Liftl - Special interests in diagnostic and procedural ultrasound, medical education, and ECG interpretation. Editor-in-chief of the LITFL ECG Library. Twitter: @rob_buttner. Sinus rhythm with resting heart rate (HR) > 100 bpm …

 
LiftlLiftl - Short path reverberation artefact (B-lines or ring-down) The image shows how a B-line is formed. A pulse of ultrasound gets trapped between two very small, close reflective surfaces such as a fluid filled alveolus, or a tiny area of interstitial fibrosis. Where the reflective surfaces are less than half an ultrasound pulse length apart, a true ...

OVERVIEW. Positive End-Expiratory Pressure (PEEP) is the maintenance of positive pressure (above atmospheric) at the airway opening at the end of expiration. PEEP acts to distend distal alveoli, assuming there is no airway obstruction. PEEP is routinely used in mechanical ventilation to prevent collapse of distal alveoli, and to promote ...Nov 28, 2023 · LITFL is a website that provides educational resources and articles for emergency medicine and critical care professionals. It covers topics such as AI, urgent care, orthopaedics, radiology, ophthalmology, urology, neurology, neurosurgery, anaesthesiology, and more. CT Case 050. Leon Lam, Jennifer Davidson, Parvathy Suresh Kochath and Georgina Beech. Dec 5, 2023. Home Medical Specialty Radiology. A 50-year-old man presents to the emergency department with central abdominal pain, nausea, vomiting and fevers. Clinical examination demonstrates a very tender and erythematous umbilical mass.ECG features of HCM. Left ventricular hypertrophy with increased precordial voltages and non-specific ST segment and T-wave abnormalities. Deep, narrow (“dagger-like”) Q waves in lateral (I, aVL, V5-6) +/- inferior (II, III, aVF) leads. Other associated features may include: Left atrial enlargement (“P mitrale”) — left ventricular ...Example 1. Marked first degree heart block. PR interval > 300 ms, P waves are buried in the preceding T wave. Example 2. Sinus bradycardia with 1st degree AV block. PR interval > 300 ms. Example 3. Normal sinus rhythm with 1st degree AV block. PR interval 260 ms.The exam starts by giving IV contrast (shown at zero seconds) and can span over more than eight minutes. The three common phases are: Zero point (before contrast) Arterial phase. Portal venous phase. All three of these phases occur within the first 1.5 minutes of the exam. The different phases simply refer to how quickly the CT is performed ...Acute lead poisoning: a diagnostic challenge in the emergency department. 2021 Jan 20;14 (1):e239740. doi: 10.1136/bcr-2020-239740. Bharath Gopinath Vignan Kappagantu. 33472809. PMC7818793. 10.1136/bcr-2020-239740. Acute abdominal pain is a common presentation to the emergency department (ED). Ruling out life-threatening causes and giving pain ...AMAX4 is the initiative of emergency physician Dr Ben McKenzie and his wife Tamara McKenzie following the tragic death of their 15-year-old son Max McKenzie. Max sustained an hypoxic brain injury secondary to food anaphylaxis related bronchospasm/asthma. The promotion of the AMAX4 algorithm aims to raise awareness …ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation. ECG A to Z by diagnosis – ECG interpretation in clinical context. ECG Exigency and Cardiovascular Curveball – ECG Clinical Cases. 100 ECG Quiz – Self-assessment tool for examination practice. ECG Reference SITES and BOOKS – the best of the rest.The J (junction) point in the ECG is the point where the QRS complex joins the ST segment. It represents the approximate end of depolarization and the beginning of repolarization as determined by the surface ECG. There is an overlap of around 10ms. The J point marks the end of the QRS complex, and is often situated above the baseline ...GFR increases by 50% -> lower Cr, urea, uric acid. Placenta. uterine blood flow @ term = 10% (600-700mL/min) under stress maternal blood flow will be maintained at the expense of the fetus. oxygen consumption = 20mL/min -> can survive 10 min by shunting blood flow to vital organs and decreasing O2 consumption.causes: sedation, high protein diet, infection, trauma, hypokalaemia, constipation -> accumulation of toxic products. grade 0 = alert and orientated, grade IV = unresponsive to deep pain. Others. hypoglycaemia (decreased glycogen stores) ascites (from portal hypertension and fluid retention) cholecystitis. pancreatitis.Learn ECG interpretation skills with clinical cases and self assessment quizzes on the top 150 ECG problems. Search by keywords, disease process, condition or eponym and prepare for examinations with the ECG Library Basics, the ECG Exam template and the ECG Differential Diagnosis. Learn ECG interpretation skills with clinical cases and self assessment quizzes on the top 150 ECG problems. Search by keywords, disease process, condition or eponym and prepare for examinations with the ECG Library Basics, the ECG Exam template and the ECG Differential Diagnosis. Abdominal CT: Interpretation. Abdominal CT: Understanding the basics. Abdominal