Shock wave flash free download
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Download this free video of Wave Shock Flash from Pixabay's vast library of royalty-free stock images, videos and music. Wave shock flash free stock video. Free for use download. olenchic 3,785 Wave Shock Flash Explosion. Related free videos. HD 0:05. Shock Wave Flash. HD 0:05. Intro Wave Flash Light. HD 0:10. Shocking Outline Shock
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Home Video Editing Process--> Basic Video Editing Tips How to edit/convert swf file into video? Jan 07, 2025• Proven solutions Swf(shock wave flash) is the format of adobe Flash animation design software from adobe company . It is used widely in all kinds of websites and plays well on both windows pc and mac computers as long as you install the adobe flash player.Though it is very popular through PCs, mobile and tablet users may find it difficult to play .swf on mobile phones and tablets because most mobile phones and tablets don’t support adobe flash player. Have you ever experienced the situation that you got some interesting flash file you really want to share with your friends though mobile phones and tablets?Personally I did encounter this trouble before. As far as I know, there is few software supports to edit and converter swf such as windows movie maker (windows) and imovie (mac) which are free won’t support swf, but I did find some third party video editor software which integrate this feature. I will take the Wondershare Filmora(originally Wondershare Video Editor) which is one of the most popular video editing software for example. If you are using a mac computer, you can use the Wondershare Filmora for Mac(Originally Wondershare Video Editor for Mac). This software can help you edit and covert swf files into videos to be played on mobile phones and tablets. In this way, you don’t need to decompile your flash file and it requires no professional swf knowledge to edit . This is an extremely easy and smooth way. What is more, you can download the 30 days free trial version to try it out now!Part 1Import swf fileLaunch the software Wondershare Filmora and then click ‘import’ button, it will prompt you to select the swf
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This computer works, so how can DO be blocked? They don't use the same ports, I wasn't saying they were the same thing, just gave it as an additional example of what was also blocked for me. going to use the VPN route until I can get this moronic thing sorted out. Will keep you posted.. Pepper Flash is a plug in used by chrome, if you are using chrome just type Chrome://Plugins and that should bring you to the plug in screens which shows you what you are currently enable/disabled. You will find pepper flash in the list with shock wave under the heading adobe flash. If pepper flash is enable try to disable and see if that makes a difference or vise versa...unless of course it is your ports blocking your connection then VPN route would be your ticket to play... Thank you very much for your assistance with this player issue.As offered here is the link to forums post on how to Disable Pepper flash:\ to enable pepper flash. would also consider if you are using a laptop... try using an open source WiFi connection such as the ones used in restaurants and cafes. As many universities do block several browser based sites as to not receive the cookies and WiFi server lag. As to many people playing games to tend to lag a WiFi connection.I hope this helps to resolve your issue.Does the OP have any further questions on this topic?Have a lovely day!Astraea Astrea IShock Wave Flash Downloads - Free Software Downloads and
