I used to be a basic in a state that let basics intubate. I am glad they took the ability to intubate away from basics. During the transition, a lot of people got a genuine statistical lesson on just how (not) beneficial intubations actually are.
The identical issue is definitely back. Showing up on devices that have never viewed this forum. (Hence no cache issue)
@ emtlife.com/styles/default/xenforo/logo.og.png
The iOs favicon "apple-touch-icon?" thingy shows up as
https://www.google.com/search?safe=off&client=safari&hl=en&tbm=isch&q=xenforo+logo&revid=1918564004&sa=X&ei=xLzmU8agOoabyAS7v4H4BQ&ved=0CBwQ1QIoAA&dpr=2&biw=1024&bih=672
I cant view pagesource currently on ios, so i cant be more specific.
Long story short:
Dirt poor elderly female would insert ANYTHING (and get it "stuck") on a daily basis for pleasure/medical attention. After 3 months of this, everyone (docs and all) stopped giving a damn
After a long shift, i had enough too. I made a deal with her, take the two (different...
I was medic-taught that asa helps prinzmetal's because it alleviates vasospasm
(txa2, can cause vasospasm?; formation inhibited via asa cox blocking :P)
Matches up with your initial pharmacodynamics hypothesis.
https://www.dmu.edu/medterms/welcome/
Free, quick, simple, iOS as well.
Other words to learn:
I would familiarize yourself with state-ems-used drug names as well, generic and trade.
heart anatomy, sa av his Purkinje
parasympathetic and sympathetic divisions
Common generics...
Things i see:
the axis deviation, the pwaves without qrs, the qrs without a p wave, the slightly wide qrs, deep swave in III, the avl positive vs the avf negative deflections.
My conclusion:
3rd degree (junctional escape focus) and left anterior fasicular block
I would have liked...
Atropine, which typically (and generally) functions to speed up the heart, usually increases the: oxygen demand, the glucose demand, the electrolytic demands, etc, of the parts of the heart (electrophysiologically) distal (but not limited to) from the SA and AV nodes.
During a 2nd degree type...
I disagree with this simplification. The significant functions of the AV node seem to be in creating a pause to allow complete filling of the ventricles, and to serve as a backup pacemaker.
I disagree with your assessment, that during the hypothetical of atropine being given during a second...
By blocking the vagal (parasympathetic/muscarinic/slow down) innervation, increasing the AV node rate past what the bundle of his (the below) can metabolically sustain while it is experiencing (whatever is causing the) mobitz II
It is *possible* for a 2nd degree block mobitz II (below av node) to be almost indistinguishable from any sinus rhythm (more so in a single lead (II), and for a short strip while brady). Atropine could disrupt the av node (and then below), which could lead to a 3rd degree block. Which would also...