RESUMO
The management of cardiovascular emergencies is a fundamental component of the practice of an emergency practitioner. Delays in the evaluations and management can lead to significant morbidity or mortality. It is of vital importance to be familiar with procedures such as pericardiocentesis, cardioversion, defibrillation, temporary pacing, and options for the management of tachyarrhythmias. This article discusses the most common cardiovascular procedures encountered in an emergency setting, including the indications, contraindications, equipment, technique, and complications for each procedure.
Assuntos
Doenças Cardiovasculares/terapia , Arritmias Cardíacas/diagnóstico , Arritmias Cardíacas/terapia , Estimulação Cardíaca Artificial/métodos , Tamponamento Cardíaco/diagnóstico , Tamponamento Cardíaco/cirurgia , Doenças Cardiovasculares/diagnóstico , Desfibriladores Implantáveis , Cardioversão Elétrica/instrumentação , Cardioversão Elétrica/métodos , Eletrocardiografia/métodos , Emergências , Parada Cardíaca/diagnóstico , Parada Cardíaca/terapia , Humanos , Hipotermia Induzida/métodos , Pericardiocentese/instrumentação , Pericardiocentese/métodos , Taquicardia/diagnóstico , Taquicardia/terapiaRESUMO
We describe transient hypothyroidism induced in a 2 week-old breastfed infant by maternal use of iodoform gauze for a perirectal abscess. The initial newborn thyroid screen was normal. Low levels of thyroid hormone were discovered during a routine second newborn screen. Thyroid function has since normalized with short-term therapy with thyroxine and after the mother discontinued use of the packing iodoform gauze. This case illustrates the need to avoid iodine-containing products in breastfeeding mothers.
