…to adults with neutropenia related to cancer treatment. Children, pregnant women, patients after allogeneic stem cell transplantation and patients treated with CAR T cells or…

…Palpitations, syncope or cardiac arrest–particularly during physical activity–in a young adult with T wave inversions in V1–V4, or other ECG changes (see…

…genetic mutations have been associated with the Brugada syndrome. These mutations are located in genes encoding potassium and calcium channels of the outer cell membrane…

…characteristics: (1) heart rate 50–100 beats per minute; (2) P wave precedes every QRS complex; (3) the P wave is positive in lead II…

…9) 2–18 (8) 1–13 (7) 0.5–10 (6) 0.5–10 (5) 0.5 – 14 S in V1 (mm) 0.5–23…

…considered as a differential, and immediate administration of 1 g intravenous tranexamic acid is recommended. In circumstances of hypotension and hemorrhage, it is imperative to…

…T wave U wave QT (QTc) interval Pediatric and neonatal electrocardiograms differ markedly – in terms of rhythm, morphology, normal findings, normal variants, etc – from adult…

…For example, Bazett's formula is only suitable in adults with a heart rate between 60 and 90 beats per minute. Bazett's formula over…

…radiotherapy. In the "can't intubate, can't oxygenate" situation there are no contraindications — a laryngeal mask is inserted even with a full stomach. Preparation…

…et al. Hanging associated out of hospital cardiac arrests in Melbourne, Australia. Emerg Med 2013;30:3842. Luna GK, Pavlin EG, Kirkman T, Copass MK…

…severe hyperkalaemia during cardiopulmonary resuscitation: a retrospective cohort study of adult in hospital cardiac arrest. Resuscitation 2016; 98:10511. Saarinen S, Nurmi J, Toivio T…

…severe hyperkalaemia during cardiopulmonary resuscitation: a retrospective cohort study of adult in hospital cardiac arrest. Resuscitation 2016; 98:10511. Saarinen S, Nurmi J, Toivio T…

…severe hyperkalaemia during cardiopulmonary resuscitation: a retrospective cohort study of adult in hospital cardiac arrest. Resuscitation 2016;98:10511. Saarinen S, Nurmi J, Toivio T…

…et al. Hanging Associated out of hospital cardiac arrests in Melbourne, Australia. Emerg Med 2013; 30:3842. Luna GK, Pavlin EG, Kirkman T, Copass MK…

…interpretation. The normal T wave in adults is positive in most precordial and limb leads. The T wave amplitude is highest in V2–V3. The…

…on concordance/discordance and Figure 1 ). If the T wave and the QRS complex head in opposite directions, the T wave is said to be…

…context. 1. Rhythm Check Is the ventricular rate regular at 50–100 beats/min? Is there a P wave in front of every ventricular complex…

…Figure 1. (A) The relation between the action potential and the ECG curve. Myocardial ischemia primarily affects repolarization, which is reflected in ST T changes…

…The normal values below apply to adults in sinus rhythm, recorded at a paper speed of 50 mm/s with 1 mV = 10 mm…

…Comment : : : High sensitivity troponin T < 14 ng/L The decision thresholds are assay specific — follow the local 0/1 hour protocol NT proBNP <…

…1) sinus rate acceleration (tachycardia dependent torsade, common in infants, often causes T wave alternans); (2) heart rate deceleration (pause dependent torsade, common in adults…

…1) sinus rate acceleration (tachycardia dependent torsade, common in infants, often causes T wave alternans); (2) heart rate deceleration (pause dependent torsade, common in adults…

…adult Abnormal relaxation (grade 1 dysfunction) Pseudonormal (grade 2 dysfunction) Reversible restrictive filling (grade 3 dysfunction) Irreversible restrictive filling (grade 4 dysfunction) E/A ratio…

[calc_qtc] 1 – 15 years, male and female Adult, male Adult, female Normal <440 ms <430 ms <450 ms Upper limit 440–460 ms 430…

…C). Pediatric population Safety and efficacy in children under 18 years have not been established. Limited data are available for children with sickle cell anemia…

…are taken from the recommendations of Strama Stockholm for the empirical antibiotic treatment of adults in hospital and in residential care homes (SÄBO) 2025/2026…

…naive adult Agent Route Starting dose Comment : : : : Morphine IV 2.5–5 mg, repeated after 5–10 min as needed Halve the dose in older…

…Table 1 Summary Indications Ticagrelor, in combination with acetylsalicylic acid (ASA), is indicated for the prevention of atherothrombotic events in adult patients with acute coronary…

…use in adult patients is generally discouraged. However, it retains a specific niche in contemporary cardiovascular pharmacotherapy. The pharmacologic foundation of digoxin lies in its…

