Dive in the algorithms from the clinical practice!
Refractory Seizures in Children
Eva Klabusayová, MD, Tereza Musilová, MD, Vanda Benetinová, Ria Hrušovská
Convulsive states are one of the most common conditions which lead to admission to ICU in children. There is an inexhaustible amount of potential causes of convulsions in pediatric patients, starting with very common febrile spams to extremely rare metabolic or genetic disorders. In any case, every convulsive state always calls for quick termination. This way we can prevent the further brain damage caused by uncoordinated convulsive activity. Follow-up wide differential diagnostics are performed to determine definitive diagnosis..
Pulse Ventricular tachycardia
Deana Slovjaková, MD, Martin Róbert Grác, MD, Stela Staruchová, Jana Šoltysová. Illustrations: Marie Tormová
Pulse ventricular tachycardia is one of the most common complication after mycardial infarction. In this algorithm, we will guide you through management of heamodynamically stable and instable patient. The goal is to implement knowledge from the new ERC Guidelines (2021) a to choose the correct sequence of the pharmacological and non-pharmacological treatment in both cases.
PIMS
Tamara Skříšovská, MD, Roman Kula, MD, Gabriela Žabková, Michaela Staňková. Illustrations: Bc. Mária Melicherčíková
PIMS, PIMS-TS (Paediatric Inflammatory Multisystem Syndrom Temporally associated with SARS-CoV-2) or MIS-C (Multisystem Inflammatory Syndrom in Children) are abbreviations denoting the same disease. It is a rare but very serious multisystem inflammation caused by an abnormal immune response affecting multiple organs at the same time. PIMS is typical in children who have had COVID-19 infection in the past. Early diagnosis and therapy is most important for the recovery of patients, so there is a need to raise awareness of this relatively new syndrome, the symptoms of which are initially non-specific. The algorithm will guide you through the typical symptoms and specific treatment of a PIMS sufferer.
Acute adrenal crisis
Sylvia Šefčík, MD, Martin Šefčík, MD, Ivana Kravárová, Kateřina Dvořáková
Acute adrenal crisis is a condition, which arise from an adrenal cortex insufficiency. It can develop because of untreated Addison disease or abruptly as a result of many other causes. Patients with the adrenal crisis need an intensive health care and adequate treatment, as the condition can be potentially life-threatening. They must be thoroughly informed about their disease and need to precisely follow doctors instructions. In this algorithm, we will look at the patient examination, diagnosis and therapy including complications management.