Students also studiedTextbook solutionsFlashcard setsStudy guidesWhat is the treatment of choice for ventricular fibrillation and pulseless ventricular tachycardia?- Defibrillation, which is most effective within 2 minutes of dysrhythmia because myocardial cells are not anoxic or acidic - depolarizes the cells and allows the SA node to resume the pacemaker role- Afterward, perform CPR.Delivery of an unsynchronized, direct countershock to the heart. Stops all electrical activity of the heart, allowing the SA node to take over and reestablish a perfusing rhythmDelivery of an unsynchronized, direct countershock to the heart. Stops all electrical activity of the heart, allowing the SA node to take over and reestablish a perfusing rhythmMonophasic defibrillator:Start the electrical impulse at _________ joules.- deliver energy in one direction- Typically start electrical impulse at 360Biphasic defibrillators:Start the electrical impulse at __________ joules.- deliver energy in two directions- Uses lower energies to deliver shock- Fewer postshock ECG dysrhythmias than monophasic- Typically start electrical impulse at 120 to 200- Uses lower energies to deliver shock- Fewer post-shock ECG dysrhythmias - Typically start electrical impulse at 120Is a Monophasic or Biphasic defibrillator being described?After defibrillation the nurse should ___________.What is the choice of therapy when the patient has a pulse accompanied by ventricular tachycardia or supraventricular tachydysrthmias (SVT) with an R-wave phenomenon?Synchronized cardioversion- Low voltage shocked timed with the R-wave of the QRS complex of the ECG. - TURN ON SYNC - Before shocking, syncing will occur, displaying a light over the QRS.synchronized cardioversionWhat is synchronized cardioversion?- Low voltage shocked timed with the R-wave of the QRS complex of the ECG. - PUSH THE SYNC BUTTON - Before shocking, syncing will occur, displaying a light over the QRS.synchronized cardioversion procedureSame as defibrillation except: NPO if elective procedure; anticoagulation - The synchronizer must be turned ON IV sedation if pt is awake, stable, and has a pulse. - Initial energy:Monophasic: 100 joules- Biphasic: 70 - 75 If the patient becomes pulseless OR develops VFib, TURN SYNC OFF AND DEFIBRILLATE Hold discharge button down until shock is delivered - make sure everybody stays clear until shock is delivereddefibrillation and CPRAmiodarone, LidocaineTorsades De Pointes Treatment. Download this free video of Wave Shock Flash from Pixabay's vast library of royalty-free stock images, videos and music. Wave shock flash free stock video. Free for use download. olenchic 3,785 Wave Shock Flash Explosion. Related free videos. HD 0:05. Shock Wave Flash. HD 0:05. Intro Wave Flash Light. HD 0:10. Shocking Outline ShockFree shock wave flash object Download - UpdateStar
RA (1977) Phase transitions under shock wave loading. Rev Mod Phys 43:523–579Article ADS Google Scholar Dlott DD (1995) Picosecond dynamics behind shock front. J Phys IV:C4, Suppl. III(5):C4-337-1-7 Google Scholar Noack J, Vogel A (1998) Single-shot spatially resolved characterization of laser-induced shock waves in water. Appl Opt 37:4092–4099Article ADS Google Scholar Nagayama K, Mori Y, Motegi Y, Nakahara M (2006) Shock Hugoniot for biological materials. Shock Waves 15:267–275Article ADS Google Scholar Nellis WJ, Moriarty JA, Mitchell AC, Ross M, Dandrea RG, Ashcroft NW, Holms NC, Gathers GR (1988) Metal physics at ultrahigh pressure: aluminum, copper, and lead as prototypes. Phys Rev Lett 60:1414–1417Article ADS Google Scholar Eliezer S, Ghatak A, Hora H (1986) An introduction to equation of state: theory and applications. Cambridge University Press Google Scholar Nagayama K (1994) New method of calculating shock temperature and entropy of solids based on the Hugoniot data. J Phys Soc Jpn 63:3737–3743Article ADS Google Scholar Chhabildas LC, Asay JR (1978) Rise-time measurements of shock transitions in aluminum, copper, and steel. J Appl Phys 50:2749–2754Article ADS Google Scholar Swegle JW, Grady DE (1985) Shock viscosity and the prediction of shock wave rise times. J Appl Phys 58:692–701Article ADS Google Scholar Rodean HC (1968) Relationship for condensed materials among heat of sublimation, shock-wave velocity, and particle velocity. J Chem Phys 49:4117–4127Article ADS Google Scholar Grüneisen E (1926) In: Greiger H, Scheel K (eds) Handbuch der Physik, 477, vol 10. Springer, Berlin, pp 1–59 Google Scholar Steinberg D (1981) The temperature independence of Grüneisen gammashock wave flash player download - UpdateStar
