…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…

…in lead II. Common findings Sinus rhythm (which is the normal rhythm) has the following characteristics: (1) heart rate 50–100 beats per minute; (2…

…The P wave The PR interval The QRS complex The ST segment The T wave The U wave The QT interval (QTc) Neonatal reference values…

…arrest—the science and practice of resuscitation medicine. Kitamura T, Kiyohara K, Sakai T, et al. Epidemiology and outcome of adult out of hospital cardiac

…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…

…the QRS complex to the end of the T wave. This interval represents the total time taken to depolarize and repolarize the ventricles ( Figure 1 )…

…an adult: choose the larger , since a mask that is too small leaks and gives a poorer seal. Procedure Insertion of the laryngeal mask 1…

…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…

…abnormal repolarization. These T wave inversions are symmetric with varying depth. They may be gigantic (10 mm or more) or less than 1 mm. Negative…

…followed by a net positive T wave (refer to the previous discussion on concordance/discordance and Figure 1 ). If the T wave and the QRS…

…and conclude with comparison against previous ECGs and with the clinical context. 1. Rhythm Check Is the ventricular rate regular at 50–100 beats/min…

…of the cardiac action potential. It stretches from the J point to the onset of the T wave ( Figure 1 A ). The plateau phase has…

…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…

…combination with acetylsalicylic acid (ASA), is indicated for the prevention of atherothrombotic events in adult patients with acute coronary syndromes (ACS), including: Unstable angina (UA…

…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…

…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…

…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…

…due to the advent of more efficacious agents with wider therapeutic to toxic windows, and its routine use in adult patients is generally discouraged. However…

…Transfusion thresholds in the stable, non bleeding patient Patient category Transfusion threshold (Hb) : : Most stable adult inpatients, including intensive care 70 g/L Known cardiovascular…

…synchronised cardioversion rather than drugs — 100–150 J biphasic in an adult, 1 J/kg in a child (2 J/kg at the second attempt…

…worldwide. In developed nations, the prevalence of HF is approximately 1–2% in the general adult population, but this figure rises steeply with age, exceeding…

…the electrical signals generated in the myocardium. The same ECG grid is used in children and adult patients. Recommendations for ECG recording in children Pediatric…

…less lung tissue covering the heart. Some images in adult TTE are obtained with the patient in the supine position. In order to obtain the…

…height in cm × weight in kg / 3600) m². Normal adult 1.6–2.0 m². Nutritional screening Unintentional weight loss 5 % over three months or…

…median nerve lies close by. Preparation and equipment Arterial catheter, usually 20 G in an adult; a smaller size in children. A set with an…

…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…

…adrenaline 1 mg/mL, an antihistamine, oxygen, and the ability to lay the patient down. Injection Needle Angle Maximum volume per site : : : : Deltoid, adult 23…

…is weaker [2,3,4]. Do the following immediately: 1. Call for help using the words massive haemorrhage , and state the patient's location and…

…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…

…life. Lp(a) is elevated in approximately one in five individuals. Pathophysiology Lp(a) is associated with several interrelated pathological processes: accelerated atherogenesis; vascular inflammation…

…in the evaluation of pulmonary vascular and right heart pathology. In adults with clinical suspicion of pulmonary hypertension (PH), such as unexplained dyspnea on exertion…

…dose: Increase the dose by 0.05 to 0.1 mg/kg. Maximum single dose: 0.3 mg/kg Body weight 50 kg: Adult dosage…

…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…

…impending burden of disease caused by hypertension is inapprehensible. KEY POINT: 1 billion individuals worldwide have hypertension. Symptoms of hypertension Hypertension is most often asymptomatic…

…delaying treatment. 10. Call anaesthetics and intensive care early with life threatening features or an inadequate response. First line treatment is oxygen in hypoxaemia, repeated…

…affected, and the incidence is particularly high after hip fracture, major surgery and intensive care [1,2]. The condition is associated with falls, aspiration, pressure…

…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…

Info [calc_vernakalant] Indications for vernakalant Vernakalant (Brinavess) is indicated in adults for chemical conversion of recent onset atrial fibrillation to sinus rhythm. Vernakalant is…

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…

…pulmonic) regurgitation Pulmonary regurgitation is also called pulmonic regurgitation . The majority of all adults exhibit a small pulmonary regurgitation, which is considered a normal finding…

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…

…age, while its clinical expression and management become progressively more complex. Older adults, often defined in cardiovascular practice as those older than 75 years, are…

…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…