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Should we bring Bretylium back in cardiac arrest?

Following a brief presentation at EMCore Hong Kong in April of this year, that challenged our thinking, I have asked our expert colleague, Dr Will Davies, to expand on an argument he put forward, (in our clinical topics series), that we should revisit the use of bretylium tosylate in cardiopulmonary resuscitation, especially in the treatment of…

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Amiodarone vs Procainamide for Ventricular Tachycardia

The PROCAMIO Study(1) This was a randomised (non-blinded) open labelled study. 62 haemodynamically stable patients with sustained, monomorphic, Ventricular Tachycardia(VT), were assigned to receive either: (i) intravenous procainamide (single dose 10 mg/kg over 20 min) or (ii) intravenous amiodarone (single dose 5 mg/kg over 20 min). The study period was 40 min from infusion initiation…

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Supraventricular Tachycardia(SVT) in Infants

A mother brings her 7 month old son to the Emergency Department, as he has been irritable for the last 2 days.  There have been no major problems, apart from the irritability, that she can pinpoint, perhaps some slight feeding issues and some fever two days ago, but that is all. The local doctor had…

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