Follow current European Society of Cardiology (ESC) guidelines for the diagnosis and management of syncope. where k and c are constants, which vary between earthquake sequences. A modified version of Omori's law, now commonly used, was proposed by Utsu in 1961. [2] [3] n ( t ) = k ( c + t ) p {\displaystyle n(t)={\frac {k}{(c+t) Consider pacing in patients who are unstable, with symptomatic bradycardia refractory to drug therapies. If bradycardia is accompanied by life-threatening adverse signs, give atropine 500 mcg IV (IO) and, if necessary, repeat every 3–5 minutes to a total of 3 mg. Electrical cardioversion is the preferred treatment for tachyarrhythmia in the unstable patient displaying potentially life-threatening adverse signs.

For bradycardia caused by inferior myocardial infarction, cardiac transplant or spinal cord injury, consider giving aminophylline (100–200 mg slow intravenous injection). After dealing 50,000 damage, create an explosion centered [ sic] on your current target, dealing up to 40% per rank weapon damage [ sic] to nearby enemies. Adult patients with a cardiac arrest of presumed primary cardiac aetiology should be transported directly to a hospital with 24/7 coronary angiography capability. If an advanced airway is required, only rescuers with a high tracheal intubation success rate should use tracheal intubation.Use data-driven, performance-focused debriefing of rescuers to improve CPR quality and patient outcomes. If the patient with tachycardia is stable (no life-threatening adverse signs or symptoms) and is not deteriorating, pharmacological treatment may be possible.

Consider intraosseous (IO) access if attempts at IV access are unsuccessful or IV access is not feasible. myocardial ischaemia – may present with chest pain (angina) or may occur without pain as an isolated finding on the 12-lead ECG (silent ischaemia).Hospitals should have a clear policy for the clinical response to abnormal vital signs and critical illness. This may include a critical care outreach service and/or emergency team (e.g. medical emergency team, rapid response team). Hospitals should have a resuscitation team that immediately responds to in hospital cardiac arrest (IHCA).

Systems should define criteria for the withholding and termination of CPR, and ensure criteria are validated locally ( see the Ethics Guidelines). When a mechanical chest compression device is used, minimise interruptions to chest compression during device use by using only trained teams familiar with the device.The hospital resuscitation team should include team members who have completed an accredited RCUK adult ALS course.