Resuscitation pattern

The typical form of proarrhythmia caused by the type Ic antiarrhythmic drugs is a rapid, sustained, monomorphic VT with a characteristic sinusoidal QRS pattern that is often resistant to resuscitation with cardioversion or overdrive pacing. Some clinicians have had success with IV lidocaine (competes for the sodium channel receptor) or sodium bicarbonate (reverses the excessive sodium channel blockade). 

The resuscitation phase aims to restore circulating volume. There are two ways to think about the treatment of hypovolemia, both of which result in similar treatment patterns. Hypovolemic horses typically require 20-80 ml/kg of crystalloid fluids acutely. 

Dalai SA, Burgess AR, et al. (1989) Pelvic fracture in multiple trauma classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome. J Trauma 29 981-1000 discussion 1000-1002 Demetriades D, Karaiskakis M, et al. (2003) Pelvic fractures in pediatric and adult trauma patients are they different injuries J Trauma 54 1146-1151 discussion 1151 El-Khoury GY, Daniel WW, et al. (1997) Acute and chronic avulsive injuries. Radiol Clin North Am 35 747-766 Ersoy G, Karcioglu O, et al. (1995) Should all patients with blunt trauma undergo routine pelvic X-ray Eur J Emerg Med 2 65-68... 

Levine M, Lovecchio F. Diphenhydramine-induced Brugada pattern. Resuscitation 2010 81 503-4. 

Dalai SA, Burgess AR et al. (1989) Pelvic fracture in multiple trauma classification by mechanism is key to pattern of organ injury, resuscitative requirements, and outcome. J Trauma 29(7) 981-1000 discussion 1000-2... 

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