Ultrasonography of Heart or Cardiac ultrasonography or Echocardiogram or ultrasound of the heart is the production of two-dimensional cross-sectional images of intracardiac anatomy by stop-action compound scan pulse-echo ultrasound.
The images show the size and shape of the cardiac chambers in systole and diastole, the appearance of heart valves, and the orientation of the great vessels.
The stop-action display is created by repetitively activating the recording oscilloscope for a selected short segment of each cardiac cycle.
The activating signal is timed by the patient's electrocardiogram.
The asynchronous motion of the scanner accumulates additional echoes with each cycle.
As a non-invasive technique, it is without risk or morbidity.
Ultrasonography of Heart or Cardiac ultrasonography or Echocardiogram or ultrasound of the heart is the production of two-dimensional cross-sectional images of intracardiac anatomy by stop-action compound scan pulse-echo ultrasound.
The images show the size and shape of the cardiac chambers in systole and diastole, the appearance of heart valves, and the orientation of the great vessels.
The stop-action display is created by repetitively activating the recording oscilloscope for a selected short segment of each cardiac cycle.
The activating signal is timed by the patient's electrocardiogram.
The asynchronous motion of the scanner accumulates additional echoes with each cycle.
As a non-invasive technique, it is without risk or morbidity.
snake bite is a common problem world wide specially thousands die each year due to ignorance and lack of proper treatment it is gray area in teaching and most of the young medical officer are ignorant. people still go to faith healers and quacks
if a person sudely collapses in front of you. what should we do?
immediately we should assess for cadiac arrest.
if so, immediately we should start high quality CPR.
This slide focuses on how to assess for cardiac arrest and how to do CPR.
snake bite is a common problem world wide specially thousands die each year due to ignorance and lack of proper treatment it is gray area in teaching and most of the young medical officer are ignorant. people still go to faith healers and quacks
if a person sudely collapses in front of you. what should we do?
immediately we should assess for cadiac arrest.
if so, immediately we should start high quality CPR.
This slide focuses on how to assess for cardiac arrest and how to do CPR.
Cold Sores: Causes, Treatments, and Prevention Strategies | The Lifesciences ...The Lifesciences Magazine
Cold Sores, medically known as herpes labialis, are caused by the herpes simplex virus (HSV). HSV-1 is primarily responsible for cold sores, although HSV-2 can also contribute in some cases.
COVID-19 PCR tests remain a critical component of safe and responsible travel in 2024. They ensure compliance with international travel regulations, help detect and control the spread of new variants, protect vulnerable populations, and provide peace of mind. As we continue to navigate the complexities of global travel during the pandemic, PCR testing stands as a key measure to keep everyone safe and healthy. Whether you are planning a business trip, a family vacation, or an international adventure, incorporating PCR testing into your travel plans is a prudent and necessary step. Visit us at https://www.globaltravelclinics.com/
PET CT beginners Guide covers some of the underrepresented topics in PET CTMiadAlsulami
This lecture briefly covers some of the underrepresented topics in Molecular imaging with cases , such as:
- Primary pleural tumors and pleural metastases.
- Distinguishing between MPM and Talc Pleurodesis.
- Urological tumors.
- The role of FDG PET in NET.
Rate Controlled Drug Delivery Systems, Activation Modulated Drug Delivery Systems, Mechanically activated, pH activated, Enzyme activated, Osmotic activated Drug Delivery Systems, Feedback regulated Drug Delivery Systems systems are discussed here.
International Cancer Survivors Day is celebrated during June, placing the spotlight not only on cancer survivors, but also their caregivers.
CANSA has compiled a list of tips and guidelines of support:
https://cansa.org.za/who-cares-for-cancer-patients-caregivers/
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The Importance of Community Nursing Care.pdfAD Healthcare
NDIS and Community 24/7 Nursing Care is a specific type of support that may be provided under the NDIS for individuals with complex medical needs who require ongoing nursing care in a community setting, such as their home or a supported accommodation facility.
Global launch of the Healthy Ageing and Prevention Index 2nd wave – alongside...ILC- UK
The Healthy Ageing and Prevention Index is an online tool created by ILC that ranks countries on six metrics including, life span, health span, work span, income, environmental performance, and happiness. The Index helps us understand how well countries have adapted to longevity and inform decision makers on what must be done to maximise the economic benefits that comes with living well for longer.
Alongside the 77th World Health Assembly in Geneva on 28 May 2024, we launched the second version of our Index, allowing us to track progress and give new insights into what needs to be done to keep populations healthier for longer.