…alternatives (iron, tranexamic acid, cell salvage, haemorrhage control) planned in advance. A history of a severe transfusion reaction: contact transfusion medicine before transfusing again. Preparation…

…Torsades de pointes In an unstable tachyarrhythmia: synchronised cardioversion rather than drugs — 100–150 J biphasic in an adult, 1 J/kg in a child…

…of HF is approximately 1–2% in the general adult population, but this figure rises steeply with age, exceeding 10% in individuals over 70 years…

…to Figure 1 . Figure 1. The ECG grid. The x axis represents time and y axis represents amplitude of the electrical signals generated in the…

…In this position, the heart comes closer to the thoracic wall, with less lung tissue covering the heart. Some images in adult TTE are obtained…

…adult 1.6–2.0 m². Nutritional screening Unintentional weight loss 5 % over three months or 10 % over six months, a BMI < 20 in…

…Preparation and equipment Arterial catheter, usually 20 G in an adult; a smaller size in children. A set with an integrated guidewire (Seldinger technique) helps…

…80 % (1 point), and the intubator not being an anaesthetist (1 point). A score of 3 or more indicates a difficult intubation — call for help…

…minutes the absorption can be reduced by around half. Liquid preparations: in practice within about 1 hour. Tablets and solid preparations: up to about 2…

…depot antipsychotics, hydroxocobalamin, adrenaline in anaphylaxis, ceftriaxone, ferric carboxymaltose Rapid, 10–20 min Subcutaneous (SC) Insulin, low molecular weight heparin, GLP 1 analogues, methotrexate, biological…

…pressure. A value of around 0.9 to 1.0 or higher in an adult trauma patient suggests significant hypovolaemia and an increased transfusion requirement…

…given. Oxygen with a mask and a bag available. The opioid drawn up in a 1 mL syringe at a known concentration, clearly labelled. A…

…Give a bolus of sodium bicarbonate 1–2 mmol/kg intravenously in symptomatic salicylate poisoning. For an adult this corresponds to the order of 100…

…particularly in older adults. Consequently, an adult with bridging and a substantial proximal atherosclerotic burden should be considered and treated in the same broad category…

…and calcific aortic valve stenosis. Lp(a) is not associated with venous thromboembolism in prospective epidemiological studies. Its biological effects appear to differ from those…

…frequently observed in adult patients with severe pulmonary stenosis, alongside right ventricular hypertrophy (RVH) and right atrial enlargement [8]. RAD is present in most cases…

…Central venous administration of adenosine is suitable in the intensive care unit or coronary care unit. Adenosine injection must be administered quickly (1 2 seconds)…

…According to the European Society for Cardiology, 2800 adults per 1 million individuals have congenital heart defects, and half of them have moderate or complicated…

…hypertension. Developing and non Western countries rarely display the blood pressure trajectories and high prevalence of hypertension that is ubiquitous in high income Western countries…

…first few minutes 1. Sit the patient up and minimise physical exertion. 2. Attach continuous pulse oximetry and an ECG. 3. Give oxygen in hypoxaemia…

Akutsjukvård Psykiatri Lathundar Delirium in older adults: quick reference A quick reference for ward and on call physicians: recognise hypoactive delirium, stabilise the patient, work…

…thresholds are intrinsically arbitrary. A fit 75 year old may be able to follow a treatment strategy used in younger adults, whereas a markedly frail…

…Vernakalant (Brinavess) is indicated in adults for chemical conversion of recent onset atrial fibrillation to sinus rhythm. Vernakalant is used in the following settings: Non…

CPR Poisoning and drug toxicity In adolescents and young adults, intoxication events leading to cardiac arrest are notably prevalent, primarily due to the misuse of…

Neurologi Akutsjukvård Lathundar Definition and aims of treatment Convulsive status epilepticus in adults is present with: an ongoing generalised tonic clonic seizure lasting at least…

…The majority of all adults exhibit a small pulmonary regurgitation, which is considered a normal finding. The regurgitation results in blood flowing back from the…

Infektionssjukdomar Akutsjukvård Lathundar Purpose and scope A quick reference for the doctor on call faced with suspected sepsis in adults: rapid recognition, microbiological sampling, empirical…

…interaction between these acquired risks and age related cardiovascular remodeling contributes to the high incidence and prevalence of coronary and vascular disease in older adults…

…to Figure 1 . Figure 1. Cross sectional view of ventricular wall thickness in children (<1 months old) and adults. Because the left ventricle, in adults…

…to Figure 1 . Figure 1. Cross sectional view of ventricular wall thickness in children (<1 month old) and adults. Because the left ventricle, in adults…

…This quick reference is intended primarily for adults and summarises the order in which measures are taken and the principles that are common to all…