CT: Choosing the right study. Abdominal CT: abdominal organs and bowel. Abdominal CT: other important abdominal structures. Acute abdomen and bowel pathology. Acute abdomen. Solid organ and Vascular pathology. A comprehensive guide to the clinical interpretation of ECGs by diagnosis, with definitions, examples, and references. Learn about the causes, symptoms, and ECG features of various arrhythmias, cardiomyopathies, …Here is our blog: http://liftlblog.blogspot.com.au. Subscribe. Home. Videos. Playlists. Search. Eurotrip #2 Pt. 3 "Ski Color and Pow in Les Gets" ...Ed Burns and Mike Cadogan. Mar 16, 2022. Home ECG Library. This page covers the ECG signs of myocardial ischaemia seen with non-ST-elevation acute coronary syndromes (NSTEACS). ST-elevation and Q-wave myocardial infarction patterns are covered elsewhere: LMCA occlusion, Anterior STEMI, Lateral STEMI, Inferior STEMI, …CT Case 053. A 25-year-old man is brought in by ambulance having been found on the side of a motorway after a presumed pedestrian vs car accident. He …LITFL 100+ Ultrasound quiz. Clinical cases and self assessment problems from the Ultrasound library to enhance interpretation skills through Ultrasound problems. Preparation for examinations. Each case presents a clinical scenario; a series of questions; clinical images and finally some pearls to highlight the key learning points.Uses during cardiac arrest: gradual fall in ETCO2 suggests compressionist fatigue during CPR -> time to change compressionists. abrupt increase in ETCO2 suggests ROSC during CPR (detectable before pulse check) ETCO2 at 20 minutes of CPR is prognostically useful. Prognosis. >20 mmHg at 20 minutes CPR -> higher chance of ROSC.Key Graphs. Graphs: Help you to convey knowledge and understanding efficiently in the written; Are often a feature of the viva as they allow examiners to assess …Karl Connell. Ciselle Meier and Mike Cadogan. September 25, 2023. Major Karl Connell (1878-1941) was an American surgeon, serviceman and inventor. Connell Mask, Connell Model, Connell Flowmeter, Connell Airway. Anaesthesiology Eponym.2. ECG Weekly. ECG Weekly is a case based ECG educational tool aimed to provide regular, useful, contextual in-line learning in a a video-based format. The educational team is led the inimitable Amal Mattu, tenured professor of Emergency Medicine at the University of Maryland School of Medicine; and Ali Farzad emergency physician at Baylor ...Ventricular Tachycardia – Monomorphic VT. Robert Buttner and Ed Burns. Mar 19, 2023. Home ECG Library. Ventricular Tachycardia (VT) is a broad complex tachycardia originating from the ventricles. There are several different forms of VT — the most common is monomorphic VT, which originates from a single focus within the …Chris is an Intensivist and ECMO specialist at the Alfred ICU in Melbourne. He is also a Clinical Adjunct Associate Professor at Monash University.. He is a co-founder of the Australia and New Zealand Clinician Educator Network (ANZCEN) and is the Lead for the ANZCEN Clinician Educator Incubator programme. He is on the Board of Directors …Mode. VC/PC/PRVC – apnoeic patients. SIMV – spontaneous respiratory effort present/expected or inadequate spontaneous ventilator drive for PSV. PS/VS/CPAP – spontaneous breathing with adequate effort. TV. 6-8mL/kg. Rate. 10-15/min. may need to be higher if there is a lot of dead space or metabolic acidosis.The GCS is a neurological scoring system used to assess conscious level after head injury. Teasdale and Jennet invented the GCS in 1974. It is now usually scored out of 15 and is comprised of 3 categories, best eye response, best vocal response and best motor response (e.g. E4V5M6 = GCS15)LITFL 100+ Ultrasound quiz. Clinical cases and self assessment problems from the Ultrasound library to enhance interpretation skills through Ultrasound problems. Preparation for examinations. Each case presents a clinical scenario; a series of questions; clinical images and finally some pearls to highlight the key learning points.The WHO definition of anaemia is a haemoglobin (Hb) concentration <120g/L (Hb<36%) in females and<130g/L (Hb<39%) in males. affects 80% of ICU patients, and over 50% of ICU patients have Hb <90 g/L on admission. often multifactorial causes in the critically ill (e.g. underlying disease, blood sampling, nutritional, medications) and usually ...Learn the basics of ECG interpretation, diagnosis and waves, intervals, segments and clinical diagnosis from LITFL, a comprehensive online library of electrocardiography resources. Find online courses, quizzes, textbooks, references and more to help you master ECG.10 apr. 2021 ... 