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Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…an emergency management pathway. Patients without haemodynamic instability require more detailed prognostic evaluation using two complementary domains: Indicators of acute PE severity , including clinical findings…

Leg ulcers — wound debridement and compression therapy

…toe pressure < 30 mmHg. Decompensated heart failure — compression of both legs acutely increases preload. Untreated deep vein thrombosis in the acute phase. Septic phlebitis…

Poisoning: quick reference for antidotes and initial management

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

Acute coronary syndrome: quick reference for loading doses and time targets

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

Acute exacerbation of COPD: quick reference

…messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and the blood gas determines…

Acute kidney injury: quick reference for management

…contrast media and recently stopped drugs. 8. Treat sepsis, bleeding, shock, hypoxia and any other underlying cause immediately. 9. Request ultrasound of the kidneys and…

Acute severe asthma in adults: quick reference

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

Acute stroke and thrombolysis: quick reference

…without an increased risk of symptomatic intracerebral haemorrhage or death [3]. Acute overview 1. Activate the stroke call. 2. Establish the time of symptom onset…

Acute vertigo: quick reference for HINTS and differential diagnosis

…by the position of the head relative to gravity: perform Dix Hallpike and, if needed, the supine roll test. Spontaneous attacks without a clear trigger…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…the aortic lumen and the haematoma and without a visible intimal flap or false lumen. It is commonly attributed to rupture of the vasa vasorum…

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