Instead, we'll continue unintentionally defibrillating the Red Menace, especially during the Russia probe.
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More first responders arrive and take turns giving Costello CPR before defibrillating her and moving her to an ambulance.
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Early cardiopulmonary resuscitation (CPR) is essential to surviving cardiac arrest with good neurological function. It is recommended that it be started as soon as possible with minimal interruptions once begun. The components of CPR that make the greatest difference in survival are chest compressions and defibrillating shockable rhythms. After defibrillation, chest compressions should be continued for two minutes before a rhythm check is again done.
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ECG leads must be placed in reversed positions on a person with dextrocardia. In addition, when defibrillating someone with dextrocardia, the pads should be placed in reverse positions. That is, instead of upper right and lower left, pads should be placed upper left and lower right. When heart transplantation is required in a person with situs inversus, reconstruction of the venous pathways to accommodate a normal donor heart is a major, but not insurmountable, challenge.
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Nagel's had a hidden agenda in promoting telemetry. For Nagel it gained him access through the legal impediments stopping fire fighters from defibrillating patients and administering medications. Nagel reasoned that if the fire department could send the ECG signal to the hospital via telemetry, then the fire fighters (with special training) could be authorized by the physician to administer needed drugs and procedures before arriving in the emergency department. He believed a paramedic at the scene was a legal extension of a physician.
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He trained stockowners in the techniques of collecting recovered blood, defibrillating it and using this vaccine to inoculate their stock. To facilitate this, he invented the "Pound" syringe and arranged for it to be manufactured. Backed by his lectures and published articles, this work made a major contribution to the success of Queensland's cattle industry. Pound's activities also included obtaining pathological specimens of various manifestations of diseases in stock and other domesticated animals, and items sent in by stock owners were added to the museum's collection.
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As devices that can quickly produce dramatic improvements in patient health, defibrillators are often depicted in movies, television, video games and other fictional media. Their function, however, is often exaggerated, with the defibrillator inducing a sudden, violent jerk or convulsion by the patient; in reality, although the muscles may contract, such dramatic patient presentation is rare. Similarly, medical providers are often depicted defibrillating patients with a "flat- line" ECG rhythm (also known as asystole). This is not normal medical practice, as the heart cannot be restarted by the defibrillator itself.
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The highest amount of energy that an external defibrillator can deliver at the present time is 360 joules biphasic. In clinical practice, the real threshold can be approximated but not exactly established, since the defibrillating shock can be delivered only once. Certain medications, in particular sotalol, tend to lower such threshold, while others, such as amiodarone, may increase it.Hohnloser SH, Dorian P, Roberts R, Gent M, Israel CW, Fain E, Champagne J, Connolly SJ. Effect of amiodarone and sotalol on ventricular defibrillation threshold: the optimal pharmacological therapy in cardioverter defibrillator patients (OPTIC) trial Circulation. 2006 Jul 11;114(2):104-9.
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