85.2K Likes, 1.8K Comments. TikTok video from jaiden (@simpboss): “#Whoareyou #sus #demon #lilnas #lilnasx #demontime #TechTokTips ...The Delta wave is a slurred upstroke in the QRS complex. It relates to pre-excitation of the ventricles, and therefore often causes an associated shortening of the PR interval. It is most commonly associated with pre-excitation syndromes such as WPW. The characteristic ECG findings in Wolff-Parkinson-White syndrome are: Short PR interval (< 120ms)Gamma glutamyl transferase (GGT) is associated with transfer of amino acids across cell membranes. GGT is produced in the renal tubules, liver, biliary tract, pancreas, lymphocytes, brain, testes. GGT is most useful when looking for hepatocellular damage. More sensitive than ALP and AST – but much less specific.Atrioventricular Re-entry Tachycardia (AVRT) is a form of paroxysmal supraventricular tachycardia that occurs in patients with accessory pathways, usually due to formation of a re-entry circuit between the AV node and accessory pathway. ECG features depend on the direction of conduction, which can be orthodromic or antidromic.ECG features of normal sinus rhythm. Regular rhythm at a rate of 60-100 bpm (or age-appropriate rate in children) Each QRS complex is preceded by a normal P wave. Normal P wave axis: P waves upright in leads I and II, inverted in aVR. The PR interval remains constant.POCUS Made Easy: Basic Echo. Fahad Yousif. Aug 21, 2023. Home Ultrasound Library. Focussed ECHO in Life support (FELS) is used to define cardiac pathologies such as cardiogenic shock, pericardial tamponade, signs of submassive/massive PE or hypovolaemia. Global assessment of RV and LV function, assessment of IVC and assessment for pathological ...Left Coronary artery. arises from aortic sinus. passes behind then to left of pulmonary trunk -> left part of the atrioventricular groove -> lateral round the left border of heart to reach the inferior interventricular groove. divides into: (1) LAD -> diagonal branches. anterolateral wall of left ventricle.11 oct. 2018 ... LIFTL · WikEM. 5) Metabolic alkalosis: #1 etiology is vomiting; treat with hydration. LIFTL · WikEM. 6) Hyper/hypoparathyroidism: Hypercalcemia ...Promote a life based approach to schooling for children and young people in every country in the world. Work with hundreds, and, in time, thousands of changemakers, like yourself. …A-a gradient is calculated as PAO2 – PaO2. PAO2 is the ‘ideal’ compartment alveolar PO2 determined from the alveolar gas equation. PAO2 = PiO2 – PaCO2/0.8. A normal A–a gradient for a young adult non-smoker breathing air, is between 5–10 mmHg. However, the A–a gradient increases with age (see limitations)Exclude reversible causes (4 H’s and T’s) CLINICALLY COMPROMISED. Haemodynamically unstable, chest pain, ischaemia, heart failure, VR > 150/min -> synchronised shock (x 3) O2. IV access. Rapid exclusion of reversible factors (wire, PA catheter in RV, hypoK+ or Mg2+) Amiodarone 5mg/kg -> infusion. Synchronised DC …Define your own custom area and find your perfect home. Draw on the map. LIFTL Immobilien GmbH.The Basics. In this first video we walk you through every aspect of the basics of the ECG including: Describe the parts of the ECG. Rate, rhythm, axis. P wave, PR interval, QRS complex, ST-segment, T wave, QT interval. Identify the features of a normal ECG.ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation. ECG A to Z by diagnosis – ECG interpretation in clinical context. ECG Exigency and Cardiovascular Curveball – ECG Clinical Cases. 100 ECG Quiz – Self-assessment tool for examination practice. ECG Reference SITES and BOOKS – the best of the rest.Pharmacology. Top 200 Drugs for examination pharmacology. Pharmacology Photism and Toxicology BSCC. Chemistry Basics with Tyler DeWitt. Physiology. Physiology Philes. Everything. Part One with Jake Barlow; reference for trainees preparing for the CICM and ANZCA Primary Exams. iMeducate examination preparation ACEM part one.Osborn Wave (J Wave) Overview. The Osborn wave (J wave) is a positive deflection seen at the J point in precordial and true limb leads. It is most commonly associated with hypothermia. These changes will appear as a reciprocal, negative deflection in aVR and V1. The J point in the ECG is the point where the QRS complex joins the ST …Atrial fibrillation (AF) is the most common sustained dysrhythmia and is characterised by disorganised atrial electrical activity and contraction resulting in an “irregularly irregular” ventricular response (“fibrillation waves”) AF may be acute, transient, paroxysmal, or chronic and may or may not be rate-controlled. The incidence and ...AMAX4 is the initiative of emergency physician Dr Ben McKenzie and his wife Tamara McKenzie following the tragic death of their 15-year-old son Max McKenzie. Max sustained an hypoxic brain injury secondary to food anaphylaxis related bronchospasm/asthma. The promotion of the AMAX4 algorithm aims to raise awareness and reform treatment through a ...LITFL Top 100 Self Assessment Quizzes. ECG / EKG 150 CASES. CT SCAN 100 CASES. ULTRASOUND 100 CASES. ACTIVATE or WAIT 150 CASES. Chest X-Ray 150 CASES. CLINICAL IMAGES 200 CASES. Radiology Library. CT, X-ray, ultrasound. Radiology education. Unlock exclusive content and resources. Sign up for our newsletter today!Sep 8, 2021. Home ECG Library. Wellens Syndrome is a clinical syndrome characterised by biphasic or deeply inverted T waves in V2-3, plus a history