Ugeskrift for laeger
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The ERC Guidelines 2005 regarding the resuscitation of children and neonates recommend changes in treatment algorithms. Cardiac arrest in children is most often caused or worsened by hypoxic conditions. ⋯ Defibrillation of ventricular fibrillation or pulseless ventricular tachycardia is given as single 4 J per kg(-1) shock in every cycle. Rhythm or pulse is not assessed immediately after defibrillation, but first after two minutes of basic life support, i.e. before a new attempt of defibrillation.
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International and European Resuscitation Council (ERC) Guidelines for Resuscitation 2005 implicate major changes in resuscitation, including new universal treatment algorithms. This brief summary of Guidelines 2005 for advanced resuscitation of adult cardiac arrest victims is based upon the ERC Guidelines which also constitute the Danish Resuscitation Council's recommendations.
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Ugeskrift for laeger · Nov 2008
[Basic resuscitation of adults and automatic external defibrillation].
The new ERC guidelines on resuscitation emphasize the importance of quality CPR. BLS should be started as early as possible. Lay rescuers should not check for a pulse, they should call for help and start chest compressions immediately. ⋯ Lay rescuers may use the same procedure for children as recommended for adults. Professionals should, however, initiate CPR in children with 5 ventilations followed by a compression-ventilation ratio of 15:2. Automatic External Defibrillation should be used as early as possible.
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Bupropion is an antidepressant, which in Denmark is only used as an aid for smoking cessation. The toxicological side-effects include insomnia, gastrointestinal symptoms, tachycardia and seizures. A case of intentional overdose in a fourteen-year-old boy is presented. He developed hallucinations and tachycardia after ingesting only 1500 mg of bupropion, but recovered without sequelae.
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Clonidine is an alpha2-adrenergic agonist with analgetic properties. Due to its side-effects, the drug is administered via the epidural or spinal route. A literature search yielded nine controlled studies on clonidine as a supplemental drug in the epidural or spinal treatment of cancer pain. These studies were systematically reviewed to evaluate the evidence of efficacy in patients with cancer pain. ⋯ Despite weak evidence, clonidine may be a useful adjunct in epidural or spinal morphine therapy of cancer pain.