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Right atrial and ventricular clot as a cause of peri-arrest during caesarean birth requiring immediate thrombectomy.
Anaesth Rep
January 2025
Department of Anaesthesia Rabin Medical Centre, Beilinson Hospital Petah Tikva Israel.
Venous thromboembolic disease remains a leading cause of maternal morbidity and mortality. We report a case of a 30-year-old woman at 37 gestation with a history of thalassaemia intermedia and splenectomy. During pregnancy, she had been managed with frequent blood transfusions and enoxaparin.
View Article and Find Full Text PDFFeasibility of hand disinfection in paediatric advanced life support (PALS): A simulation study.
Infect Prev Pract
March 2025
Department of Anesthesiology and Critical Care, Medical Center - University of Freiburg, Freiburg, Germany.
Background: Hand disinfection is often omitted during emergencies because it may delay life-saving treatments. As healthcare-associated infections significantly worsen patient outcomes, the categorical omission of hand disinfection in emergencies should be re-evaluated. Real-world observations on this subject tentatively indicate compliance rates of <10%.
View Article and Find Full Text PDFDevelopments in the epidemiology of calcium channel blocker poisoning and implications for management.
Curr Opin Crit Care
December 2024
Department of Emergency Medicine Hennepin Healthcare.
Purpose Of Review: The aim of this study was to outline recent developments in calcium channel blocker (CCB) poisoning. The dihydropyridine CCB amlodipine is commonly prescribed in the United States, and amlodipine poisoning is increasing in frequency, presenting new challenges for clinicians because current paradigms of CCB poisoning management arose from literature on non-dihydropyridine agents.
Recent Findings: Amlodipine is now the most common CCB involved in poisoning.
Contemporary management of traumatic cardiac arrest and peri-arrest states: a narrative review.
J Anesth Analg Crit Care
September 2024
London's Air Ambulance and Barts Health NHS Trust, Royal London Hospital, London, UK.
Article Synopsis
- * There is hope, as some people can survive TCA and recover well with the right treatment right away.
- * The HOTT protocol helps doctors focus on fixing issues like low blood volume and lack of oxygen, while advanced methods can make treatment even better.
Teamwork matters: The association between nontechnical skills and cardiac arrest in trauma patients presenting with hypotension.
Surgery
June 2024
UT Southwestern Medical Center, Division of Burn Trauma Acute and Critical Care Surgery, Dallas, TX. Electronic address:
Background: The impact of trauma team dynamics on outcomes in injured patients is not completely understood. We sought to evaluate the association between trauma team function, as measured by a modified Trauma Non-Technical Skills assessment, and cardiac arrest in hypotensive trauma patients. We hypothesized that better team function is associated with a decreased probability of developing cardiac arrest.
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