Courtesy of ACLS-Algotithms.com (Click image to view site)Editor’s Note:It’s funny how you can go an entire career doing something (CPB) and hear the same thing every day, but actually not evaluate what it means. Yes, I have taken ACLS and studied the electrophysiology of the heart.So anyway, we have just taken off the X-Clamp, and the patient is relatively warm, and we decide to cardiovert due to fibrillation. Pretty standard procedure- we see it more often than not. At this point the cv surgeon tells the nurse to go with an asynchronous as opposed to synchronous shock mode. I had a brief moment of clarity… for the first time in 3000+ hearts, I actually think to myself, disassemble the two words “synchronous” and “asynchronous” and realize I really didn’t understand the difference, or what physiologic conditions dictated which mode to use.I feel foolish in revealing this personal information gap or cluelessness, but I figure there might be a few others out there that may not truly understand this difference. So bear with me (those perfusion savants out there) and I’ll just go ahead and put down some Cardioversion 101 info here 🙂 Synchronized cardioversion is a LOW ENERGY SHOCK that uses a sensor to deliver electricity that is synchronized with the peak of the QRS complex (the highest point of the R-wave). When the “sync” option is engaged on a defibrillator and the shock button pushed, there will be a delay in the shock. During this delay, the machine reads and synchronizes with the patients ECG rhythm. This occurs so that the shock can be delivered with or just after the peak of the R-wave in the patients QRS complex.Synchronization avoids the delivery of a LOW ENERGY shock during cardiac repolarization (t-wave). If the shock occurs on the t-wave (during repolarization), there is a high likelihood that the shock can precipitate VF (Ventricular Fibrillation).The most common indications for synchronized cardioversion are unstable atrial fibrillation, atrial flutter, atrial tachycardia, and supraventricular tachycardias. If medications fail in the stable patient with the before mentioned arrhythmias, synchronized cardioversion will most likely be indicated.=Unsynchronized cardioversion (defibrillation) is a HIGH ENERGY shock which is delivered as soon as the shock button is pushed on a defibrillator. This means that the shock may fall randomly anywhere within the cardiac cycle (QRS complex). Unsynchronized cardioversion (defibrillation) is used when there is no coordinated intrinsic electrical activity inDownloading Flash and Shock Wave - Adobe Community -
Zel’dovich YaB, Raizer YuP (1967) Physics of shock waves and high-temperature hydrodynamic phenomena (English translation), vol 2. Academic Press, New York and London, pp 685–784 Google Scholar Davidson L, Shahinpoor M (eds) (1997) High-pressure shock compression of solids I–IV. Springer, New York Google Scholar Bethe H (1942) Theory of shock waves in a medium with arbitrary equation of state. Original paper in report. Republished in: Johnson JN, Cheret R (eds) Classic papers on shock compression science. Springer, London, 1998, pp 421–492 Google Scholar McQueen RG, Marsh SP, Taylor JW, Fritz JN, Carter WJ (1970) High velocity impact phenomena. In: Kinslow R (ed), Chap VII. Academic Press, New York, pp 293–417 Google Scholar Marsh SP (1981) Los Alamos shock Hugoniot data. University of California, Berkeley Google Scholar van Thiel M (1966) Compendium of shock wave data. University of California Press, Livermore, CA Google Scholar Entrance page to shock wave database (2002)Decarli PS, Jamieson JC (1961) Formation of diamond by explosive shock. Science 133:1821–1822Article ADS Google Scholar Prümmer R (2006) Explosive compaction of powders and composites. CRC Press, BerlinBook Google Scholar Cowan GR, Holtzman AH (1963) Flow configuration in colliding plates: explosive bonding. J Appl Phys 34:928–939Article ADS Google Scholar Christiansen EL (1995) Hypervelocity impact testing above 10 km/s of advanced orbital debris shields. In: Proceedings of APS conference on shock compression of condensed matter, pp 1183–1186 Google Scholar Mashimo T (1993) Shock waves in materials science. In: Sawaoka A (ed), Chap 6. Springer-Verlag, Tokyo, pp 113–144 Google Scholar Duvall GE, Grahamflash wave shock object softwares - Free download - FreeWares
