…figure is 500 ms. The QT interval represents the time between the onset of ventricular depolarization and the end of ventricular repolarization. It reflects the…

…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…

…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…

Procedurer The doses below apply to adults unless otherwise stated, and paediatric doses are given per kilogram with the stated maximum. Always check against the…

…thoracotomy remains the primary therapeutic intervention. Ideally, it should be performed within 15 minutes of the onset of collapse. Pericardiocentesis , performed using a large needle…

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…

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…

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…

…Normal PR interval: 0,12–0,22 seconds. Upper reference limit is 0,20 seconds in young adults. A prolonged PR interval ( 0.22 s…

…is a clinical diagnosis. Treat as anaphylaxis in any of the following: 1. Acute onset of skin or mucosal symptoms , for example generalised urticaria, itching…

…PA), also termed primary hyperaldosteronism or Conn syndrome, comprises disorders in which aldosterone secretion is inappropriately increased, relatively autonomous from angiotensin II and plasma potassium…

…reperfusion is strongly time dependent. The interval from symptom onset to reperfusion is determined by patient recognition and help seeking, pre hospital assessment and transport…

…patterns: Angina at rest, usually prolonged for more than 20 minutes. New onset severe angina. Previously established angina that has become more frequent, more prolonged…

…and be detected randomly when investigating other conditions. More dramatic onset of symptoms can be seen in arrhythmogenic tumors of the myocardium; in these cases…

…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…

…puncture, and antibiotics and a corticosteroid are then given immediately after blood cultures. For questions other than acute meningitis — an insidious onset, known malignancy, immunosuppression…

…characteristic symptoms, while others present primarily with exertional dyspnoea. Symptoms should be characterized systematically, including: Onset and duration. Location and radiation. Quality and intensity. Precipitating…

…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…

…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…

…the newborn differ markedly from adult reference values and normalise gradually through childhood. The interpretation is made in the same systematic way as in adults…

…is indicated for the prevention of atherothrombotic events in adult patients with acute coronary syndrome (ACS) or a prior heart attack and a high risk…

…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…

…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

…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…

…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…

…normal and pathological pediatric and neonatal ECG The neonatal and pediatric electrocardiogram (ECG) is interpreted using the same principles as in ECG interpretation in adults…

…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…

…circumference Midpoint of the upper arm < 23 cm suggests undernutrition in adults Calf circumference Largest circumference < 31 cm is a screening marker for…

…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…

…depth Patient Internal diameter (mm) Depth at the teeth (cm) : : : Adult woman 7.0–7.5 21 Adult man 7.5–8.0 23 Child…

…gastric lavage: a wide bore orogastric tube (Ch 28–32 in an adult), a funnel or a lavage system, lukewarm fluid (tap water for adults…

…the patient down. Injection Needle Angle Maximum volume per site : : : : Deltoid, adult 23–25 G, 25 mm 90° 1–2 mL Deltoid, BMI 35 or…

…inflate and are chosen on weight alone. When in doubt between two sizes in an adult: choose the larger , since a mask that is too…

…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…

…turned has not finished being titrated. Expect an opioid naive adult to need 5–15 mg of morphine in total. If more than that is…

…kg intravenously in symptomatic salicylate poisoning. For an adult this corresponds to the order of 100–200 mL of the 50 mg/mL solution. 6…

…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…

…Measurement Who should be tested? Current recommendations support measuring Lp(a) at least once in every adult’s lifetime. Testing is particularly relevant in: individuals…

…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…

…normal saline. Storage : room temperature. Dosage Adults Initial dose : 6 mg Wait 60 seconds before attempting a second dose. Second dose : 12 mg. Wait 60…

…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…

…et al. Epidemiology and outcome of adult out of hospital cardiac arrest of non cardiac origin in Osaka: a population based study. BMJ Open 2014…

…et al. Epidemiology and outcome of adult out of hospital cardiac arrest of non cardiac origin in Osaka: a population based study. BMJ Open 2014…

…et al. Epidemiology and outcome of adult out of hospital cardiac arrest of non cardiac origin in Osaka: a population based study. BMJ Open 2014…

…et al. Epidemiology and outcome of adult out of hospital cardiac arrest of non cardiac origin in Osaka: a population based study. BMJ Open 2014…

…and medical therapies. Adults with congenital heart disease are mostly managed in GUCH clinics (Grown Up Congenital Heart disease). Prevalence of congenital heart disease (CHD…

…worldwide have hypertension. Symptoms of hypertension Hypertension is most often asymptomatic. The high prevalence and asymptomatic nature of the disease motivates liberal screening among 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…

…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…

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

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…

…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…

ECG Pediatric ECG interpretation Principles of pediatric & neonatal ECG interpretation Pediatric and neonatal ECG interpretation follows the same principles as ECG interpretation in adults, but…

ECG Principles of pediatric & neonatal ECG interpretation Pediatric and neonatal ECG interpretation follow the same principles as ECG interpretation in adults, but there are important…