catmd Forum Senior
Topics: 7 Posts: 129
| | 10/27/05 - 10:51 PM  
 
   
 
|   #1 |
Hi - i just have this major doubt 'cos I always pick the wrong answer in UW . in a guy with Atr Fibr - if hes hemdyn unstable - the 1st thing is cardiovert - right? But why isn't it ABC"s first? The question had both endotrach intubn and cardiovert in its choices - so please can someone clarify? The expln just said why to cardiovert which I know but what about the ABC's? Thanks, feel so miserable ca'nt get concepts in my head!!
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| ARJ Forum Guru

Topics: 133 Posts: 792
| | 10/28/05 - 12:04 AM  
 
   
 
|   #2 |
ABC takes time around 5-10 minutes...By the time the patient would be already dead....I guess
___________________ "Live as if you were to die tomorrow. Learn as if you were to live forever." --Mahatma Gandhi
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| nisha lil monkey

Topics: 146 Posts: 919
| | 10/28/05 - 01:43 PM  
 
   
 
|   #3 |
yes ARJ is right, intubation would waste a lot of crucial time...in these ppl shocking the heart will restart their breathing and circulation..so if unstable......shock shock shock!....but if chronic AFib.........I think we have to anticoagulate before shocking
___________________ IM resident
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| b27 Forum Newbie
Topics: 6 Posts: 21
| | 10/28/05 - 07:15 PM  
 
   
 
|   #4 |
yes chrinic s fib is any afib more then 2days and it is elective cardioversion. i have a questioin how much are u getting in cardio questions i have done 3 revition and still 46% in uw only cardio what else can i do to imporve my score
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| catmd Forum Senior
Topics: 7 Posts: 129
| | 10/28/05 - 11:18 PM  
 
   
 
|   #5 |
Thanks guys - I went back to Kapaln and the guy in the opera falling on the lady and read it once again and it made sense. b27 - I'm doing horribly - I'm averaging 54 - and ranging from 46 to 60 so I'm not sure what I should do either. I've read kaplan once and now I'm going to read it all over again - exams onthe 26th of Nov so don't know if I shud take a chance or forfeit the $ (can't extend again ) BTW Nisha - are those std q's - I'm finding them tough - I was too nervous about posting the answers but I only got 2 out the 5 right.- sigh
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