Software Free Download | Soft32.com Home Windows Mac Mobile Blog You can skip this in seconds Click here to continue Home Windows Mp3 & Audio Audio Convertors WAVE Xtractor Free Download Download Mirrors Download Mirrors WAVE Xtractor 5 (Soft32.com server) Popular Downloads Kundli 4.5 Understand your life events through astrology. Grand Auto Adventure 1.0 3D racing sandbox game. Macromedia Flash 8 8.0 Macromedia Flash 8 Professional. Grand Theft Auto: Vice City 1.0 Welcome to Vice City. Welcome to the 1980s.... Cool Edit Pro 2.1.3097.0 Advanced multi track sound editing program. Hill Climb Racing 1.0 The Ultimate Hill Climb Racing adventure Cheat Engine 6.8.1 Cheating for experts! Zuma Deluxe 1.0 Survive the ancient temples of Zuma. Tom VPN 2.2.8 TomVPN-No Sign up Free used Horizon 2.9.0.0 Innovative Xbox 360 modding tool. Minecraft 1.10.2 Build anything you can imagine. Vector on PC 1.0 Vector, a side scrolling parkour inspired Netcut 2.1.4 Netcut Microsoft Office 2010 Service... Express your ideas, solve problems, and connect... Grand Theft Auto IV Patch... 1.0.1.0 Grand Theft Auto IV Patch 1.0.1.0. Operation Ubersoldat 1.0 WW2 first person shooter. CDMA2000 1X Wireless Network... 1.0.0.26 Ulead Video Studio Plus 11 Video editing software for Windows. C-Free 5.0 An excellent IDE for C/C++ language. Windows XP Service Pack 3 Build... Windows XP Service Pack 3 Build 5512 FINAL All popular downloads Home Submit Software Contact Us Advertise with Us All Software Sitemap Jobs Blog Facebook Twitter RSS Soft32© 2003 - 2025 ITNT. All rights reserved. Soft32 is also available in Deutsch, Español, Français, Português, Italiano. Legal Information Privacy Policy Terms of Service Copyright EULA DMCA Uninstall. Download this free video of Wave Shock Flash from Pixabay's vast library of royalty-free stock images, videos and music. Wave shock flash free stock video. Free for use download. olenchic 3,785 Wave Shock Flash Explosion. Related free videos. HD 0:05. Shock Wave Flash. HD 0:05. Intro Wave Flash Light. HD 0:10. Shocking Outline Shock
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Editor, audio, organize mp3, mp3 to wav, convert, audioconverter, media organizer, audio conversion, wma tag editor, tagger, files, rename, grabber, renamer, conversion, flac, collection, encoder, database, sort, media, organize, ripperTag&Rename 3.9.14 Mp3/mp4 music organizer: easily handles all popular digital audio files tags.Related keywords: editor, tag, mp3, music, rename, music files renamer, ID3v2 tag editor, opus tag editor, mp3 organizer, rename mp3, mp4 tag editor, ogg tag editor, wav tag editor, flac tag editor, edit mp3 tags, mp3 tag editor, music tag editor, rename music folders, aiff tag editor, wma tag editor, files, wma, renamer, opus, folders, flac, edit, mp4, ID3v2, tags, wav, organizer, ogg, aiffMusic Man 4.1.7 Rip, Convert, Burn, Play MP3, WMA, FLAC, MIDI, WAV, M4A, AAC, Audio CD, moreRelated keywords: M4B, cd, audio cd, id3 tag editor, mac, AAC, FLAC, osx, cd burner, converter, WAV, os x, usb flash drive, cd ripper, MP3, rip, burn, AIFF, make clip, M4A, Ogg, convert, MIDI, WMA, play, player, dvd, MP2, burner, usb, clip, editor, os, tag, flash, x, id3, audio, drive, make, ripperFree M4a to MP3 Converter 9.2 Free M4A to MP3, AAC to MP3 converter with a functional minimum of features!Related keywords: mp3, to, encoder, aac, free, m4a, audio, m4a player, m4a to mp3, mp4 to mp3, free mp3 encoder, convert aac to mp3, aac player, mp3 encoder, m4b to mp3, aac audio, aac to mp3, music, converted, convert m4a to mp3, free mp3 converter, convert, player, mp4, converter, m4bAble MIDI Editor 1.3 Professional MIDI Editor at a competitive price to create music and ringtones.Related keywords: Piano Roll, editor, ringone creator, MIDI Editor, edit midi, note editor, sheet music editor, Roll, edit, midi, Piano, sheet, ringone, creator, music, Editor, MIDI, noteDexster 4.6 Semi-pro editor to edit music, add sound FX, apply filters, record & convert.Related keywords: editor, mp3, edit, music, audio, mp3 editor download, wav editor, sound, m4a editor, flac editor, mp3 sound editor, aac editor, edit music, converter, mp3 music editor, mp3 editor, audio edit, mp3 audio editor, music editor, audio editor, edit sound, mp3 file editor, wave editor, m4a, file, wave, download, flac, aac, wav4Musics Multiformat Converter 5.2 Converts between MP3, CDA,WMA, WAV, AAC, OGG, M4A, FLAC, MPC, AC3, AMR, RA, AIFFRelated keywords: converter, MP3, to, AAC, AMR converter, audio converter, RA to MP3 converter, MP3 to AAC, WAV converter, MP3 to M4A, AIFF converter, MP3 converter, AAC converter, WMA converter, WAV, RA, AMR, AIFF, M4A, audio, WMACD Wave Editor 1.98 Transfer your favorite tape or LP to WAV/MP3 to save on the hard disk or burn.Related keywords: cut wave, wave, editor, edit wav, cdwav, wav, split wav, audio editor, wave editor, edit, split, audio, cutMovavi Video Editor 10.0.0 All the video editing tools you'll need for yourShock wave - definition of shock wave by The Free Dictionary
