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{| class="wikitable"
{{#ask: [[Is DrugClass::Benzodiazepine]] | ?SeizureDose=Dose | ?BrandName=Trade Name}}
! Acidosis !! Preexisting acidosis, DM, diarrhea, drugs and toxins, prolonged resuscitation, renal disease, shock !! Reassess adequacy of oxygenation, and ventilation; reconfirm endotracheal-tube placement  !!  !!  !!  !!  !!  !!  !!
 
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[[Scarlet_fever_1.2.jpg|thumb|"Slapped cheeks" and "white mustache" (circumoral pallor) typical of scarlet fever.]]
|  ||  || Hyperventilate  ||  ||  ||  ||  ||  ||  ||  
 
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We heard you. '''Our native WikEM app is back!''' Download from your app store now ([http://apps.apple.com/us/app/wikem/id576405449 iOS] and [https://play.google.com/store/apps/details?id=wikem.chris Android]).
| ||  || Consider intravenous bicarbonate if pH <7.20 after above actions have been taken  ||  ||  ||  ||  ||  ||  ||
 
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[http://mediawiki.org MediaWiki]
| Cardiac tamponade || Hemorrhagic diathesis, cancer, pericarditis, trauma, after cardiac surgery or MI || Give fluids; obtain bedside echocardiogram  ||  ||  ||  ||  ||  ||  ||
 
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[http://apps.apple.com App]
|  ||  || Perform pericardiocentesis. Immediate surgical intervention is appropriate if pericardiocentesis is unhelpful but cardiac tamponade is known or highly suspected. ||  ||  ||  ||  ||  ||  ||
 
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[https://apps.apple.com App]
| Hypothermia || Alcohol abuse, burns, CNS  disease, debilitated or elderly patient, drowning, drugs and toxins, endocrine disease, history of exposure, homelessness, extensive skin disease, spinal cord disease, trauma || If severe (temperature <30°C), limit initial shocks for V-Fib or pulseless V-Tach to three; initiate active internal rewarming and cardiopulmonary support. Hold further resuscitation medications or shocks until core temperature is >30°C. ||  ||  ||  ||  ||  ||  ||
 
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[http://apps.apple.com/us/app/wikem/id576405449 iOS]
|  ||  || If moderate (temperature 30-34°C), proceed with resuscitation (space medications at intervals greater than usual), actively rewarm truncal body areas  ||  ||  ||  ||  ||  ||  ||
 
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[https://apps.apple.com/us/app/wikem/id576405449 https://play.google.com/store/apps/details?id=wikem.chris iOS]
| Hypovolemia, hemorrhage, anemia || Major burns, DM, GI losses, hemorrhage, hemorrhagic diathesis, cancer, pregnancy, shock, trauma || Give fluids  ||  ||  ||  ||  ||  ||  ||
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|  ||  || Transfuse pRBCs if hemorrhage or profound anemia is present  ||  ||  ||  ||  ||  ||  ||
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|  ||  || Thoracotomy is appropriate when patient has cardiac arrest from penetrating trauma and a cardiac rhythm and the duration of cardiopulmonary resuscitation before thoracotomy is <10 min  ||  ||  ||  ||  ||  ||  ||
|}

Latest revision as of 17:07, 8 April 2026