Tactical Medicine News Blog

The Concomitant Use of Calcium and Diltiazem for Rapid Atrial Fibrillation

Posted by Marco Torres on

Background: Atrial fibrillation and atrial flutter with rapid ventricular rate (AF/AFL with RVR) are the most common subtypes of SVT, comprising a large number of ED visits in aging populations. Currently, rhythm and rate control are the mainstays of therapy in acute settings.  One common strategy for rate control in stable patients is the use of non-dihydropyridine calcium channel blockers. These agents, verapamil and diltiazem, decrease ventricular rate but also have an effect on vascular smooth muscle, leading to a drop in blood pressure. Hypotension in these patients can complicate management. One proposed method of decreasing the incidence of hypotension when treating Afib or Aflutter is administering IV calcium prior to non-dihydropyridine calcium channel blockers. Currently, the infusion of IV calcium before diltiazem is not well understood, and more studies have focused on administering IV calcium prior to verapamil than diltiazem.

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Selección de personal de Fuerzas Especiales. SEAL

Posted by EMS Solutions International on

 La selección y el entrenamiento de las SOF son brutales, merecidamente. (Sonido encendido - es bastante divertido)La primera parte de este video es el primer día de BUD: selección y capacitación de SEAL.La segunda parte es el día 22, justo después de la semana infernal. La clase pasó de 212 a alrededor de 11 después de dejar de fumar y las listas médicas. Hay algunos que entraron en la clase...

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The Naval Special Warfare Development Group (NSWDG), abbreviated as DEVGRU (DEVelopment GRoUp) commonly known as SEAL Team Six

Posted by Dr Ramon REYES, MD on

 The Naval Special Warfare Development Group (NSWDG), abbreviated as DEVGRU (DEVelopment GRoUp) commonly known as SEAL Team SixPrimera mujer NAVY SEALS de la historia Articulo completo y original en Wikipedia  Active November 1980 – present Country  United States of America Branch  United States Navy Type Special operations forceSpecial mission unit Role Special operationsCounter terrorismHostage rescueDire...

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NEW RIP SHEARS / Novedad para Tijeras de Trauma Rip Shears

Posted by EMS Solutions International on

El Firefly (RS-3) Fué desarrollado tras muchas peticiones de paramedicos para un dispositivo que brillara en la oscuridad y así evitar la perdida de la tijera y para ver exactamente en donde se cortaría la ropa. Es la Tijera de Trauma más rápida en el mundo, diseñada y probada en Medicina de Comate por los US Navy SEALs Video como funciona RIP-shears Enlace pagina oficial del...

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Stop the Bleed could provide ‘herd immunity’ against exsanguination: Interview with Dr. Lenworth Jacobs 0 BY ROBERT FOJUT ON MAY 30, 2018

Posted by EMS Solutions International on

Stop the Bleed could provide ‘herd immunity’ against exsanguination: Interview with Dr. Lenworth Jacobs  0 BY ROBERT FOJUT ON MAY 30, 2018 Dr. Ramon Reyes, MD MAS LIBROS MEDICINA Y SALUD https://www.facebook.com/pg/DrRamonReyesMD/photos/?tab=album&album_id=620883388254594 Dr. Ramon Reyes, MD  http://emssolutionsint.blogspot.com.es/2016/12/dr-ramon-reyes-diaz-md-emt-t-dmo.html ...

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