neurogenic shock arrest w/ atropine

[JPINFV]

2nd degree block type one (Wenke-bach).

[firedoc5]

Seen it before, too KEWL, LMAO. Cardiogenic and Neurologic shock due to massive CVA. Needless to say, even though we did have a pulse back three times for very short intervals, the guy didn't make it. Our Medical Dir. presented it at a convention in St.Louis but I don't know what was thought of it there. He never told me.

[air.stump]

Another bit of information that may help us understand the confusion behind the physiology of atropine. The primary action of atropine is competitive in nature. It simply competes with AcH at the postganglionic receptor.

This makes sense when we consider another condition. Consider Organophosphate exposure. What occurs at the level of the receptor? Cholinesterase is inhibited and AcH accumulates without anything to break it down. Thus, these people typically require large and often repeated doses of atropine because we have so much AcH to compete with.

I hope this helps.

Take care,

chbare

Excellent point!