of recent chest pain now resolved. It is highly specific for critical stenosis of the left anterior descending artery (LAD) Wellens pattern A: Biphasic T waves. Wellens pattern B: Deeply inverted T ...Define your own custom area and find your perfect home. Draw on the map. LIFTL Immobilien GmbH.eponym: a person, place, or thing after whom or after which something is named, or believed to be named. Origin: from Greek epōnumos ‘given as a name, giving one’s name to someone or something’, from epi ‘upon’ + onoma ‘name’. noun: eponym; plural noun: eponyms; adjective: eponymous. Thanks to the Internet Archive – we are now ...CARDIAC TAMPONADE. Pericardial tamponade is more common in penetrating thoracic trauma than blunt trauma. As little as 75 mL of blood accumulating in the pericardial space acutely can impair cardiac filling, resulting in tamponade and obstructive shock. Obstructive shock — tachycardia, hypotension, cool peripheries.Nov 3, 2020 · Tonsillar Ultrasound Technique. Chose either a sterilised endocavity transducer or a hockey stick transducer for this procedure. Cover it with an unused condom. Explain the procedure to the patient, reassuring them it is not as bad as it looks! Spray the oropharynx with a local anaesthetic ENT spray. Now introduce the transducer carefully with ... STRONG ION DIFFERENCE. Strong ions are those ion that dissociate completely at the pH of interest in a particular solution. In blood at pH 7.4: strong cations are: Na +, K +, Ca 2+, Mg 2+. strong anions are: Cl - and SO 42-. Strong Ion Difference (SID) is the difference between the concentrations of strong cations and strong anions.The contribution from purely viscous forces to the liftL on a sphere of radiusa touching a plane in the presence of a shear flow field of strength $$\dot \AMAX4 is the initiative of emergency physician Dr Ben McKenzie and his wife Tamara McKenzie following the tragic death of their 15-year-old son Max McKenzie. Max sustained an hypoxic brain injury secondary to food anaphylaxis related bronchospasm/asthma. The promotion of the AMAX4 algorithm aims to raise awareness and reform treatment through a ...OVERVIEW. Rapid sequence intubation (RSI) is an airway management technique that produces inducing immediate unresponsiveness (induction agent) and muscular relaxation (neuromuscular blocking agent) and is the fastest and most effective means of controlling the emergency airway. the cessation of spontaneous ventilation involves considerable ...New Delhi metallo-beta-lactamase 1. Klebsiella pneumoniae, the bacterium in which NDM-1 was first identified. NDM-1 [1] is an enzyme that makes bacteria resistant to a broad range of beta-lactam antibiotics. These include the antibiotics of the carbapenem family, which are a mainstay for the treatment of antibiotic-resistant bacterial infections.Aslanger 2020. In April 2020, Aslanger et al identified a specific ECG pattern concerning for acute inferior occlusion MI (OMI) in patients with concomitant multi-vessel disease, that does not display contiguous ST-segment elevation or fulfil STEMI criteria. The publishers reviewed ECG and angiography findings from 1000 NSTEMI, 1000 control (no ...26. März 1864 in Allentsteig † 10. September 1932 in Wien.Ultrasound Case 111. A 45 year old woman with chronic alcoholic liver disease presents to the ED with exertional dyspnoea and is noted to have a SpO2 of 90% at rest despite having a normal chest examination and CXR. Casey Parker and James Rippey. November 20, 2023.Learn how to differentiate ventricular tachycardia (VT) from supraventricular tachycardia with aberrancy (SVT) based on electrocardiographic features, clinical factors and algorithms. Find out the electrocardiographic features increasing the likelihood of VT, the clinical factors associated with VT or SVT, and the diagnostic algorithms for VT or SVT.Teifl, heint geat a Liftl! ... Teifl, heint geat a Liftl! 翻譯貼文. 圖片. 下午8:03 · 2014年9月12日 來自Innenstadtgürtel Süd, Nürnberg.Jun 3, 2021. Home ECG Library ECG Diagnosis. ECG Library Homepage. Hypokalaemia is defined as a serum potassium level of < 3.5 mmol/L. ECG changes generally do not manifest until there is a moderate degree of hypokalaemia (2.5-2.9 mmol/L). The earliest ECG manifestation of hypokalaemia is a decrease in T wave amplitude.Left Axis Deviation = QRS axis less than -30°. Right Axis Deviation = QRS axis greater than +90°. Extreme Axis Deviation = QRS axis between -90° and 180° (AKA “Northwest Axis”). Note that in paediatric ECG interpretation, the cardiac axis lies between +30 to +190 degrees at birth and moves leftward with age. CardiacAxis.com.Ultrasound of the thorax relating specifically to lung anatomy, pathology, clinical cases, tips, tricks and pitfalls Anatomy Airway ultrasound transverse views Airway ultrasound longitudinal views Airway ultrasound of the oesophagus Related Clinical Cases LITFL Ultrasound library LITFL Top 100 ultrasound casesThe ST segment is the flat, isoelectric section of the ECG between the end of the S wave (the J point) and the beginning of