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Injection technique — intramuscular, subcutaneous and intradermal

…and the superior gluteal artery are avoided. The patient lies on their side with the knee slightly flexed. Place the palm on the greater trochanter…

CPAP and non-invasive ventilation (NIV)

…unloads the heart, whereas bilevel NIV delivers pressure support above the expiratory pressure and thereby increases ventilation and lowers the carbon dioxide. Pulmonary oedema calls…

ECG parameters

…mm) to 100 ms. Intervals and durations QTc — decision thresholds At a QTc above 500 ms: stop QT prolonging drugs, correct the potassium to 4…

Hyperkalaemia: quick reference for emergency treatment

…not exclude dangerous hyperkalaemia. Record a 12 lead ECG and start cardiac monitoring at a plasma potassium above 6.0 mmol/L, and at lower…

Hypertensive crisis: quick reference for acute blood pressure lowering

…single blood pressure value does not define a hypertensive emergency. Even a blood pressure above 220/120 mmHg can occur without acute organ damage. Conversely…

🟠 Lipid lowering therapy after ACS

…not met with statins alone. PCSK9 Inhibitors: Added in cases where LDL C remains above the goal despite statin and ezetimibe therapy. Goal: Achieve LDL…

Bempedoic Acid: Evidence and Clinical Use

…cholesterol (LDL C), particularly when statins cannot be tolerated or when LDL C remains above goal despite maximally tolerated therapy. It is a prodrug activated…

Chronic Kidney Disease as a Cardiovascular Risk Factor

…1.73 m², excess urinary albumin excretion—typically a spot urinary albumin to creatinine ratio (UACR) above 30 mg/g—or both. The eGFR is…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…Myocardial injury Myocardial injury is a biochemical diagnosis defined by at least one cardiac troponin value above the assay specific 99th percentile upper reference limit…

The T-wave: physiology, variants and ECG features

…V2–V3. The amplitude diminishes with increasing age. As noted above, the transition from the ST segment to the T wave should be smooth. The…

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