includes over 250 Q&A style clinical cases to assist ‘ Just-in-Time Learning ‘ and ‘ Life-Long Learning ‘. Cases are categorized by specialty and can be interrogated by keyword from the Clinical Case searchable database. Search by keywords; disease process; condition; eponym or clinical features….Critical Care Compendium. The LITFL Critical Care Compendium is a comprehensive collection of pages concisely covering the core topics and controversies of critical care. Currently there are over 1,500 entries with more in the works, and all the pages are being constantly revised and improved.Objective: To demonstrate the equivalence of Normal Saline (NS) and Ringer Lactate (RL) for change in serum sodium levels during correction of severe dehydration in children with acute diarrhea based on World Health Organization (WHO) plan C. Design: Equivalence randomized control trial. Setting: Pediatric diarrhea unit of a tertiary care hospital from May, 2016 to April, 2017.Posterior infarction accompanies 15-20% of STEMIs, usually occurring in the context of an inferior or lateral infarction. Isolated posterior MI is less common (3-11% of infarcts). Posterior extension of an inferior or lateral infarct implies a much larger area of myocardial damage, with an increased risk of left ventricular dysfunction and death.Noninvasive Ventilation and the critically ill. Kane Guthrie. Nov 3, 2020. Home LITFL. It’s that time of the month again, when Life in the Fast Lane gets to highlight the most recent article published by EM Critical Care. This months gem of an article is: Dionisio Torres, J. & Radeos, M. (2011). Noninvasive Ventilation: Update on the uses for ...Learn about the ECG features, causes, mechanisms, and management of atrial fibrillation (AF), the most common sustained arrhythmia. Find out how to diagnose AF with ECG, how to assess its duration, risk of stroke, and anticoagulation. See examples of AF with WPW and other conditions.Exclude reversible causes (4 H’s and T’s) CLINICALLY COMPROMISED. Haemodynamically unstable, chest pain, ischaemia, heart failure, VR > 150/min -> synchronised shock (x 3) O2. IV access. Rapid exclusion of reversible factors (wire, PA catheter in RV, hypoK+ or Mg2+) Amiodarone 5mg/kg -> infusion. Synchronised DC …Vasoactive agents include the following: inotropes are agents that increase myocardial contractility (inotropy) — e.g. adrenaline, dobutamine, isoprenaline, ephedrine. vasopressors are agents that cause vasoconstriction leading to increased systemic and/or pulmonary vascular resistance (SVR, PVR) — e.g. noradrenaline, vasopressin ...rapid onset. rapid offset (short context-sensitive half time) -> good for waking up quickly and neurologically +/- extubation. used for toleration of ventilation, procedures, sedation for transport. causes bronchodilation. anti-emetic. safe in porphyria. safe in MH patients. maintenance of cerebral metabolism and blood flow (unlike volatile ...Special interests in diagnostic and procedural ultrasound, medical education, and ECG interpretation. Editor-in-chief of the LITFL ECG Library. Twitter: @rob_buttner. Email Address. Massive pericardial effusion produces a characteristic ECG triad of low QRS voltage, tachycardia, and electrical alternans. LITFL ECG Library.We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. By clicking "Accept All", you consent to our use of cookies.The exam starts by giving IV contrast (shown at zero seconds) and can span over more than eight minutes. The three common phases are: Zero point (before contrast) Arterial phase. Portal venous phase. All three of these phases occur within the first 1.5 minutes of the exam. The different phases simply refer to how quickly the CT is performed ...RBBB is a common ECG finding that occurs when the left ventricle is activated before the right ventricle. It can be caused by various conditions, such as heart disease, pulmonary embolus, or chest pain. Learn about the diagnosis, causes, sequence of conduction, and ECG examples of RBBB from LITFL.VR is altered by: muscle pump. thoracic pump (negative intrathoracic pressure -> inspiration (increased RV filling) and expiration (reduced RV filling) intrapericardial pressure. venous tone. posture. blood volume. (2) HR – high HR reduces time for diastolic filling. (3) Atrial contraction -> ventricular filling.Mannitol, Frusemide. theoretically work but no clinical trials to support use in hyperkalaemia. Dialysis. IHD = best (can remove 25-40mmol/hr -> 1mmol/L/hr) faster if increase blood flow rate, dialysis flow rate, low K+ concentration in dialysate, high bicarbonate concentration-. Resonium – K+ binders.A comprehensive guide to the clinical interpretation of ECGs by diagnosis, with definitions, examples, and references. Learn about the causes, symptoms, and ECG features of various arrhythmias, cardiomyopathies, …Medmastery. The folks at Medmastery are dedicated to teaching you the 20% of skills that will help you solve over 80% of your clinical problems. They provide award-winning, CME-accredited courses in their subscription-based course library. LITFL readers can get started learning today with a free trial that gives you access to select lessons and ...Describe the uptake, distribution and elimination of inhalational anaesthetic