indlaxman
Forum Elite
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56 yr/o F is found apneic and pulseless.cardiac moniraing shows sinus tachycardia at the rate of 130 .what is the most appropriate next step in the managment?
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| Dharam
Forum Newbie
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INTUBATE
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| dimps
Forum Guru
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agree first do ABC
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| Drmos
Forum Junior
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intubate .i agree :roll:
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| merrk
Forum Elite
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?
In Kaplan lectures for pulseless electric activity, no breathing, no pulse the ans is SHOCK!
shock, shock, shock, then Intubute/ epinephrine, shock, then lidocaine, shock, bretylium, shock
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| dr79
Forum Senior
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i find both correct...can anyone explain which one is first step...SHOCK or INTUBATE?????
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| ayeshah_l
Forum Elite
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i think its shock, takes less time than intubation and might get the pulse back. !! but its my opinion!
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| cric1
Forum Senior
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Posts: 40
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The ALS order of things is A,B,C,D ...therefore secure the airway first...whats the use in restoring sinus rhythm when your patient has suffered irreparable anoxic brain injury?
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| drkpp
Forum Guru
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Posts: 882
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man does it even have a right answer.
it seems like abc is the right choice but so does shock. indi man give it to us
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| lucky
Forum Guru
Topics: 23
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its shock always then abcd.survival drops by ten% per min. by the tilme u intubate the pt the survival will drop by 50 to 60 %.shock first to get the the pulse going and then do whatever u like with him.the order isas merrk says. shock , epi if v fib. lido if v tach. anything which needs to be done before shock is ekg to know the type of PEA.
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