the T wave. The ST Segment represents the interval between ventricular depolarization and repolarization. The most important cause of ST segment abnormality (elevation or depression) is myocardial ischaemia or infarction.Liftl.org is a worldwide directory of services for parents, teachers, educators and policy makers. Through the Liftl.org directory, parents, teachers, educators and policy makers …Anterior myocardial infarction carries the poorest prognosis of all infarct locations, due to the larger area of myocardium infarct size. A study comparing outcomes from anterior and inferior infarctions (STEMI + NSTEMI) found that compared with inferior MI, patients with anterior MI had higher incidences of: In-hospital mortality (11.9 vs 2.8%)14 iun. 2023 ... ... liftl#liftingt#transformationw#weightlossjourneyw#weightlosstransformationq#quadsanddadbodst#tricepst#tricepsworkoutw#workoutw ...How long path reverberation artefact is formed (A-lines) The ultrasound beam hits the highly reflective pleural surface and is reflected back to the transducer. The first return results in a true image of the pleural surface on the monitor. The beam however reflects back again off the transducer face and the cycle repeats.The Toxicology Library contains toxicology tutorials; clinical conundrums; analysis of drugs, antidotes, envenomings applied clinical context of basic pharmacology and physiology. Toxins: Assessment and management of envenoming (Toxinology) Antivenoms: Chemical management of toxins and envenoming. Toxicological Conundrums: …Learn the basics of ECG interpretation, diagnosis and waves, intervals, segments and clinical diagnosis from LITFL, a comprehensive online library of electrocardiography …A comprehensive online resource on toxicology and toxinology, covering basics, drugs, antidotes, envenomings, clinical contexts and more. Search in category or by keywords to find tutorials, conundrums, resources and flashcards on various topics related to toxicology.ECG Case 136. Robert Buttner and Emre Aslanger. Dec 21, 2021. Home Top 100 TOP 100 ECG. A 61-year-old lady is brought in by ambulance with palpitations and dizziness. GCS 15. HR 190, BP 75/50.Relatively constant P-P interval despite irregularity of QRS complexes. The first clue to the presence of Mobitz I AV block on this ECG is the way the QRS complexes cluster into groups, separated by short pauses. This phenomenon usually represents 2nd-degree AV block or non-conducted PACs ; occasionally SA exit block.Myasthenia Gravis: autoimmune disruption of post-synaptic acetylcholine receptors at NMJ; up to 80% of functional receptors loss; typically young woman; may have thymus hyperplasia; prevalence = 14.2 cases per 100,000.Aug 23, 2022 · How long path reverberation artefact is formed (A-lines) The ultrasound beam hits the highly reflective pleural surface and is reflected back to the transducer. The first return results in a true image of the pleural surface on the monitor. The beam however reflects back again off the transducer face and the cycle repeats. 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Adverse effects: Possible increase in myocardial and cerebral injury by mediating cell death, tissue necrosis with extravasation. Administration advice: Administer over 5-10 mins if ROSC, otherwise bolus if in cardiac arrest. Calcium chloride 10 mL of 10% = 6.8 mmol or 0.68 mmol/mL. Calcium gluconate 10 mL of 10% = 2.2 mmol or 0.22 …. Vampire animeleri

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VT propagates from ventricular muscle, with initial slow myocyte-to-myocyte conduction time. This causes a delayed/slurred initial QRS component. SVT with aberrancy displays initial sharp QRS deflections that arise from the preserved bundle branch. In VT, time to peak of depolarisation is often delayed at > 40ms in V1 or V2.Renal replacement therapy is clinically useful for enhanced elimination of selected toxic agents. The RRT mode (IHD versus CRRT) and duration is important and the optimal choice varies depending on the agent. At present, there is a lack of high-level evidence guiding the use of RRT in toxicology.Left Axis Deviation = QRS axis less than -30°. Right Axis Deviation = QRS axis greater than +90°. Extreme Axis Deviation = QRS axis between -90° and 180° (AKA “Northwest Axis”). Note that in paediatric ECG interpretation, the cardiac axis lies between +30 to +190 degrees at birth and moves leftward with age. CardiacAxis.com.Noninvasive Ventilation and the critically ill. Kane Guthrie. Nov 3, 2020. Home LITFL. It’s that time of the month again, when Life in the Fast Lane gets to highlight the most recent article published by EM Critical Care. This months gem of an article is: Dionisio Torres, J. & Radeos, M. (2011). Noninvasive Ventilation: Update on the uses for ...Mar 4, 2021 · Coronary artery disease accounts for > 30% of death in West and presents acutely as acute coronary syndromes. Acute coronary syndrome (ACS) is a catch all term that refers to ischemic symptoms resulting from acute coronary occlusion. All patients