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Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…even light smoking carries a substantial proportion of the excess ischaemic heart disease risk associated with heavy smoking. Consequently, reducing the number of cigarettes smoked…

Common laboratory tests

…a large change in TSH. During acute illness the TSH can be falsely low or high in the absence of thyroid disease; repeat it once…

Alcohol withdrawal and delirium tremens: quick reference

…Untreated delirium tremens has historically carried a high mortality. With modern sedation, supportive treatment and treatment of the precipitating illness the prognosis is considerably better…

Injection technique — intramuscular, subcutaneous and intradermal

…BCG Slow, local effect Contraindications Absolute: Infection, a wound, scar tissue, a tattoo or skin disease at the injection site. Known hypersensitivity to the preparation…

Gynaecological examination and cervical smear

…Assessment of prolapse. Sampling for a suspected sexually transmitted infection — although chlamydia and gonorrhoea can be tested on urine or a self taken vaginal sample…

Deceased donor organ donation

…wishes are properly established. Two things determine the outcome — that the confirmation of death is carried out in a formally unimpeachable way, and that the…

Sepsis and septic shock: quick reference for the first hour

…caused by a dysregulated host response to infection. Clinically this usually corresponds to an acute increase in the SOFA score of at least 2 points…

Urinary alkalinisation

Procedurer Alkalinising the urine increases the excretion of weak acids by keeping them in a charged form in the tubular fluid, where they cannot be…

Assessment of the pupillary reflex in cardiac arrest

…activate the Edinger–Westphal nuclei. Parasympathetic fibers (carried by CN III) then prompt sphincter muscles in the iris to constrict the pupil. Under normal conditions…

The chain of survival in sudden cardiac arrest

…same actions (1 through 3) can be carried out by anyone, including laymen without prior training in cardiopulmonary resuscitation (CPR). Prompt delivery of chest compressions…

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