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Pleural aspiration and chest drain

…tuberculous pleurisy or chylothorax. Therapeutic aspiration: dyspnoea caused by a pleural effusion, whatever the aetiology. Chest drainage: empyema, complicated parapneumonic effusion with a pH below…

Cardiac tamponade causing cardiac arrest

…cardiac arrest Cardiac arrest associated with tamponade has an exceptionally poor prognosis. In the vast majority of these cases, the tamponade develops acutely or subacutely…

Paracentesis

…22 G needle, 20 mL and 50 mL syringes. Therapeutic drainage: a commercial paracentesis set or a catheter over needle, 16–18 G, connected to…

Ultrasound (echocardiography) in cardiac arrest and resuscitation

CPR Bedside echocardiography in cardiac arrest In the context of cardiac arrest, focused echocardiography entails a swift evaluation of ventricular contractions and the status of…

Blood transfusion and massive haemorrhage

…that can be corrected with iron, B12 or folate in a stable patient. Transfusion given solely to reach a laboratory value without a clinical question…

Lung function and respiration

…score with a lower limit of normal at z = −1.64 (the fifth percentile) has been recommended in preference to fixed percentage thresholds. Bedside…

Pulmonary embolism: quick reference for risk stratification and treatment

…bleeding risk with gastrointestinal and urogenital tumours Marked renal failure Low molecular weight heparin with dose adjustment, or warfarin Subsegmental pulmonary embolism without deep vein…

Endotracheal intubation

…pillow or by the right shoulder. A reservoir mask with a tight fitting seal, a separate nasal cannula for apnoeic oxygenation, a bag with a…

🟠 TIMI Risk Score for NSTEMI and unstable Angina

…with NSTE ACS (NSTEMI or unstable angina) are treated similarly with respect to anti ischemic and anti thrombotic drugs. Management must, however, be individualized with…

🟠 TIMI Risk Score for STEMI

…TIMI risk score for ST elevation myocardial infarction: A convenient, bedside, clinical score for risk assessment at presentation: An intravenous nPA for treatment of infarcting…

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Clinical ECG Interpretation

The ECG book is a comprehensive e-book, covering all aspects of clinical ECG interpretation, and will take you from cell to bedside.

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