MyCpdZw - Protocols Details

WOLFF-PARKINSON- WHITE SYNDROME

Wolff–Parkinson–White syndrome (WPWS) is a disorder due to a specific type of problem with the electrical system of the heart which has resulted in symptoms

Diagnosis

Present in 1% of population.

Ventricular pre-excitation via an accessory pathway that bypasses the AV node.

ECG shows short P-R interval, delta-wave (slurred upward R-wave especially in chest leads).

Paroxysmal tachycardias can occur with variable width QRS and bizarre ECGs and hypotension.

Management

1. If stable treat tacyarrhythmias with Flecanide 150 mg IV (2 mg/kg) over 30 mins,

2. Beware using Adenosine or Verapamil as they might increase ventricular response,

3. DC conversion if unstable,

4. Ablation therapy might be needed at a later date.

Recent Protocols

COVID 19

COVID 19 is a disease caused by the most recently discovered coronavirus which is a large family of corona viruses causing illnesses. In humans it causes Respiratory infections for example Severe Acute Respiratory Disease (SARs) PRESENTATION Fever 77-98% Cough 46-82% Myalgia/Fatigue 11-52% Shortness of breath 3-31% Incubation period 14 days, most people develop symptoms between 5-6ays from exposure Stage1 (Early infection). Stage 2. Stage 3(Hyperinflation phase) Viral response---------------------------Pulmonary Phase----------------------Host Response *Anyone presenting with flu like symptoms should be assumed to be a COVID 19 case until proven otherwise*

WARFARIN OVERDOSE/ TOXICITY

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SUICIDAL IDEATION

Suicidal ideation, also known as suicidal thoughts, is thinking about or having an unusual preoccupation with suicide.

SPINAL CORD INJURY

Emergency signs and symptoms of a spinal cord injury after an accident may include: Extreme back pain or pressure in your neck, head or back. Weakness, incoordination or paralysis in any part of your body. Numbness, tingling or loss of sensation in your hands, fingers, feet or toes. Loss of bladder or bowel control.