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Follow current European Society of Cardiology (ESC) guidelines for the diagnosis and management of syncope. Symptoms such as syncope (especially during exercise, while sitting or supine), palpitations, dizziness and sudden shortness of breath that are consistent with an arrhythmia should be investigated.
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) Use direct or video laryngoscopy for tracheal intubation according to local protocols and rescuer experience.Hospital staff should use structured communication tools to ensure effective handover of information.
Consider intraosseous (IO) access if attempts at IV access are unsuccessful or IV access is not feasible. Apparently healthy young adults who suffer sudden cardiac death (SCD) can also have signs and symptoms (e.g. syncope/pre-syncope, chest pain and palpitations) that should alert healthcare professionals to seek expert help to prevent cardiac arrest. The hospital resuscitation team should include team members who have completed an accredited RCUK adult ALS course. Hospitals should review cardiac arrest events to identify opportunities for system improvement and share key learning points with hospital staff.Consider pacing in patients who are unstable, with symptomatic bradycardia refractory to drug therapies. Adult patients with non-traumatic OHCA should be considered for transport to a recognised centre of care for appropriate specialist treatment, according to local protocols. There is no evidence to express a preference for a policy of primarily transporting via ambulance (using bypass protocols) or one of secondary inter-hospital transfer. Do not use POCUS for assessing contractility of the myocardium as a sole indicator for terminating CPR.