Interested in Cleaning? Get Cleaning articles, news and videos right in your inbox! Sign up now. Cleaning + Get Alerts General Pipe Cleaners’ Kinetic Water Ram uses a burst of compressed air that drives a shock wave (kinetic energy) through water to break up the stoppage. The shock wave bypasses vents and stacks to break up clogged drains. You get instant impact with no pressure buildup. The built-in pump and pressure gauge lets you choose the right amount of force for each job. Thanks to technical advancements, the device is designed to deliver effective results without risking damage to the plumbing system. To some, this might sound too easy and create the belief that the shock wave will damage pipes or cause a bigger issue. Well, that isn’t the case, and here we will discuss the top myths of the Kinetic Water Ram and how to properly use the product.Myth #1 – “This will damage the pipe.”The Kinetic Water Ram does not pressurize the pipe, so the thought that it will burst the pipe due to the introduction of psi, is not correct. The Kinetic Water Ram creates a shock action that travels through the pipe like a wave and goes around tight bends, and quickly and effectively clears the obstruction and flushes water particles away. This method is efficient and reduces the risk of harming pipes.Myth #2 – “I’m going to get wet every time.”Now, while you could get wet the first time you use it, you shouldn’t get wet every time you use the Kinetic Water Ram. We recommend pumping the machine up to 10 pounds, and if that doesn’t work, move up in 5-pound increments until the stoppage is clear. You will want to start slowly and gradually work your way up in pressure as necessary. You also need to hold the Kinetic Water Ram down with as much force as you’re discharging. If you don’t do this crucial step, then the pressurized water stream will blow away from the pipe and you’ll get soaked. If you start with too high of a pressure, then you will. Download this free video of Wave Shock Flash from Pixabay's vast library of royalty-free stock images, videos and music. Wave shock flash free stock video. Free for use download. olenchic 3,785 Wave Shock Flash Explosion. Related free videos. HD 0:05. Shock Wave Flash. HD 0:05. Intro Wave Flash Light. HD 0:10. Shocking Outline Shock Download this free video of Smoke Shock Wave Pollution from Pixabay's vast library of royalty-free stock images, videos and music. Smoke shock wave pollution free stock video. Free for use download. Andrewfai 28 followers. Follow. Shock Wave Flash. HD 0:05. Wave Shock Flash. HD 0:05. Flash Explosion Wave. HD 0:10. Ink Water Underwater.Shock Wave Flash royalty-free images - Shutterstock
2nd Speech CenterListen to documents, e-mails or web pages instead of reading on screen! Convert text to MP3 or WAVE files for listening later with your portable MP3 player. Download Free Trial ( 4.33 MB ) SpeechAnywhereSpeechAnywhere is used to read selected Chinese/English text on a normal window. It is a very convenient tool for learning Chinese and listening to web or text file content. Download Free Trial ( 11.69 MB ) TextAloudText aloud reads texts from email, web pages, reports and more. And it can convert Text files into audio formats such as MP3, WAV and WMA.The software of text aloud reads text from email, web pages, reports and more aloud on your PC. Download Free Trial ( 5.58 MB ) SWFTextSWFText is an author tool of Flash text animation. It is simple and easy to use for even a user without any experience of Flash development. It enables you to create a Flash text animation with just a few clicks, saving your time on Flash ... Download Free Trial ( 1.98 MB ) Text Convert Player It used TTS technology and can read English very softly.And more over,it can also converter Text to mp3,wmv,au and ogg format. And can put the book into mp3 player to travel with. Download