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Hypertensive Emergency and Urgency: Differentiation and Treatment

…acute heart failure, or pulmonary oedema. Patients may present with chest pain, severe breathlessness, hypoxaemia, rales, or respiratory distress. In patients with HFpEF, acute hypertension…

Chest Pain in the Emergency Department: Diagnostic Pathways

…investigations. The emergency differential also reflects distinct mechanisms of acute cardiopulmonary disease: Pulmonary embolism and spontaneous pneumothorax may produce abrupt chest pain and respiratory distress…

Acute exacerbation of COPD: quick reference

…airflow obstruction pH below 7.35 with raised pCO₂ Acute or acute on chronic hypercapnic respiratory failure Rapidly falling pH An urgent ventilatory problem Focal…

Acute severe asthma in adults: quick reference

…of breathing, level of consciousness and PEF improve at the same time. Acute severe asthma is characterised by bronchospasm, mucosal oedema and mucus plugging. Expiratory…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…and evidence of hypotension Heart rate and tachycardia Respiratory rate and oxygenation Evidence of systemic congestion or acute RV failure Syncope or altered clinical status…

Opioids in acute pain: quick reference for dosing and conversion

…it further. Starting doses in acute pain in an opioid naive adult Agent Route Starting dose Comment : : : : Morphine IV 2.5–5 mg, repeated after…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

Cardiology Myocardial ischemia and infarction Definition and conceptual framework Acute coronary occlusion is the abrupt or progressive reduction of coronary blood flow sufficient to produce…

Pulmonary Hypertension: Classification and Treatment Principles

Cardiology Respiratory medicine Definition and Pathophysiology Pulmonary hypertension (PH) is a heterogeneous pathophysiological disorder characterized primarily by elevation of pulmonary arterial pressure. It may arise…

Management of bradycardia (bradyarrhythmia)

…Management of acute bradycardia in the emergency setting. Parameter Assessment A Airway Voice Breath sounds B Breathing Respiratory rate (12–20 / min) Chest wall movements…

Poisoning: quick reference for antidotes and initial management

…and an ECG all come before complete identification of the substance. Treatment of acute poisoning consists of four parallel components: supportive treatment, a targeted antidote…

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