agents and the factors which influence induction and recovery from inhalational …A comprehensive guide to the clinical interpretation of ECGs by diagnosis, with definitions, examples, and references. Learn about the causes, symptoms, and ECG features of various arrhythmias, cardiomyopathies, …LITFL is a website that provides educational resources and articles for emergency medicine and critical care professionals. It covers topics such as AI, urgent …We use cookies to enhance your browsing experience, serve personalized ads or content, and analyze our traffic. By clicking "Accept All", you consent to our use of cookies.How long path reverberation artefact is formed (A-lines) The ultrasound beam hits the highly reflective pleural surface and is reflected back to the transducer. The first return results in a true image of the pleural surface on the monitor. The beam however reflects back again off the transducer face and the cycle repeats.inferior petrosal sinus, facial, pharyngeal, lingual, superior thyroid, middle thyroid, occipital veins. central approach: insert 1cm above the apex of head of sternocleidomastoid and clavicle. advance 60 degrees to skin aiming towards ipsilateral nipple (blood should be obtained within 3cm) lateral/posterior approach:The term supraventricular tachycardia (SVT) refers to any tachydysrhythmia arising from above the level of the Bundle of His, and encompasses regular atrial, irregular atrial, and regular atrioventricular …You may know her as Dr Johnston, as a long term LIFTL contributor, as a Mega-FOAM performer, as a some-time feline choreographer or as a Fabulous Female …OVERVIEW. Non-invasive ventilation (NIV) is the application of respiratory support via a sealed face-mask, nasal mask, mouthpiece, full face visor or helmet without the need for intubation. In the modern era it implies the application of positive airway pressure, however some classifications include the application of a negative-pressure ...LITFL Further Reading. ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation. ECG A to Z by diagnosis – ECG interpretation in clinical context. ECG Exigency and Cardiovascular Curveball – ECG Clinical Cases. 100 ECG Quiz – Self-assessment tool for examination practice. Retrograde capture describes the process whereby the ectopic impulse is conducted retrogradely through the AV node, producing atrial depolarisation. This is visible on the ECG as an inverted P wave (“ retrograde P wave “), usually occurring after the QRS complex. PVCs are said to be “frequent” if there are more than 5 PVCs per minute on ...May 7, 2022. Home ECG Library. Amjid Rehman has created an innovative, interactive online application to assist in honing and refining your ECG interpretation skills. ECG Made Easier takes the user on a step-by-step learning journey through ECG interpretation, based on Chris Nickson’s ECG exam template. This fantastic #FOAMed resource is ...The QT interval is the time from the start of the Q wave to the end of the T wave on an ECG. It represents the period of ventricular depolarisation and repolarisation. It is inversely proportional to heart rate and can be measured in different leads. It is used to diagnose and monitor arrhythmias, drugs, and conditions that affect the heart.Nov 3, 2020 · An Emergency physician based in Perth, Western Australia. Professionally my passion lies in integrating advanced diagnostic and procedural ultrasound into clinical assessment and management of the undifferentiated patient. Sharing hard fought knowledge with innovative educational techniques to ensure knowledge translation and dissemination is ... LITFL Further Reading. ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation; ECG A to Z by diagnosis – ECG interpretation in clinical context; ECG Exigency and Cardiovascular Curveball – ECG Clinical Cases; 100 ECG Quiz – Self-assessment tool for examination practice; ECG Reference SITES and BOOKS – the best …Myasthenia Gravis: autoimmune disruption of post-synaptic acetylcholine receptors at NMJ; up to 80% of functional receptors loss; typically young woman; may have thymus hyperplasia; prevalence = 14.2 cases per 100,000.Liftl Franz Josef. Hans Pizka Verlag. ISBN 9990092421504. Buch. CHF 17.55. Wird für Sie besorgt. In den Warenkorb. Mein Konto. Anmelden · Konto anlegen · Neues ...2nd degree Mobitz type II ( Hay) block. intermittent dropping of ventricular conduction. 2nd degree (2:1 type) block. alternate p-wave not conducted to ventricles. 3rd degree block (complete heart block) complete dissociation between atria and ventricular. Left Anterior Fascicular Block (LAFB) (Left anterior hemiblock)Ed Burns and Mike Cadogan. Mar 16, 2022. Home ECG Library. This page covers the ECG signs of myocardial ischaemia seen with non-ST-elevation acute coronary syndromes (NSTEACS). ST-elevation and Q-wave myocardial infarction patterns are covered elsewhere: LMCA occlusion, Anterior STEMI, Lateral STEMI, Inferior STEMI, …Learn ECG interpretation skills with clinical cases and self assessment quizzes on the top 150 ECG problems. Search by keywords, disease process, condition or eponym and prepare for examinations with the ECG Library Basics, the ECG Exam template and the ECG Differential Diagnosis.. What time does sonic drive in open