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Mini review on approach, teaching aspects, and common pitfalls in dealing with bradyarrhythmia

Review Article

Mini review on approach, teaching aspects, and common pitfalls in dealing with bradyarrhythmia

Receiving Date:26 December 2021

Accept Date: 16 March 2022

Available Online: 22.06.2022

doi: 10.5455/medscience. 2021.12.412

Medicine Science 2022;11(3):1386-98

Conflict of interests: The authors declare that there is no conflict of interest in the study.
Financial Disclosure: The authors declare that they have received no financial support for the study.

Figure 1. Classification of Bradyarrhythmias by Electrophysiologic Changes into 2 categories, i.e., those that occur due to impulse formation disorder and impulse conduction disorder. SA, sinoatrial; AV, atrioventricular

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 Elbaih AH, Jihwaprani MC, Mousa AA, Alhaimi MN. Mini review on approach, teaching aspects, and common pitfalls in dealing with bradyarrhythmia. Med Science. 2022;11(3):1386-94

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Corresponding Author: Adel Hamed Elbaih, Suez Canal University, Faculty of Medicine, Associate Professor of Emergency Medicine, Ismailia, Egypt.
E-mail: elbaihzico@yahoo.com

Approach of focused assessment with sonography in trauma in primary survey

Review Article

Approach of focused assessment with sonography in trauma in primary survey

Adel Hamed Elbaih, Abdelrahman Gamal Hassan.

Abstract
Focused Assessment with Sonography in Trauma (FAST) is a significant point of care examination predominantly used by emergency physicians and trauma surgeons to identify free intraperitoneal, intrathoracic, or pericardial fluid. a role of FAST is important as portable, inexpensive, free of ionizing radiation, and allows the health professional to perform assessments quickly and repeatedly to obtain diagnostic data on the bedside. So that’s why FAST examination should become widespread. Therefore, we aim to look into FAST for both medical students and new physicians face in the recognition, diagnosis and management of primary survey in trauma patients. FAST newly as a part of primary survey requiring urgent tools in trauma in the ER, So Emergency Physicians need teaching protocol of FAST. So, the aim of the study is appropriate approach of FAST by training protocol to Emergency Physicians. Based to practice gap for preventive death and adverse long-term complications of major trauma. Collection of all possible available data about the FAST with trauma at the emergency department. By many research questions to achieve these aims so a midline literature search was performed with the keywords “critical care”, “emergency medicine”, “FAST principals in different emergencies”, “cardiac arrest”. Literature search included an overview of recent definition, causes and recent therapeutic interventions strategies. Most of studies revealed; initial diagnosis of different emergencies cases depend on FAST also the interventions therapy in serious conditions that face patients and physicians at the emergency departments maybe by FAST guided. FAST is considered one of adjunct tools in primary survey for critical ill patients. so FAST is a conventional diagnostic test performed on trauma patients and incorporates pericardium evaluation, looking for hemopericardium and tamponade, and looking for intraperitoneal free fluid from the right flank, left flank, and pelvis.

Key words: Fast, emergency physicians, skill approach

Med-Science. 2021; 10(3): 1069-74

 

 

 
 

Teaching approach of ACLS in cardiac arrest with pregnancy

Review Article

Teaching approach of ACLS in cardiac arrest with pregnancy

Adel Hamed Elbaih, Anas Yahia Alkhalaileh, Ossama Ashour Haikal.

Abstract

Cardiac arrest is the abrupt loss of heart function in a person. Cardiac arrest can be lifesaving and it is important to understand the causes of maternal mortality to have an understanding of the unique pathogenic factors that may have precipitated the maternal cardiac arrest. Therefore, we aim to look into the common pitfalls that both medical students and new physicians face in the recognition, diagnosis, and management of these conditions. All Cardiac arrest pregnant patients who are requiring urgent management in the ED, with Emergency Physicians for teaching approach protocol. Appropriate for assessment and priorities for Cardiac arrest pregnant patients by training protocol to Emergency Physicians. Based on patients’ causes of Cardiac arrest pregnant women. Collection of all possible available data about the Pregnancy with cardiac arrest in the Emergency department. By many research questions to achieve these aims so a midline literature search was performed with the keywords “critical care”, “emergency medicine”, “principals of resuscitation in Pregnancy “, “ACLS with cardiac arrest in pregnancy”. Literature search included an overview of recent definition, causes and recent therapeutic strategies. All studies introduced that the initial diagnosis of Pregnancy with cardiac arrest and their therapy is a serious condition that face patients of the emergency and critical care departments. Maternal cardiac arrest is a complex clinical scenario, and the resuscitation of the pregnant woman involves multi-specialties and complex care decisions. This review is hopefully enough to strengthen the knowledge of new physicians and, hopefully with the recommendations, reduce the rates of false diagnoses.

Key words: Cardiac arrest, pregnant women, Emergency physicians, skill approach.

Med-Science. 2021; 10(3):1075-80