Microshock
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Microshock
Microshock refers to the risk that patients undergoing medical procedures involving externally protruding intracardiac electrical conductors, such as external pacemaker electrodes, or saline filled catheters, could suffer an electric shock causing ventricular fibrillation (VF) due to currents entering the body via these parts. Some definitions related to micro-shock It is important to note that microshock (or micro-shock) are not IEV defined terms and are not used in any international standard. "Micro-shock" is an otherwise imperceptible electric current applied directly, or in very close proximity, to the heart muscle of sufficient strength, frequency, and duration to cause disruption of normal cardiac function. Note: It can be safely assumed (and it usually is) that micro-shock is only possible during certain medical procedures as the electric current needs to be focused directly into the heart by some conductor inserted by invasive means for some desired medical outcome (for ...
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Electric Shock
Electrical injury is a physiological reaction caused by electric current passing through the body. The injury depends on the density of the current, tissue resistance and duration of contact. Very small currents may be imperceptible or produce a light tingling sensation. A shock caused by low and otherwise harmless current could startle an individual and cause injury due to jerking away or falling. Stronger currents may cause some degree of discomfort or pain, while more intense currents may induce involuntary muscle contractions, preventing the person from breaking free of the source of electricity. Still larger currents result in tissue damage and may trigger ventricular fibrillation or cardiac arrest. Consequences of injury from electricity may include amputations, bone fractures and orthopedic and musculoskeletal injuries. If death results from an electric shock the cause of death is generally referred to as electrocution. Electric injury occurs upon contact of a body part ...
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Macroshock
Macroshock (mak´ro-shok″) is a medical term for the effects of body exposed to electrical current, which can lead to severe injury or death by electrocution. It is used most often in the medical field, but is also commonly used in the fields of electrophysiology and bioengineering. Definitions of the term are inconsistent; there are three most commonly accepted definitions. Depending upon the medical text used, a macroshock is either: * A strong electric shock resulting from current that has passed through the trunk or head, with contact to the source through intact skin. Under this definition, a macroshock is almost always lethal due to causing ventricular fibrillation of the heart. * The passage of current from one part of the body to another, especially from arm to arm and therefore through the heart. By this definition, the magnitude of the current itself (in Amperes) is the most important factor. In general, the greater the current, the more dangerous a shock is and the mor ...
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Electrical Conductor
In physics and electrical engineering, a conductor is an object or type of material that allows the flow of charge (electric current) in one or more directions. Materials made of metal are common electrical conductors. Electric current is generated by the flow of negatively charged electrons, positively charged holes, and positive or negative ions in some cases. In order for current to flow within a closed electrical circuit, it is not necessary for one charged particle to travel from the component producing the current (the current source) to those consuming it (the loads). Instead, the charged particle simply needs to nudge its neighbor a finite amount, who will nudge ''its'' neighbor, and on and on until a particle is nudged into the consumer, thus powering it. Essentially what is occurring is a long chain of momentum transfer between mobile charge carriers; the Drude model of conduction describes this process more rigorously. This momentum transfer model makes metal a ...
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Pacemaker
An artificial cardiac pacemaker (or artificial pacemaker, so as not to be confused with the natural cardiac pacemaker) or pacemaker is a medical device that generates electrical impulses delivered by electrodes to the chambers of the heart either the upper atria, or lower ventricles to cause the targeted chambers to contract and pump blood. By doing so, the pacemaker regulates the function of the electrical conduction system of the heart. The primary purpose of a pacemaker is to maintain an adequate heart rate, either because the heart's natural pacemaker is not fast enough, or because there is a block in the heart's electrical conduction system. Modern pacemakers are externally programmable and allow a cardiologist, particularly a cardiac electrophysiologist, to select the optimal pacing modes for individual patients. Most pacemakers are on demand, in which the stimulation of the heart is based on the dynamic demand of the circulatory system. Others send out a fixed rat ...
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Electrode
An electrode is an electrical conductor used to make contact with a nonmetallic part of a circuit (e.g. a semiconductor, an electrolyte, a vacuum or air). Electrodes are essential parts of batteries that can consist of a variety of materials depending on the type of battery. The electrophore, invented by Johan Wilcke, was an early version of an electrode used to study static electricity. Anode and cathode in electrochemical cells Electrodes are an essential part of any battery. The first electrochemical battery made was devised by Alessandro Volta and was aptly named the Voltaic cell. This battery consisted of a stack of copper and zinc electrodes separated by brine-soaked paper disks. Due to fluctuation in the voltage provided by the voltaic cell it wasn't very practical. The first practical battery was invented in 1839 and named the Daniell cell after John Frederic Daniell. Still making use of the zinc–copper electrode combination. Since then many more batteries ha ...
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Saline (medicine)
Saline (also known as saline solution) is a mixture of sodium chloride (salt) and water. It has a number of uses in medicine including cleaning wounds, removal and storage of contact lenses, and help with dry eyes. By injection into a vein it is used to treat dehydration such as that from gastroenteritis and diabetic ketoacidosis. Large amounts may result in fluid overload, swelling, acidosis, and high blood sodium. In those with long-standing low blood sodium, excessive use may result in osmotic demyelination syndrome. Saline is in the crystalloid family of medications. It is most commonly used as a sterile 9 g of salt per litre (0.9%) solution, known as normal saline. Higher and lower concentrations may also occasionally be used. Saline is acidic, with a pH of 5.5 (due mainly to dissolved carbon dioxide). The medical use of saline began around 1831. It is on the World Health Organization's List of Essential Medicines. In 2020, sodium was the 274th most c ...
