
Geschätzte Community!
Hier folgt nun der zweite Teil unserer Falldokumentation “Rasche Wendung“!
Zuletzt fand sich folgende Rhythmusstörung im Monitorauszug:
Die Notarztmannschaft entschliesst sich zur Schockabgabe mit 200J biphasisch:
Rhythmusmonioring nach der Schockabgabe:
Folgend nun einige Monitoraufzeichnungen der restlichen 15 Minuten während des Transportes bis zur Ankuft im Krankenhaus:
Besonderheiten in den 2 oben gezeigten Bildern?
Weiter geht es mit Verlaufskontrollen während des Transportes!
Letzte Monitorableitung bei der Übergabe im Krankenhaus:
Anbei noch die Ereignisdokumentation mit einer Übersicht über den zeitlichen Verlauf und die Vitalparameter (HF und RR).
Welche Erkrankung kann für die gezeigten Rhythmusstörungen verantwortlich sein?
Welche Therapie könnte angebracht sein?
Der weitere Verlauf (beim Transport) zeigt offensichtlich auch eine Rhythmusstörung. Um welche handelt es sich dabei?
Für die Übermittlung des Beispieles bedanken wir uns bei einer Notarztmannschaft aus Niederösterreich!
Falldoku des Monats: Rasche Wendung (Teil 2/2),
durch die vorangehende bc Episode und den in den folge EKGs auffälligen p-Wellen ( nach der Schockabgabe intermittierende AV-Disoziation, dann negative p-Wellen am TR bis zur Normalisierung zu einem Sinusrhythmus) halte ich es für möglich das ein intermittierender höhergradiger AV-Block zuerst die Synkope verursacht hat und nachfolgend Extrasystolen aus tieferliegenden Ersatzzentren die Torsaden ausgelöst haben könnten. Spannender Fall!!
Was könnte ausschlaggebend für die Torsaden bzw. die AV Diss. sein? (auf den letzten Bildern kann man es evt. entdecken…). LG
trotz langem Überlegen komm ich nicht drauf… Würde mich aber freuen die Lösung zu erfahren… LG
also die QTc ist bei Bild 8, 9 und 10 normal, beim letzten leicht verlängert (≈450 ms). Was der Grund für die AV Diss. ist… k.A.
Mein vorheriger Post war vielleicht irreführend… ich meinte die Lösung liegt in Teil 1 des Beispieles =) Gibts nur wenige Gründe für Torsaden (Ischämie, E-Lyte….). die Lösung ist im ersten Teil zu finden =) LG Peter
WPW
Hyperkaliämie, daher die Torsaden?
SuperCell vor kurzem Boom Strand eine Weile zurück für iOS und Android, und es scheint, denn es wirklich schnell immerzu beliebter wird.
It’s amazing in favor of me to have a website, which is useful for my know-how. thanks admin
Good day very cool web site!! Guy .. Excellent .. Amazing .. I will bookmark your blog and take the feeds additionally? I am happy to search out numerous helpful info here within the publish, we need work out more techniques in this regard, thanks for sharing. . . . . .
Hi there I am so thrilled I found your web site, I really found you by mistake, while I was researching on Bing for something else, Nonetheless I am here now and would just like to say cheers for a tremendous post and a all round exciting blog (I also love the theme/design), I don’t have time to look over it all at the minute but I have book-marked it and also added your RSS feeds, so when I have time I will be back to read much more, Please do keep up the great work.
When some one searches for his necessary thing, so he/she needs to be available that in detail, thus that thing is maintained over here.
Our Managed Doc Print Companies consists of administration of your present fleet and any new tools, along with on-site service help and training in addition to remote monitoring of provides so we can automatically send toner and other supplies before you run out.
You should take part in a contest for one of the finest blogs on the web. I am going to highly recommend this website!
It’s wonderful that you are getting thoughts from this post as well as from our argument made at this place.
I really like what you guys are up too. Such clever work and coverage! Keep up the terrific works guys I’ve you guys to my personal blogroll.
Thank you a bunch for sharing this with all people you actually know what you are talking approximately! Bookmarked. Please also discuss with my site =). We could have a hyperlink alternate agreement among us!
Absolutely pent content, regards for selective information.
Hi to every single one, it’s genuinely a nice for me to visit this web site, it contains useful Information.
That is a very good tip particularly to those new to the blogosphere. Brief but very accurate information… Thank you for sharing this one. A must read post!
I do trust all the ideas you’ve offered in your post. They are very convincing and will definitely work. Still, the posts are too quick for beginners. May you please extend them a little from subsequent time? Thanks for the post.
I was recommended this blog via my cousin. I am no longer certain whether this submit is written via him as no one else understand such certain about my problem. You are wonderful! Thank you!