Free Trial ( 4.73 MB ) Advanced PDF to TEXT converterThe PDF to TEXT converter is a must have tool for document authors creating a lot of editable text based on existing PDF documents and citing other writings presented as PDF documents. Download Free Trial ( 1104.00 MB ) Text Copy HelperA hip software tool that helps you to copy text from some window controls that do not support copy by CTRL+C or from the context menu. Download Free Trial ( 0.45 MB ) AGUTA Text EncrypterGeneral informationThe function of 'AGUTA Text Encrypted' software is encrypting and decrypting of text information. The encrypted text is embedded into a bitmap image file of BMP format. Download Free Trial ( 0.34 MB ) TextPipe StandardSlam-dunk the most challenging code or website edit tasks with TextPipe - a powerful text-processing utility that combines more than 100 conversion, translation and filtering operations on multiple text or binary files. Download Free Trial ( 3.90 MB ) WeatherAloudWeatherAloud is the talking software for your PC that reads you weather forecasts and conditions aloud from over 5000 locations worldwide. It's like having a personal weatherman atComments
Home Video Editing Process--> Basic Video Editing Tips How to edit/convert swf file into video? Jan 07, 2025• Proven solutions Swf(shock wave flash) is the format of adobe Flash animation design software from adobe company . It is used widely in all kinds of websites and plays well on both windows pc and mac computers as long as you install the adobe flash player.Though it is very popular through PCs, mobile and tablet users may find it difficult to play .swf on mobile phones and tablets because most mobile phones and tablets don’t support adobe flash player. Have you ever experienced the situation that you got some interesting flash file you really want to share with your friends though mobile phones and tablets?Personally I did encounter this trouble before. As far as I know, there is few software supports to edit and converter swf such as windows movie maker (windows) and imovie (mac) which are free won’t support swf, but I did find some third party video editor software which integrate this feature. I will take the Wondershare Filmora(originally Wondershare Video Editor) which is one of the most popular video editing software for example. If you are using a mac computer, you can use the Wondershare Filmora for Mac(Originally Wondershare Video Editor for Mac). This software can help you edit and covert swf files into videos to be played on mobile phones and tablets. In this way, you don’t need to decompile your flash file and it requires no professional swf knowledge to edit . This is an extremely easy and smooth way. What is more, you can download the 30 days free trial version to try it out now!Part 1Import swf fileLaunch the software Wondershare Filmora and then click ‘import’ button, it will prompt you to select the swf
2025-03-28This computer works, so how can DO be blocked? They don't use the same ports, I wasn't saying they were the same thing, just gave it as an additional example of what was also blocked for me. going to use the VPN route until I can get this moronic thing sorted out. Will keep you posted.. Pepper Flash is a plug in used by chrome, if you are using chrome just type Chrome://Plugins and that should bring you to the plug in screens which shows you what you are currently enable/disabled. You will find pepper flash in the list with shock wave under the heading adobe flash. If pepper flash is enable try to disable and see if that makes a difference or vise versa...unless of course it is your ports blocking your connection then VPN route would be your ticket to play... Thank you very much for your assistance with this player issue.As offered here is the link to forums post on how to Disable Pepper flash:\ to enable pepper flash. would also consider if you are using a laptop... try using an open source WiFi connection such as the ones used in restaurants and cafes. As many universities do block several browser based sites as to not receive the cookies and WiFi server lag. As to many people playing games to tend to lag a WiFi connection.I hope this helps to resolve your issue.Does the OP have any further questions on this topic?Have a lovely day!Astraea Astrea I
