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…

…ms 450 ms 470 ms Table 1 . Reference intervals for QTc duration according to Bazett's formula. Note that a QTc interval 480 is always…

…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…

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…

…in young adults. A prolonged PR interval ( 0.22 s) is consistent with first degree AV block. A shortened PR interval (<0,12 s) indicates…

…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…

…hyperplasia. A family history is therefore important, particularly in patients with early onset hypertension or premature cerebrovascular disease. PA is associated with cardiac hypertrophy, myocardial…

…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…

…are reported more frequently in females, older adults and people with diabetes. Ischaemic heart disease may also present without prominent discomfort through heart failure, arrhythmias…

…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…

…or non diagnostic CT. Suspected neuroborreliosis, neurosyphilis or another CNS infection. Suspected inflammatory disease: multiple sclerosis, Guillain–Barré syndrome, autoimmune encephalitis. Meningeal carcinomatosis and CNS…

…Silent or minimally symptomatic disease may occur in patients with diabetes and autonomic neuropathy, as well as in older adults with markedly limited physical activity…

…is classified as sick sinus syndrome (SSS) . Causes of tachycardia (tachyarrhythmia) with narrow QRS complexes (QRS duration <0,12 s): sinus tachycardia, inappropriate sinus tachycardia…

…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…

…A child's ECG changes continuously with age: the heart rate, the electrical axis and the waveform in the newborn differ markedly from adult reference…

…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…

…a patient's sensitivity to digitalis related arrhythmias. The clinician must evaluate for the presence of worsening renal function, advanced age, hypokalemia, chronic lung disease…

…the fundal height surpasses the umbilicus, the uterus should be manually displaced to the woman's left side (Figure 1). Additional offloading of the vena…

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

…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…

…ECG grid is used in children and adult patients. Recommendations for ECG recording in children Pediatric patients frequently have difficulties being still during clinical examinations…

…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…

…compressible vessel. Allen's test is still used in many units to assess the collateral circulation, but the test does not reliably predict ischaemic complications…

…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…

…a wound, scar tissue, a tattoo or skin disease at the injection site. Known hypersensitivity to the preparation. Intramuscular injection in marked coagulopathy or thrombocytopenia…

…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…

…immediately: 1. Call for help using the words massive haemorrhage , and state the patient's location and identity, the presumed cause of bleeding, and how…

…who is pain free lying still but screams when turned has not finished being titrated. Expect an opioid naive adult to need 5–15 mg…

…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…

…Atherosclerotic disease appears more likely to develop in the arterial segment proximal to the bridge, particularly in older adults. Consequently, an adult with bridging and…

…Current recommendations support measuring Lp(a) at least once in every adult’s lifetime. Testing is particularly relevant in: individuals with premature atherosclerotic cardiovascular disease…

…and Deviations Definition and Mechanism of the Electrical Axis The heart's electrical axis represents the net vectoral sum of all active electrical wavefronts at…

…to moderate exacerbation of asthma symptoms. Adenosine should be used with caution in patients with obstructive lung disease or asthma. Irregular wide complex tachycardia (absolute…

…Approximately 50% of cases exhibit biventricular cardiomyopathy, although the disease is less pronounced in the left ventricle. Rarely the condition is confined to the left…

…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 sodium bicarbonate on severe hyperkalaemia during cardiopulmonary resuscitation: a retrospective cohort study of adult in hospital cardiac arrest. Resuscitation 2016; 98:10511. Saarinen S…

…and sodium bicarbonate on severe hyperkalaemia during cardiopulmonary resuscitation: a retrospective cohort study of adult in hospital cardiac arrest. Resuscitation 2016; 98:10511. Saarinen S…

…and sodium bicarbonate on severe hyperkalaemia during cardiopulmonary resuscitation: a retrospective cohort study of adult in hospital cardiac arrest. Resuscitation 2016;98:10511. Saarinen S…

…congenital heart disease require intervention during their first year of life ( Triedman et al ). According to the European Society for Cardiology, 2800 adults per 1…

…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

…s formula over adjusts at higher heart rates and under adjusts at lower heart rates. 1 to 15 years, male and female Adult, male Adult…

…in the AV node is high grade. Causes of tachyarrhythmia with narrow QRS complexes (QRS duration < 0.12 s): sinus tachycardia, inappropriate sinus tachycardia…

…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…

…to adults in sinus rhythm, recorded at a paper speed of 50 mm/s with 1 mV = 10 mm. At 50 mm/s a…

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…

…Causes of pulmonary regurgitation Pulmonary hypertension Endocarditis Myxoma Carcinoid heart disease Tetralogy of Fallot Marfan syndrome Takayasu's arteritis Iatrogenic (e.g complication of catheterization)…

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…

…in the ECG, as well as cardiac diseases that may affect infants and children. Physiological and anatomical development during infancy & childhood In adults, the left…

…in the ECG, as well as cardiac diseases that may affect infants and children. Physiological and anatomical development during infancy & childhood In adults, the left…