infectious colitis
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Juri Katchanov
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Juri Katchanov
bradycardia
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Bradycardia DDx
Seldom, but not miss in any AV blocks:
(1) Lyme
(2) Sarcoid
(3) Chagas
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Juri Katchanov
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Juri Katchanov
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Juri Katchanov
NUMERI
A
Adrenalin (Epinephrine)
0.5 mg IM for anaphylaxis, in children 0.1 mg/ 10 kg bodyweight IM (max. 0.5 mg IM)
1 mg IV for cardiac arrest
0.5 mg IV for peri-arrest according to Scott Weingart
20-50 µg Push Dose for bradycardia, shock, anaphylaxis etc (1 mg in 100 ml= 10 µg/ml)
Perfusor 2-10 µg/min = 0.1- 0.6 mg/h = 0.025 – 0.15 µg/min/kg
B
C
D
drop
1 drop= 0.05 ml= 50 µl (20 drops= 1 ml)
E
F
G
Gamma
1 Gamma = 1 µg/min
Glucagon
5 mg IV over 5 min for epinephrine-resistant anaphylaxis on betablockers
Glucose
10 g Glucose →↑ 30-40 mg/dl Glc
5 g Glucose counter-acts 1 U Insulin
H
I
Insulin
1 U Insulin →↓ 30-40 mg/dl Glc
For 1 U Insulin give 2.5 g (minimum) to 5.0 g (safe side) Glucose (e.g. lowering K+)
0.1 U × kg bw/h as drip (Perfusor©) for DKA without bolus (50 U/ 50 ml= 1 U/ml)
J
K
L
M
NNaloxon
1 amp= 0.4 mg in 1 ml
CPR dosis 5 x 0.4 mg= 2 mg
otherwise in 0.08 mg steps (e.g. 0.4 mg -> 10 ml, 0.08 mg= 2 ml), onset 2 min (CAVE: vomiting, withdrawal with agitation)
Noradrenalin
1 amp = 1 mg in 1 ml
for push-pressoring: 1 mg in 100 ml = 10 µg/ml (start with 2-5 ml= 20- 50 µg)
For drip (Perfusor©) e.g. 5 mg in 50 ml= 100 µg/ml
1 Gamma = 1 µg/min
Perfusor: 8 µg/min – 80 µg/min = 0.1 – 1.0 µg/min/kg = 0.5 – 5.0 mg/h
O
Opiods
Ö
P
Q
R
S
Steroids
Hydrocortison x 1, Prednisolon x 4, Methylprednisolon x 5, Dexamethason x 30
T
U
Ü
V
W
X
Y
Z
Pädiatrische Notfallkarte ÄLRD
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Juri Katchanov
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Juri Katchanov
Acute Heart Failure AHF ADHF
Nohria A, Tsang SW, Fang JC, Lewis EF, Jarcho JA, Mudge GH, Stevenson LW. Clinical assessment identifies hemodynamic profiles that predict outcomes in patients admitted with heart failure. J Am Coll Cardiol. 2003 May 21;41(10):1797-804 
C.H.A.M.P.I.O.N.
Coronary syndrome
Hypertensive emergency
Arrythmia: bradycardia, tachycardia
Mechanical: valvular, pericardial (incl type A AoD), structural-myocardial (incl peripartal)
Pulmonary embolism
Infections: (1) systemic, esp in the elderly (2) myocarditis, peri(myo)carditis (3) endocarditis
Overload: fluid overload e.g. NSAIDs, steroids
Non-compliance with medication
USE OF DIURETICS
https://onlinelibrary.wiley.com/doi/10.1002/ejhf.1369
PEARLS
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Juri Katchanov
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Juri Katchanov
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Juri Katchanov
roadmap to pneumonia
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PEARLS pneumonia
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Atypical pneumonia
VIGILANTIA et HUMILITAS 
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