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Catheter
In medicine, a catheter (/ˈkæθətər/) is a thin tubing (material), tube made from medical grade materials serving a broad range of functions. Catheters are medical devices that can be inserted in the body to treat diseases or perform a surgical procedure. Catheters are manufactured for specific applications, such as cardiovascular, urological, gastrointestinal, neurovascular and ophthalmic procedures. The process of inserting a catheter is ''catheterization''. In most uses, a catheter is a thin, flexible tube (''soft'' catheter) though catheters are available in varying levels of stiffness depending on the application. A catheter left inside the body, either temporarily or permanently, may be referred to as an "indwelling catheter" (for example, a peripherally inserted central catheter). A permanently inserted catheter may be referred to as a "permcath" (originally a trademark). Catheters can be inserted into a body cavity, duct, or vessel, brain, skin or adipose tissue. Fun ...
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Electrocution
Electrocution is death or severe injury caused by electric shock from electric current passing through the body. The word is derived from "electro" and "execution", but it is also used for accidental death. The term "electrocution" was coined in 1889 in the US just before the first use of the electric chair and originally referred to only electrical execution and not other electrical deaths. However, since no English word was available for non-judicial deaths due to electric shock, the word "electrocution" eventually took over as a description of all circumstances of electrical death from the new commercial electricity. Origins In the Netherlands in 1746 Pieter van Musschenbroek's lab assistant, Andreas Cuneus, received an extreme shock while working with a leyden jar, the first recorded injury from man-made electricity. By the mid-19th century high-voltage electrical systems came into use to power arc lighting for theatrical stage lighting and lighthouses leading to t ...
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Microampere
The ampere (, ; symbol: A), often shortened to amp,SI supports only the use of symbols and deprecates the use of abbreviations for units. is the unit of electric current in the International System of Units (SI). One ampere is equal to electrons worth of charge moving past a point in a second. It is named after French mathematician and physicist André-Marie Ampère (1775–1836), considered the father of electromagnetism along with Danish physicist Hans Christian Ørsted. As of the 2019 redefinition of the SI base units, the ampere is defined by fixing the elementary charge to be exactly C (coulomb), which means an ampere is an electrical current equivalent to elementary charges moving every seconds or elementary charges moving in a second. Prior to the redefinition the ampere was defined as the current that would need to be passed through 2 parallel wires 1 metre apart to produce a magnetic force of newtons per metre. The earlier CGS system had two definitions of ...
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Heart
The heart is a muscular organ in most animals. This organ pumps blood through the blood vessels of the circulatory system. The pumped blood carries oxygen and nutrients to the body, while carrying metabolic waste such as carbon dioxide to the lungs. In humans, the heart is approximately the size of a closed fist and is located between the lungs, in the middle compartment of the chest. In humans, other mammals, and birds, the heart is divided into four chambers: upper left and right atria and lower left and right ventricles. Commonly the right atrium and ventricle are referred together as the right heart and their left counterparts as the left heart. Fish, in contrast, have two chambers, an atrium and a ventricle, while most reptiles have three chambers. In a healthy heart blood flows one way through the heart due to heart valves, which prevent backflow. The heart is enclosed in a protective sac, the pericardium, which also contains a small amount of fluid. The wall of ...
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Ventricular Fibrillation
Ventricular fibrillation (V-fib or VF) is an abnormal heart rhythm in which the ventricles of the heart quiver. It is due to disorganized electrical activity. Ventricular fibrillation results in cardiac arrest with loss of consciousness and no pulse. This is followed by sudden cardiac death in the absence of treatment. Ventricular fibrillation is initially found in about 10% of people with cardiac arrest. Ventricular fibrillation can occur due to coronary heart disease, valvular heart disease, cardiomyopathy, Brugada syndrome, long QT syndrome, electric shock, or intracranial hemorrhage. Diagnosis is by an electrocardiogram (ECG) showing irregular unformed QRS complexes without any clear P waves. An important differential diagnosis is torsades de pointes. Treatment is with cardiopulmonary resuscitation (CPR) and defibrillation. Biphasic defibrillation may be better than monophasic. The medication epinephrine or amiodarone may be given if initial treatments are no ...
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Biomedical Engineering
Biomedical engineering (BME) or medical engineering is the application of engineering principles and design concepts to medicine and biology for healthcare purposes (e.g., diagnostic or therapeutic). BME is also traditionally logical sciences to advance health care treatment, including diagnosis, monitoring, and therapy. Also included under the scope of a biomedical engineer is the management of current medical equipment in hospitals while adhering to relevant industry standards. This involves procurement, routine testing, preventive maintenance, and making equipment recommendations, a role also known as a Biomedical Equipment Technician (BMET) or as clinical engineering. Biomedical engineering has recently emerged as its own study, as compared to many other engineering fields. Such an evolution is common as a new field transition from being an interdisciplinary specialization among already-established fields to being considered a field in itself. Much of the work in biomedica ...
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