The speakers included:
Professor Orazio Schillaci, Minister of Health, Italy
Dr Hans Groth, Chairman of the Board, World Demographic & Ageing Forum
Professor Ilona Kickbusch, Founder and Chair, Global Health Centre, Geneva Graduate Institute and co-chair, World Health Summit Council
Dr Natasha Azzopardi Muscat, Director, Country Health Policies and Systems Division, World Health Organisation EURO
Dr Marta Lomazzi, Executive Manager, World Federation of Public Health Associations
Dr Shyam Bishen, Head, Centre for Health and Healthcare and Member of the Executive Committee, World Economic Forum
Dr Karin Tegmark Wisell, Director General, Public Health Agency of Sweden
CHAPTER 1 SEMESTER V PREVENTIVE-PEDIATRICS.pdfSachin Sharma
This content provides an overview of preventive pediatrics. It defines preventive pediatrics as preventing disease and promoting children's physical, mental, and social well-being to achieve positive health. It discusses antenatal, postnatal, and social preventive pediatrics. It also covers various child health programs like immunization, breastfeeding, ICDS, and the roles of organizations like WHO, UNICEF, and nurses in preventive pediatrics.
This document is designed as an introductory to medical students,nursing students,midwives or other healthcare trainees to improve their understanding about how health system in Sri Lanka cares children health.
2. The consequences of errors:
You defibrillate You don’t
They have VF or VT* 👍👍 👎👎👎👎👎👎👎👎
👎👎👎👎👎👎👎👎
They have PEA/Asystole 👎 👍👍
Therefore:
• You(r team) must identify actionable rhythms correctly
• When unsure, make the better error
Reality
(unknown)
Your
Decision
8. What can you do when you’re unsure?
• Make the better error
• Enroll help (the nurses are good)
• “Are we certain this is asystole?"
• Turn up the gain
9. What is the big picture?
1. If they don’t have a pulse, someone is
compressing the chest with high quality
CPR. NO significant breaks.
1. Minimize pauses to necessary position
changes, pulse checks, and a little wiggle
room to the Lucas or intubation (but only a
little)
2. Shock them if they have a shockable
rhythm
The rest (mostly*) not so important
10. What if the pulse is hard to feel?
10 second pause, total
Use doppler
Use EtCO2 to detect ROSC
You resume
compressions
You don’t
They Don’t Have ROSC 👍👍 👎👎👎👎👎👎👎👎
👎👎👎👎👎👎👎👎
They Do Have ROSC 👎 👍👍
When uncertain…
make the better error!
11. In cardiac arrest scenarios, what interventions have a known, well established
mortality benefit for in hospital cardiac arrest? (Select all that apply)
• Minimally interrupted CPR
• Sodium bicarb in acidemic patients
• LUCAS device compressions for patients undergoing more than 30 minutes of
CPR
• Defibrillation of Shockable Rhythms
• ECMO (E-CPR)
12. In cardiac arrest scenarios, what interventions have a known, well established
mortality benefit for in hospital cardiac arrest? (Select all that apply)
• Minimally interrupted CPR
• Sodium bicarb in acidemic patients
• LUCAS device compressions for patients undergoing more than 30 minutes of
CPR
• Defibrillation of Shockable Rhythms
• ECMO (E-CPR)
13. Summary: Pulse Check Decisions
• Codes are uncertain: if you might make an error, make the better one.
• DO NOT MISS FINE V. Fib
• Only allow, at most, a few seconds of CPR delay for Lucas / Intubation
Editor's Notes
* The same is true for other rhythms e.g. complete heart block or Afib vs NSR, but answers aren’t needed as fast and consequences aren’t severe.
Do not miss fine V Fib.
This is harder than you think
Have someone bring the tele strip to all RRTs or code that occur when someone is monitored
People who code on monitored units generally don’t go straight to Asystole
Change change size of waveform on machine. Hopefully will have zoll with us on hand to show
The point is – if you got one of those right and one of those wrong, you much prefer the error where you shock asystole… because who cares?
Survival from witnessed ventricular fibrillation (VF) decreases by 10–12% for every minute defibrillation is delayed [3, 4], but when CPR is provided the decline in survival is only 3-4% per minute
Utilize code team members – 1 to check pulse and 1 to monitor tele/zoll monitor
Spend only 10 seconds checking for a pulse to minimize interruptions in CPR
You don’t want house md at your code. Don’t try to diagnose lupus in a code.
The rest is whatever (people will be fired up about all sorts of things, but they don't matter). It’s a bonus if you figure out why they coded, but it’s a small, small minority where the etiology is not blindingly obvious but is also easily reversible.
LUCAS: institution policies vary, but
Negative RCT in OHCA - DOI:https://doi.org/10.1016/S0140-6736(14)61886-9
Negative retrospective data in IHCA - https://doi.org/10.1016/j.resuscitation.2024.110142
The only time it may be important is ECMO/long resusc with procedure.
IF pause in compression is more than a few seconds, USE YOUR CRED HERE.