who present with a suspected acute coronary syndrome must be assessed in the ED on an urgent ... Your block links to your page. Example here. Click through the links to create your directory entry. You will be notified of entry approval by email, at which time you can view your …Aug 18, 2023 · Lung ultrasound cases. James Rippey. Aug 18, 2023. Home Ultrasound Library. Worked examples of clinical cases for specific pathological conditions and signs from the Ultrasound Lung Modules. Chronic Obstructive Pulmonary Disease (COPD) Empyema and Abscess. Hydropneumothorax. Lung Collapse. Life is for the learning liftl.org Reimagining SchoolingDelivering fresh learning to childen and young people join the global Liftl community 1. to 5.rapid onset. rapid offset (short context-sensitive half time) -> good for waking up quickly and neurologically +/- extubation. used for toleration of ventilation, procedures, sedation for transport. causes bronchodilation. anti-emetic. safe in porphyria. safe in MH patients. maintenance of cerebral metabolism and blood flow (unlike volatile ...VR is altered by: muscle pump. thoracic pump (negative intrathoracic pressure -> inspiration (increased RV filling) and expiration (reduced RV filling) intrapericardial pressure. venous tone. posture. blood volume. (2) HR – high HR reduces time for diastolic filling. (3) Atrial contraction -> ventricular filling.The term supraventricular tachycardia (SVT) refers to any tachydysrhythmia arising from above the level of the Bundle of His, and encompasses regular atrial, irregular atrial, and regular atrioventricular …ECG features of normal sinus rhythm. Regular rhythm at a rate of 60-100 bpm (or age-appropriate rate in children) Each QRS complex is preceded by a normal P wave. Normal P wave axis: P waves upright in leads I and II, inverted in aVR. The PR interval remains constant.„Erfolg ist kontinuierliches Wachstum. Man ist nicht besser als andere, sondern einfach nur anders. Für das Wachstum eines Baumes mit 5 Blättern, der nach 7 ...Ventricular Tachycardia – Monomorphic VT. Robert Buttner and Ed Burns. Mar 19, 2023. Home ECG Library. Ventricular Tachycardia (VT) is a broad complex tachycardia originating from the ventricles. There are several different forms of VT — the most common is monomorphic VT, which originates from a single focus within the …Christoph Liftl, Wien Berufserfahrung, Kontaktdaten, Portfolio und weitere Infos: Erfahr mehr – oder kontaktier Christoph Liftl direkt bei XING.11 oct. 2018 ... LIFTL · WikEM. 5) Metabolic alkalosis: #1 etiology is vomiting; treat with hydration. LIFTL · WikEM. 6) Hyper/hypoparathyroidism: Hypercalcemia ...You may know her as Dr Johnston, as a long term LIFTL contributor, as a Mega-FOAM performer, as a some-time feline choreographer or as a Fabulous Female …Learn the basics of ECG interpretation, diagnosis and waves, intervals, segments and clinical diagnosis from LITFL, a comprehensive online library of electrocardiography resources. Find online courses, quizzes, textbooks, references and more to help you master ECG.The Q Wave. A Q wave is any negative deflection that precedes an R wave. The Q wave represents the normal left-to-right depolarisation of the interventricular septum. Small ‘septal’ Q waves are typically seen in the left-sided leads (I, aVL, V5 and V6)10 apr. 2021 ... 85.2K Likes, 1.8K Comments. TikTok video from jaiden (@simpboss): “#Whoareyou #sus #demon #lilnas #lilnasx #demontime #TechTokTips ...Ultrasound Artefacts. Reverberation artefact. Long path reverberation artefact ( A-lines in lung) Short path reverberation artefact ( B-lines in lung; ringdown anywhere else!) Fatiguing short path reverberation artefact ( Comet tail artefacts) Mirror Image Artefact. Ing. Gerhard Floquet. staatl. geprüfter Immobilienmakler-/verwalter. 0043 1 9974252/10 ; Andrea Adamik. Vertrieb. 0043 1 9974252/11 ; Alexander Liftl. staatl.LITFL Further Reading. ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation; ECG A to Z by diagnosis – ECG interpretation in clinical context; ECG Exigency and Cardiovascular Curveball – ECG Clinical Cases; 100 ECG Quiz – Self-assessment tool for examination practice; ECG Reference SITES and BOOKS – the best …Feb 8, 2021 · Relatively constant P-P interval despite irregularity of QRS complexes. The first clue to the presence of Mobitz I AV block on this ECG is the way the QRS complexes cluster into groups, separated by short pauses. This phenomenon usually represents 2nd-degree AV block or non-conducted PACs ; occasionally SA exit block. PaO2. Determine the adequacy of oxygenation. Normal range: 80–100 mmHg (10.6–13.3 kPa) Determine pH status. Normal pH range: 7.35–7.45 (H+ 35–45 nmol/L) pH <7.35 : Acidosis is an abnormal process that increases the serum hydrogen ion concentration, lowers the pH and results in acidaemia. pH >7.45 : Alkalosis is an …Emergency Physician at Kelowna hospital, British Columbia. Loves the misery of alpine climbing and working in austere environments (namely tertiary trauma centres). Supporter of FOAMed, lifelong