We are a bunch of volunteers and starting a brand new scheme in our community. Your web site provided us with useful information to work on. You’ve performed an impressive job and our entire community can be thankful to you.
j’aime le blog les articles sont tres bien écrit bravo a vous
Oh my goodness! Incredible article dude! Thanks, However I am having difficulties with your RSS. I don’t understand why I cannot subscribe to it. Is there anybody getting identical RSS problems? Anybody who knows the answer will you kindly respond? Thanks!!
This design is incredible! You definitely know how to keep a reader entertained. Between your wit and your videos, I was almost moved to start my own blog (well, almost…HaHa!) Excellent job. I really enjoyed what you had to say, and more than that, how you presented it. Too cool!
With havin so much content do you ever run into any problems of plagorism or copyright infringement? My blog has a lot of exclusive content I’ve either written myself or outsourced but it looks like a lot of it is popping it up all over the web without my authorization. Do you know any techniques to help prevent content from being ripped off? I’d definitely appreciate it.
Great blog you have here.. It’s difficult to find high-quality writing like yours nowadays. I honestly appreciate individuals like you! Take care!!
Just want to say your article is as astonishing. The clarity for your submit is just great and that i can think you are knowledgeable on this subject. Fine along with your permission allow me to take hold of your RSS feed to stay up to date with approaching post. Thank you a million and please keep up the gratifying work.
Fine way of telling, and pleasant post to get information on the topic of my presentation topic, which i am going to convey in academy.
Please let me know if you’re looking for a article author for your blog. You have some really good articles and I believe I would be a good asset. If you ever want to take some of the load off, I’d love to write some content for your blog in exchange for a link back to mine. Please blast me an e-mail if interested. Many thanks!
Hi, yeah this paragraph is truly pleasant and I have learned lot of things from it regarding blogging. thanks.
Awesome blog! Do you have any suggestions for aspiring writers? I’m hoping to start my own website soon but I’m a little lost on everything. Would you suggest starting with a free platform like WordPress or go for a paid option? There are so many options out there that I’m completely confused .. Any tips? Thanks!
Very soon this site will be famous amid all blogging users, due to it’s pleasant articles or reviews
I was curious if you ever thought of changing the page layout of your site? Its very well written; I love what youve got to say. But maybe you could a little more in the way of content so people could connect with it better. Youve got an awful lot of text for only having 1 or two pictures. Maybe you could space it out better?
An intriguing discussion is worth comment. I do think that you should publish more on this subject matter, it may not be a taboo subject but typically people don’t talk about these topics. To the next! Many thanks!!
magnificent issues altogether, you simply won a emblem new reader. What would you suggest about your submit that you just made a few days in the past? Any positive?
You really make it seem really easy together with your presentation however I find this topic to be actually one thing that I feel I might by no means understand. It kind of feels too complicated and extremely broad for me. I’m having a look forward to your subsequent put up, I’ll try to get the cling of it!
At this time I am going to do my breakfast, after having my breakfast coming yet again to read further news.
you’re in point of fact a excellent webmaster. The web site loading speed is incredible. It sort of feels that you are doing any distinctive trick. Furthermore, The contents are masterpiece. you’ve done a wonderful job on this subject!
Hello There. I found your blog the usage of msn. This is an extremely smartly written article. I will make sure to bookmark it and return to learn more of your useful info. Thank you for the post. I will certainly comeback.
Magnificent website. Plenty of useful information here. I am sending it to some buddies ans also sharing in delicious. And of course, thanks to your sweat!
Good post. I’m going through some of these issues as well..
Excellent web site you have got here.. It’s hard to find excellent writing like yours these days. I truly appreciate individuals like you! Take care!!
Magnificent web site. A lot of helpful information here. I am sending it to several pals ans additionally sharing in delicious. And certainly, thanks in your sweat!
When someone writes an piece of writing he/she retains the idea of a user in his/her brain that how a user can be aware of it. Thus that’s why this post is great. Thanks!
Hi friends, how is the whole thing, and what you desire to say regarding this post, in my view its truly remarkable in support of me.
Why visitors still make use of to read news papers when in this technological globe all is accessible on net?
of course like your web site but you need to test the spelling on several of your posts. Several of them are rife with spelling problems and I in finding it very troublesome to inform the reality nevertheless I will surely come back again.
That is a good tip especially to those fresh to the blogosphere. Simple but very precise info… Thanks for sharing this one. A must read article!
I’m impressed, I must say. Seldom do I come across a blog that’s both equally educative and amusing, and let me tell you, you have hit the nail on the head. The issue is something too few folks are speaking intelligently about. I’m very happy I stumbled across this in my search for something concerning this.
Excellent site you have here but I was wondering if you knew of any forums that cover the same topics talked about here? I’d really like to be a part of group where I can get feedback from other experienced individuals that share the same interest. If you have any recommendations, please let me know. Cheers!
Good replies in return of this query with solid arguments and telling everything concerning that.
24 विकल्प लॉगिन बाइनरी ऑप्शन रोबोट बिटकॉइन जर्मनी खरीद लेते हैं