…does not exclude myasthenia gravis. Today the test plays a marginal role in Sweden. Edrophonium is available only as a named patient (licensed import) product…

…1 mm Skin tag 3–5 s 1 — The freeze time is counted from the moment the ice front reaches the intended margin, not from…

…patient is not already on an opioid patch, a modified release tablet and an as required opioid at the same time. Opioids in abdominal pain…

…< 5cm² 5 10 cm² 10 cm² size vena cava inferior < 2,1 cm and compressible in between 2,1 cm, almost not compressible…

…5, 10]. A history of increasing frequency of hospitalizations and visits for heart failure without disease recognition in the 3 years preceding diagnosis is also…

…on the upper arm. Locate the brachial signal in the antecubital fossa with the Doppler probe at 45–60° to the skin. Inflate to 20…

…the floor of the nose in one smooth movement — never obliquely upwards towards the eye. 3. Expand it with 5–10 mL of saline through…

…the skin. 2. Clean and let it dry. Do not palpate the puncture site again with an unsterile hand. 3. Insert the needle in one…

…Fever is not obligatory Hypothermia, new confusion, tachypnoea, hypotension, rigors, abdominal pain or a rapid deterioration in general condition may be the only signs of…

…1) 0 – 4 R/S ratio in V6 0.5–9 (2.5) 0.5–11 (3) 0.5–10 (2.5) 0.5–12…

…is not recommended in most patients with severe cardiovascular disease or in those who are otherwise haemodynamically unstable. The benefit of its administration in these…

…infusion dose: 5 μg/min. Increase by 5 10 μg/min every 5 min to desired blood pressure. Maximum dose: 100 μg…

…1) 0 – 4 R/S ratio in V6 0.5–9 (2.5) 0.5–11 (3) 0.5–10 (2.5) 0.5–12…

…< 5cm² 5 10 cm² 10 cm² size vena cava inferior < 2,1 cm and compressible in between 2,1 cm, almost not compressible…

…stable patients who are not low risk but have either RV dysfunction or elevated biomarkers, or neither of these abnormalities in the presence of abnormal…

…to both arms or shoulders has a particularly strong association with myocardial infarction in the cited clinical data, although right arm radiation has not sho

…report rates of approximately 5–10%, while fewer than 5% of otherwise normal angiograms demonstrate bridging. The wide range reflects differences in ascertainment and imaging…

…generally defined as the absence of a stenosis of 50% or more in any potential infarct related artery. MINOCA is not a definitive disease diagnosis…

…prolonged, produces multiorgan dysfunction and death. In the setting of ST elevation myocardial infarction (STEMI), cardiogenic shock most commonly reflects severe left ventricular (LV) dysfunction…

…an immediate intravenous dose of 1 mg epinephrine . For anaphylaxis without cardiac arrest: Administer 0.5 mg epinephrine intramuscularly in the anterolateral thigh. If ineffective…

ECG Principles of myocardial excitability Myocardium is excitable not only by action potentials originating in the sinus node, but also by external electrical stimuli that…

…and aVF display rS complexes. Causes of left anterior fascicular block (LAFB) LAFB may occur in persons who are otherwise healthy. The majority of those…

…1) 0 – 4 R/S ratio in V6 0.5–9 (2.5) 0.5–11 (3) 0.5–10 (2.5) 0.5–12…

…is not a contraindication; the specimen may be taken even at very low platelet counts, followed by compression. Infection in the skin overlying the puncture…

…face masks are alternatives in intolerance. A hydrocolloid dressing for the bridge of the nose applied before the mask goes on, not after the sore…

…would not pass, but because the team keeps trying to intubate instead of changing the plan. The aim is always oxygenation, never intubation in itself…

…goes wrong is not that the patient gets too little oxygen but that the prescription has no target — the nasal cannula stays in place for…

Procedurer The commonest error in paracentesis is not performing it. Every patient admitted with ascites should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often…

…with two dimensional and Doppler echocardiography. In Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 16 (7), pp…

…is not available, 12 lead ECGs should be repeated every 5–10 minutes, while observing the patient's symptoms. ST segment return is quantified in…