education and trying to find that elusive peak performance. Focused Assessment with Sonography in Trauma - Abdominal Scan from Vancouver POCUS.Ultrasound Modules: Anatomical. Airway ultrasound Anatomy. Cardiac ultrasound and echocardiography. Lung ultrasound and Lung Clinical Cases. Ocular ultrasound. Renal ultrasound and Renal Clinical Cases.signs: collapsed or distended neck veins, external haemorrhage (hypovolaemia, cardiac tamponade, external haemorrhage) -> IV access -> blood tests, fluid resuscitation (crystalloids -> if unresponsive blood products, compression. -> ECG, NIBP. Disability. decreased LOC, pupillary asymmetry, gross weakness. -> head or spinal cord …Hyperkalaemia. Robert Buttner and Ed Burns. Mar 24, 2022. Home ECG Library. Hyperkalaemia is defined as a serum potassium level of > 5.2 mmol/L. ECG changes generally do not manifest until there is a moderate degree of hyperkalaemia (≥ 6.0 mmol/L). The earliest manifestation of hyperkalaemia is an increase in T wave amplitude.GFR increases by 50% -> lower Cr, urea, uric acid. Placenta. uterine blood flow @ term = 10% (600-700mL/min) under stress maternal blood flow will be maintained at the expense of the fetus. oxygen consumption = 20mL/min -> can survive 10 min by shunting blood flow to vital organs and decreasing O2 consumption.Jan 31, 2023 · Jan 31, 2023. Home ECG Library. Atrial fibrillation (AF) is the most common sustained arrhythmia. It is characterised by disorganised atrial electrical activity and contraction. The incidence and prevalence of AF is increasing. Lifetime risk over the age of 40 years is ~25%. Complications of AF include haemodynamic instability, cardiomyopathy ... ULTRASOUND LIBRARY. POCUS, eFAST and basic principles. Library. First Name *. Email Address *. A guide for ultrasound guided peripheral venous access. CARDIAC TAMPONADE. Pericardial tamponade is more common in penetrating thoracic trauma than blunt trauma. As little as 75 mL of blood accumulating in the pericardial space acutely can impair cardiac filling, resulting in tamponade and obstructive shock. Obstructive shock — tachycardia, hypotension, cool peripheries.Definitions based on imaging. Necrotizing pancreatitis. in the absence of laparotomy or autopsy, the presence of 30% (or greater) of the pancreas that is non-enhancing on contrast-enhance CT or MRI with gadolinium. Interstitial edematous pancreatitis. lack of evidence of necrotizing pancreatitis on imaging.Define your own custom area and find your perfect home. Draw on the map. LIFTL Immobilien GmbH.Life in the Fast Lane (LITFL) Library, anthologies and collections of emergency medicine and critical care education. LITFL Libraries. CRITICAL CARE COMPENDIUM (CCC) with compendium of Investigations; SMILE 2 improving the performance of healthcare individuals and organisations; RADIOLOGY Library CT and X-ray basic interpretation skills The right and left atrial waveforms summate to form the P wave. The first 1/3 of the P wave corresponds to right atrial activation, the final 1/3 corresponds to left atrial activation; the middle 1/3 is a …2nd degree Mobitz type II ( Hay) block. intermittent dropping of ventricular conduction. 2nd degree (2:1 type) block. alternate p-wave not conducted to ventricles. 3rd degree block (complete heart block) complete dissociation between atria and ventricular. Left Anterior Fascicular Block (LAFB) (Left anterior hemiblock)The term supraventricular tachycardia (SVT) refers to any tachydysrhythmia arising from above the level of the Bundle of His, and encompasses regular atrial, irregular atrial, and regular atrioventricular tachycardias. It is often used synonymously with AV nodal re-entry tachycardia (AVNRT), a form of SVT. In the absence of aberrant conduction ...Jellybean 89 with Dr Michelle Johnston, Doctor and Novelist. The fabulous @eleytherius. You may know her as Dr Johnston, as a long term LIFTL contributor, ...LITFL Top 100 Self Assessment Quizzes. ECG / EKG 150 CASES. CT SCAN 100 CASES. ULTRASOUND 100 CASES. ACTIVATE or WAIT 150 CASES. Chest X-Ray 150 CASES. CLINICAL IMAGES 200 CASES. Radiology Library. CT, X-ray, ultrasound. Radiology education. Unlock exclusive content and resources. Sign up for our newsletter today!functions we deal with in FRP are either globally continuous or piecewise continuous, the theorem applies in most cases. To see whether the convergence of liftl ...LITFL 100+ Ultrasound quiz. Clinical cases and self assessment problems from the Ultrasound library to enhance interpretation skills through Ultrasound problems. Preparation for examinations. Each case presents a clinical scenario; a series of questions; clinical images and finally some pearls to highlight the key learning points. Encephalitis an acute encephalopathy due to an inflammatory cause. Underlying causes are numerous and may be infectious or non-infectious, many of which lack effective therapies. Herpes simplex encephalitis is the commonest cause in Australasia and acyclovir should be started as soon as the diagnosis is suspected.The WHO definition of anaemia is a haemoglobin (Hb) concentration <120g/L (Hb<36%) in females and<130g/L (Hb<39%) in males. affects 80% of ICU patients, and over 50% of ICU patients have Hb <90 g/L on admission. often multifactorial causes in the critically ill (e.g. underlying disease, blood sampling, nutritional, medications) and usually ...De Winter T waves. Upsloping ST depression (> 1mm at J point) in the precordial leads V2-6, plus leads I and II. Peaked anterior T waves, with the ascending limb of the T wave commencing below the isoelectric baseline. ST elevation in aVR > 0.5mm. Thanks to Dr Steve Smith for contributing this De Winter’s T wave ECG.Acute lead poisoning: a diagnostic challenge in the emergency department. 