…retrograde (inverted) P waves, which can be located anywhere between the J point and the terminal part of the T wave. PR interval 0,22…

…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…

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

…50 mg of oral morphine per day. Patches have no place in acute, unstable pain: the onset takes 12 to 24 hours and the offset…

…in the same systematic way as in adults, but against the age specific reference values below. Method of interpretation Heart rate Heart rhythm The P…

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

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

…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

…A history of a severe transfusion reaction: contact transfusion medicine before transfusing again. Preparation and equipment Compatibility testing Test What it involves When it is…

…a fuller account of two of the commonest acute drug problems, see Warfarin therapy and Opioid therapy in severe pain. Cardiac arrest Drug Adult Child …

…cardiovascular societies, defines HF as a clinical syndrome corroborated by elevated natriuretic peptide levels and/or objective evidence of pulmonary or systemic congestion [3] . Within…

…terms of rhythm, morphology, normal findings, normal variants, etc – from adult electrocardiograms. It is crucial to be familiar with normal findings, normal variants, and pathology…

…time and y axis represents amplitude of the electrical signals generated in the myocardium. The same ECG grid is used in children and adult patients…

…in adult TTE are obtained with the patient in the supine position. In order to obtain the best possible image quality, patient safety and ergonomics…

…18 years of age, where iso BMI or percentile charts should be used. Waist circumference Measure the waist between the lowest rib and the iliac…

…Practice differs between regions and departments; a palpable ulnar pulse and a warm, well perfused hand carry more weight. Choice of vessel The radial artery…

…non invasive ventilation. Inadequate ventilation with a rising pCO₂ and respiratory acidosis, or a markedly increased work of breathing with impending exhaustion. Threatened airway obstruction…

…benefit of both methods falls steeply with the time since ingestion, and both can harm the patient through aspiration. Contact your national or regional poison…

…L) — choose the subcutaneous route if possible, otherwise give IM with a fine needle and 5 minutes of compression. Anticoagulant treatment is not in itself…

…of the i gel type have no cuff to inflate and are chosen on weight alone. When in doubt between two sizes in an adult…

…of around 0.9 to 1.0 or higher in an adult trauma patient suggests significant hypovolaemia and an increased transfusion requirement. Pregnancy, medication and…

…sedated and not rousable. Sedation precedes respiratory depression and is the early warning sign. Choice of agent Situation Choice Reason : : : An opioid naive adult with…

…elimination several fold and at the same time reduces the passage of salicylate into the central nervous system. Contact your national or regional poison control…

…coronary artery. Anomalous origin of a coronary artery from the pulmonary artery can result in reduced coronary oxygen content, coronary steal, and myocardial ischaemia. Coronary…

…risk per particle or unit of cholesterol than LDL cholesterol. Clinical implications High Lp(a) is independently associated with first and recurrent atherosclerotic cardiovascular disease…

…RAD) RAD holds significant diagnostic weight in the evaluation of pulmonary vascular and right heart pathology. In adults with clinical suspicion of pulmonary hypertension (PH)…

…seconds. Case reports have indicated that the risk of high degree AV block and ventricular arrhythmias is greater in patients on digoxin or verapamil, although…

…and athletes (hypertrophic cardiomyopathy is the most common cause). Genetic mutations in ARVC At least 13 genes have been implicated in ARVC. The majority of…

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

…al. The effects of calcium and sodium bicarbonate on severe hyperkalaemia during cardiopulmonary resuscitation: a retrospective cohort study of adult in hospital cardiac arrest. Resuscitation…

…al. The effects of calcium and sodium bicarbonate on severe hyperkalaemia during cardiopulmonary resuscitation: a retrospective cohort study of adult in hospital cardiac arrest. Resuscitation…

…al. The effects of calcium and sodium bicarbonate on severe hyperkalaemia during cardiopulmonary resuscitation: a retrospective cohort study of adult in hospital cardiac arrest. Resuscitation…

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

…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

…the QT interval decreases and vice versa. The physiological purpose of this phenomenon is to allow for faster cardiac cycles during tachycardia (e.g during…

…8. Reassess speech, work of breathing, level of consciousness and air entry repeatedly. 9. Measure PEF or FEV1 if the patient can manage it without…

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…

…35 mm. Q waves: pathological Q waves (≥ 0.03 s and/or an amplitude ≥ 25 % of the R wave amplitude in the same lead, in…

…both low DBP and increased mortality. Older adults have a higher absolute cardiovascular risk than younger adults. Thus, although a smaller number of older patients…

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

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…

…to mitigate the risk of potential contaminants endangering the rescuer. Contact expertise Contact your national or regional poison control centre, and activate the emergency medical…

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…

…lactate, two sets of blood cultures, and a culture from the likely focus 0 to 15 min Ringer's acetate for hypotension or hypoperfusion, usually…

…70% of older adults presenting with myocardial infarction, stroke, acute aortic syndromes, or heart failure have preexisting hypertension. The relationship between blood pressure and outcome…

…large R waves in adults (refer to The Normal ECG). The fetal circulation During the fetal period and the first month of life the right…

…normally displays large R waves in adults (refer to The Normal ECG). The fetal circulation During the fetal period and the first month of life…

…0 mmol/L Triglycerides < 1.7 mmol/L 10 carries a risk of pancreatitis Cardiac markers and coagulation Test Reference Comment : : : High sensitivity troponin…

…regions. Always follow the local protocol for exact infusion rates, electrolyte concentrations and level of care. This quick reference is intended primarily for adults and…

…adults over 40 years of age, atherosclerosis is the predominant cause. Other mechanisms include thrombosis, embolism, vasculitis, fibromuscular dysplasia, arterial entrapment, cystic adventitial disease and…

…of the T wave represents a difficult but fundamental part of ECG interpretation. The normal T wave in adults is positive in most precordial and…

…the incidence of heart failure among young adults has increased in recent years ( Nabel et al, Savarese et al ). This is a paradoxical and worrisome…

…the incidence of heart failure among young adults has increased in recent years ( Nabel et al, Savarese et al ). This is a paradoxical and worrisome…

…caused by any tachyarrhythmia leading to prolonged periods of rapid ventricular rate (Table 1). Children and healthy adults may also develop tachycardia induced cardiomyopathy (Gopinnathair…

…about one fifth of adults during a hospital episode in international studies and is linked to substantial mortality, even though incidence and prognosis vary widely…

…Choice of site The posterior superior iliac spine is the standard site for both aspiration and biopsy in adults. Here the posterior part of the…