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...
Publication date: 1 June 2020Source: Carbohydrate Polymers, Volume 237Author(s): Shuo Xu, Qihui Zhou, Zhongxin Jiang, Yanwen Wang, Kai Yang, Xiaohui Qiu, Qiuxia Ji
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...
Publication date: 15 August 2020Source: Chemical Engineering Journal, Volume 394Author(s): Guanghai Chen, Lin Ye, Kun Zhang, Ming Gao, Hang Lu, Huajie Xu, Ying Bai, Chuan Wu
We present surface X-ray diffraction and fast scanning tunneling microscopy results to elucidate the nature of the surface phase transition on magnetite (001) from a ( √2 x √2) R45° reconstructed... The content of this RSS Feed (c) The Royal Society of Chemistry
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
This article is licensed under aCreative Commons Attribution-NonCommercial 3.0 Unported Licence.Diego Colombara, Kevin Conley, Maria Malitckaya, Hannu-Pekka Komsa, Martti J. Puska Highly efficient chalcopyrite photovoltaic cells display complex distributions of sodium dopant and gallium: how are these distributions related to each other? To cite this article before page numbers are assigned, use the DOI form of citation above. The content of this RSS Feed (c) The Royal Society of Chemistry
This article is licensed under aCreative Commons Attribution-NonCommercial 3.0 Unported Licence.Teng LI, Frank Krumeich, Jeroen van Bokhoven We report a method to efficiently produce all-silica hollow zeolites by leaching their parent crystals in sodium aluminate and hydrochloric acid solutions successively. The extra-framework aluminum species resulted from the... The content of this RSS Feed (c) The Royal Society of Chemistry
In this study the EGFR over‐expressing human head/neck OSC‐19‐luc2‐cGFP tumour with transfected GFP gen e was used in a skin‐fold window‐chamber model in BALB/c nude mice. The uptake and localization of the conjugate in the tumour and its surrounding normal tissues were studied by an intravital confocal laser scanning microscopy with image analyses. The tumour was also irradiated with 690 nm las er light 24 hours after conjugate administration. The vascular and tumour responses were examined by morphological evaluation and immunohistochemistry (IHC). The amount of conjugate in the tumour peaked at 24‐4...
Authors: Minato S, Miyazawa H, Kitano T, Shindo M, Ito K, Ueda Y, Hirai K, Hoshino T, Ookawara S, Morishita Y Abstract A 49-year-old woman developed eosinophilic peritonitis 2 months after starting continuous ambulatory peritoneal dialysis because of congenital right kidney hypoplasia and chronic glomerulonephritis. This was shown to have been induced by sucroferric oxyhydroxide, an iron-based phosphate binder, using a drug-induced lymphocyte stimulation test. Her eosinophilic peritonitis was improved after stopping the administration of sucroferric oxyhydroxide without providing any immunosuppressive agents. P...
CONCLUSIONS: The quality of life of several Colombian patients diagnosed with multiple sclerosis was very good. This positive result was also observed in caregivers as evidenced by the results of the CareQol questionnaire. We also observed and indicated an inversely proportional correlation between the Expanded Disability Status Scale and the quality of life indexes. PMID: 32220169 [PubMed - as supplied by publisher]
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