2021 Jan 20;14 (1):e239740. doi: 10.1136/bcr-2020-239740. Bharath Gopinath Vignan Kappagantu. 33472809. PMC7818793. 10.1136/bcr-2020-239740. Acute abdominal pain is a common presentation to the emergency department (ED). Ruling out life-threatening causes and giving pain ...Einkauf · Maximilian Beinhauer · Nimche Gantumur · Christoph Liftl · Peter Müller · Damir Ostrihon · Alfred Petracs · Marijana Simic · Birgit Wenhardt.Life is for the learning liftl.org Reimagining SchoolingDelivering fresh learning to childen and young people join the global Liftl community 1. to 5.Mar 4, 2021 · Coronary artery disease accounts for > 30% of death in West and presents acutely as acute coronary syndromes. Acute coronary syndrome (ACS) is a catch all term that refers to ischemic symptoms resulting from acute coronary occlusion. All patients who present with a suspected acute coronary syndrome must be assessed in the ED on an urgent ... Mar 19, 2023 · Learn how to differentiate ventricular tachycardia (VT) from supraventricular tachycardia with aberrancy (SVT) based on electrocardiographic features, clinical factors and algorithms. Find out the electrocardiographic features increasing the likelihood of VT, the clinical factors associated with VT or SVT, and the diagnostic algorithms for VT or SVT. Nov 3, 2020 · Tonsillar Ultrasound Technique. Chose either a sterilised endocavity transducer or a hockey stick transducer for this procedure. Cover it with an unused condom. Explain the procedure to the patient, reassuring them it is not as bad as it looks! Spray the oropharynx with a local anaesthetic ENT spray. Now introduce the transducer carefully with ... Hypothermia occurs when core body temperature is < 35°C. mild: 32-35°C. moderate: 28-32°C. severe: < 28°C. Swiss staging system. I – clearly conscious and shivering. II – impaired consciousness without shivering. III – unconscious. IV – not breathing.The Basics. In this first video we walk you through every aspect of the basics of the ECG including: Describe the parts of the ECG. Rate, rhythm, axis. P wave, PR interval, QRS complex, ST-segment, T wave, QT interval. Identify the features of a normal ECG.Learn how to differentiate ventricular tachycardia (VT) from supraventricular tachycardia with aberrancy (SVT) based on electrocardiographic features, clinical factors and algorithms. Find out the electrocardiographic features increasing the likelihood of VT, the clinical factors associated with VT or SVT, and the diagnostic algorithms for VT or SVT.LITFL Further Reading. ECG Library Basics – Waves, Intervals, Segments and Clinical Interpretation; ECG A to Z by diagnosis – ECG interpretation in clinical context; ECG Exigency and Cardiovascular Curveball – ECG Clinical Cases; 100 ECG Quiz – Self-assessment tool for examination practice; ECG Reference SITES and BOOKS – the best …Learn ECG interpretation skills with clinical cases and self assessment quizzes on the top 150 ECG problems. Search by keywords, disease process, condition or eponym and prepare for examinations with the ECG Library Basics, the ECG Exam template and the ECG Differential Diagnosis.Nov 3, 2020 · Tonsillar Ultrasound Technique. Chose either a sterilised endocavity transducer or a hockey stick transducer for this procedure. Cover it with an unused condom. Explain the procedure to the patient, reassuring them it is not as bad as it looks! Spray the oropharynx with a local anaesthetic ENT spray. Now introduce the transducer carefully with ... Pericarditis is classically associated with ECG changes that evolve through four stages. Stage 1 – widespread STE and PR depression with reciprocal changes in aVR (occurs during the first two weeks) Stage 2 – normalisation of ST changes; generalised T wave flattening (1 to 3 weeks) Stage 3 – flattened T waves become inverted (3 to several ...This ECG shows a full set of right-sided leads (V3R-V6R), with V1 and V2 in their original positions. RV infarction is diagnosed based on the following findings: There is an inferior STEMI with ST elevation in lead III > lead II. V1 is isoelectric while V2 is significantly depressed. There is ST elevation throughout the right-sided leads V3R-V6R.. Desimyhub, Gdp e366, Laura fraser sexy, Tuffrider carbon fiber, 15th meu, El show de raul brindis y pepito, Petco ferret price, Syracusefan forum, Theskylive.com.