…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…

…not clearly visible: look for retrograde (inverted) P waves, which can be located anywhere between the J point and the terminal part of the T…

…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…

…positioned as standard, and defibrillation energy levels should remain consistent with those used for non pregnant adults. The fetus is not harmed by defibrillation, amiodarone…

…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…

…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…

…5–7 mg/kg IV as a single dose Urosepsis with shock and suspected ESBL meropenem 1 g × 3 IV Do not treat asymptomatic bacteriuria…

…the adult dose and lengthen the interval Liver failure A reduced dose and a longer interval for all opioids Obesity Dose according to effect, not…

…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…

…least 1.3 mm (green) for rapid transfusion, preferably two lines in a bleeding patient. A transfusion set with a filter. Blood components must not…

…An antihistamine and a corticosteroid do not affect the acute course. Measure Adult Child : : : Adrenaline IM (1 mg/mL) 0.5 mg (0.5 mL…

…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…

…Contact your national or regional poison control centre before you decide, not afterwards. Indications Medicinal charcoal is given after the ingestion of a potentially toxic…

…rate, about 1 mL per 3–5 seconds. 7. Withdraw the needle at the same angle and press with a dry swab. Do not massage…

…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…

…a 1 mL syringe at a known concentration, clearly labelled. A laxative and an antiemetic prescribed at the same time as the opioid — not afterwards…

…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…

…sudden cardiac death. It may also be associated with early death after cardiac transplantation. Myocardial bridging is not itself an atherosclerotic lesion, but it may…

…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…

…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…

…a systemic steroid early. 7. Insert intravenous access, but do not let blood sampling or cannulation delay inhaled treatment. 8. Reassess speech, work of breathing…

…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…

…failure have preexisting hypertension. The relationship between blood pressure and outcome in older adults is not linear at very low pressures. Excessive reduction in diastolic…

…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…

…and bicarbonate ≥ 15 mmol/L Hyperosmolality Not required Effective osmolality 300 mosm/kg or total osmolality 320 mosm/kg Typical patient Often type 1 diabetes…