2025-03-29RA (1977) Phase transitions under shock wave loading. Rev Mod Phys 43:523–579Article ADS Google Scholar Dlott DD (1995) Picosecond dynamics behind shock front. J Phys IV:C4, Suppl. III(5):C4-337-1-7 Google Scholar Noack J, Vogel A (1998) Single-shot spatially resolved characterization of laser-induced shock waves in water. Appl Opt 37:4092–4099Article ADS Google Scholar Nagayama K, Mori Y, Motegi Y, Nakahara M (2006) Shock Hugoniot for biological materials. Shock Waves 15:267–275Article ADS Google Scholar Nellis WJ, Moriarty JA, Mitchell AC, Ross M, Dandrea RG, Ashcroft NW, Holms NC, Gathers GR (1988) Metal physics at ultrahigh pressure: aluminum, copper, and lead as prototypes. Phys Rev Lett 60:1414–1417Article ADS Google Scholar Eliezer S, Ghatak A, Hora H (1986) An introduction to equation of state: theory and applications. Cambridge University Press Google Scholar Nagayama K (1994) New method of calculating shock temperature and entropy of solids based on the Hugoniot data. J Phys Soc Jpn 63:3737–3743Article ADS Google Scholar Chhabildas LC, Asay JR (1978) Rise-time measurements of shock transitions in aluminum, copper, and steel. J Appl Phys 50:2749–2754Article ADS Google Scholar Swegle JW, Grady DE (1985) Shock viscosity and the prediction of shock wave rise times. J Appl Phys 58:692–701Article ADS Google Scholar Rodean HC (1968) Relationship for condensed materials among heat of sublimation, shock-wave velocity, and particle velocity. J Chem Phys 49:4117–4127Article ADS Google Scholar Grüneisen E (1926) In: Greiger H, Scheel K (eds) Handbuch der Physik, 477, vol 10. Springer, Berlin, pp 1–59 Google Scholar Steinberg D (1981) The temperature independence of Grüneisen gamma
2025-04-13Courtesy of ACLS-Algotithms.com (Click image to view site)Editor’s Note:It’s funny how you can go an entire career doing something (CPB) and hear the same thing every day, but actually not evaluate what it means. Yes, I have taken ACLS and studied the electrophysiology of the heart.So anyway, we have just taken off the X-Clamp, and the patient is relatively warm, and we decide to cardiovert due to fibrillation. Pretty standard procedure- we see it more often than not. At this point the cv surgeon tells the nurse to go with an asynchronous as opposed to synchronous shock mode. I had a brief moment of clarity… for the first time in 3000+ hearts, I actually think to myself, disassemble the two words “synchronous” and “asynchronous” and realize I really didn’t understand the difference, or what physiologic conditions dictated which mode to use.I feel foolish in revealing this personal information gap or cluelessness, but I figure there might be a few others out there that may not truly understand this difference. So bear with me (those perfusion savants out there) and I’ll just go ahead and put down some Cardioversion 101 info here 🙂 Synchronized cardioversion is a LOW ENERGY SHOCK that uses a sensor to deliver electricity that is synchronized with the peak of the QRS complex (the highest point of the R-wave). When the “sync” option is engaged on a defibrillator and the shock button pushed, there will be a delay in the shock. During this delay, the machine reads and synchronizes with the patients ECG rhythm. This occurs so that the shock can be delivered with or just after the peak of the R-wave in the patients QRS complex.Synchronization avoids the delivery of a LOW ENERGY shock during cardiac repolarization (t-wave). If the shock occurs on the t-wave (during repolarization), there is a high likelihood that the shock can precipitate VF (Ventricular Fibrillation).The most common indications for synchronized cardioversion are unstable atrial fibrillation, atrial flutter, atrial tachycardia, and supraventricular tachycardias. If medications fail in the stable patient with the before mentioned arrhythmias, synchronized cardioversion will most likely be indicated.=Unsynchronized cardioversion (defibrillation) is a HIGH ENERGY shock which is delivered as soon as the shock button is pushed on a defibrillator. This means that the shock may fall randomly anywhere within the cardiac cycle (QRS complex). Unsynchronized cardioversion (defibrillation) is used when there is no coordinated intrinsic electrical activity in
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