…or a large area of myocardium at risk. Over 48 hours: urgent PCI is still indicated with continuing ischaemia, shock, serious arrhythmia or acute heart…

…of acute dyspnoea: oxygen must be titrated cautiously and the blood gas determines the need for ventilatory support . At the same time, exacerbation is a…

Njurmedicin Lathundar Acute management on call Acute kidney injury, AKI, is a syndrome of rapidly deteriorating renal function. Management is governed not by the creatinine…

…a single apparently reassuring measurement. Finding Moderate attack Acute severe attack Life threatening attack : : : : Speech Full sentences Cannot complete a sentence in one breath Single…

…investigation in acute stroke to identify large vessel occlusion, dissection or other vascular pathology CT perfusion Used with an unclear time of onset, a late…

…Clear focal neurological findings are absent in roughly half of patients with a central cause. A normal routine neurological examination is therefore not sufficient to…

…is focal ulceration of an atherosclerotic plaque that penetrates through the internal elastic lamina into the media. The lesion may produce a localized medial haematoma…

Emergency medicine Myocardial ischemia and infarction Definition and pathophysiology Acute coronary syndrome (ACS) comprises a spectrum of clinical presentations caused by suspected acute myocardial ischaemia…

…The abrupt arterial obstruction may result from progression of peripheral arterial disease, cardiac or aortic embolisation, acute aortic dissection, thrombosis of a graft or aneurysm…

…tools Acute RV failure is a rapidly progressive syndrome characterized by systemic congestion resulting from impaired RV filling and/or reduced RV output. Recognition of…