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Peripheral venous cannula and intraosseous access

…the fine needle is in addition the only one that will go in. The rule that saves time is simple: two attempts or 90 seconds —…

Inpatient insulin therapy: quick reference

…required, in addition to the mealtime dose Never stop basal insulin in a person with type 1 diabetes , not even before fasting or an investigation…

Adenosine: Administration Technique, Dose Escalation and Precautions

…contractility. Analogous electrophysiological changes occur within the sinus and atrioventricular (AV) nodes. In addition to these direct effects, adenosine antagonizes catecholamine stimulated adenylate cyclase. This…

Bempedoic Acid: Evidence and Clinical Use

…background therapies 17%–25% In patients with atherosclerotic vascular disease or familial hypercholesterolaemia, addition of bempedoic acid to statin therapy reduced LDL C by approximately…

Torsades de Pointes: Definition, Characteristics, and Management

…and subsequent sudden death are rare, the arrhythmia is precipitated by an extensive list of "torsadegenic" or "QT liability" drugs. This includes Class III antiarrhythmic…

Approach to patients with chest pain: differential diagnoses, management & ECG

…discomfort) or other symptoms suggestive of the five conditions listed above. It is important that history taking and physical examination is carried out systematically and…

Color Doppler

…velocitites and volumes. This is useful for detecting valvular regurgitation and defects in the atria or ventricles (Figure 2). In addition, color Doppler can be…

Diagnostic Criteria for Acute Myocardial Infarction: Cardiac troponins, ECG & Symptoms

…levels of cardiac troponins. In addition to elevated troponins, the patient must display either symptoms or ECG changes consistent with myocardial infarction/ischemia. Most patients…

ECG manifestations of left main coronary artery (LMCA) occlusion and critical stenosis

…cardiogenic shock, malignant ventricular arrhythmias, or sudden cardiac death. The resulting extensive ischemia causes immediate myocardial stunning (akinesia) and electrical instability. Fewer than 1% of…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…immune system to reach the bacteria. Endocarditis can lead to the destruction of the valvular apparatus, as well as to embolization in the systemic circulation…

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