Care after Return of Spontaneous Circulation

​BY TRAVIS SMITH, MD, &MATTHEW ZUCKERMAN, MDParamedics were called for a 42-year-old woman found at a motel by her significant other. The patient was alone at the time of EMS arrival. She was pulseless and apneic, so chest compressions were started, and the cardiac monitor showed pulseless electrical activity.Initial ECG showing STE in the anterior leads with ST depression in the inferior leads.The paramedics gave her 1 mg of epinephrine IV and 1 mg of naloxone IV without obvious response. A laryngeal mask airway was placed, and oxygen was delivered by bag valve mask. She received eight rounds of chest compressions before arrival at the emergency department with a total down time of about 20 minutes.The patient had palpable pulses when she arrived in the ED, and CPR was stopped. Her initial vital signs were a blood pressure of 120/70 mm Hg, heart rate of 97 bpm, temperature of 33.5°C, and SPO2 was 91% using LMA with bag valve on 100% FIO2.The woman appeared cachectic, her pupils were fixed and dilated, and she had no obvious external signs of acute trauma. Bilateral coarse rales were heard with bagged breaths, and she had no spontaneous respirations. The cardiac exam showed regular rate and rhythm without murmur. Her skin was cool and mottled.Bedside cardiac ultrasound showed no right heart dilation, pericardial effusion, or focal wall motion abnormalities. The FAST exam was negative for free fluid. The initial ECG showed ST elevation in the anterior leads...
Source: The Case Files - Category: Emergency Medicine Tags: Blog Posts Source Type: research

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Source: Carbohydrate Polymers - Category: Biomedical Science Source Type: research
Two novelN‐6‐18F ‐alkyl amino acid imaging agents,18F ‐FHex‐α‐l‐Glu and18F ‐FHex‐β‐Glu, were designed and synthesized as potential probes for PET imaging of tumors.18F ‐FHex‐α‐l‐Glu and18F ‐FHex‐β‐Glu were synthesized in decay‐uncorrected yields of 16 ± 4% (n = 5) within about 50 minutes and 11 ± 3% (n = 3) in about 60 minutes, respectively. Their radiochemical purities were more than 95%. N‐18F ‐labeled amino acids are important substitutes for new positron emission tomography (PET) imaging tracers complementing the deficiency of18F ‐fluorodeoxy...
Source: Journal of Labelled Compounds and Radiopharmaceuticals - Category: Biochemistry Authors: Tags: RESEARCH ARTICLE Source Type: research
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This article is licensed under aCreative Commons Attribution 3.0 Unported Licence.Oliver J. Driscoll, Jack A. Stewart, Paul McKeown, Matthew Jones A range of Fe(III)-salalen and -thiolen-chloride complexes have been prepared and are shown to be active catalysts for the selective coupling of CO2 and cyclohexene oxide (CHO). The first Fe(III)-thiolen-acetate... The content of this RSS Feed (c) The Royal Society of Chemistry
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Source: Peritoneal Dialysis International - Category: Urology & Nephrology Tags: Perit Dial Int Source Type: research
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