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Status epilepticus: quick reference for emergency treatment

…cessation of the seizure Assess the recovery of consciousness. Urgent EEG if the patient does not wake or if ongoing electrographic seizure activity is suspected…

Sepsis and septic shock: quick reference for the first hour

…sepsis Suspected or confirmed infection together with new organ dysfunction must raise the suspicion of sepsis. The patient need not have fever, leucocytosis or a…

Gynaecological examination and cervical smear

…device or a pessary. Assessment of prolapse. Sampling for a suspected sexually transmitted infection — although chlamydia and gonorrhoea can be tested on urine or a…

Paracentesis

…or respiratory compromise. Diuretic refractory or diuretic intolerant ascites, as recurrent treatment. Contraindications There are in practice no absolute contraindications; suspected spontaneous bacterial peritonitis carries…

Epistaxis — compression, cautery and anterior nasal packing

…side of the septum already cauterised — bilateral cautery carries a risk of perforation Anterior packing: Suspected base of skull fracture or a significant midfacial or…

LDL Cholesterol Targets Across Cardiovascular Risk Categories

…carries one apoB molecule. LDL C, non HDL C and apoB are usually correlated, but discordance may occur when particles differ in cholesterol content or…

Delirium in older adults: quick reference

…is wrong to assume that hyperactive delirium is always detected, or that hypoactive delirium always carries the worst prognosis in every population. Hypoactive delirium is…

Urinary alkalinisation

…poisoning with symptoms or a rising serum concentration. Alkalinisation increases renal elimination several fold and at the same time reduces the passage of salicylate into…

Alcohol withdrawal and delirium tremens: quick reference

…clinical effect. 2. Parenteral thiamine early , preferably before or at the same time as carbohydrate administration. 3. Rapid identification of seizures, delirium tremens, infection, trauma…

Left Main Coronary Artery Disease: Revascularisation Strategy

…to patients with symptoms. Current guidance supports revascularisation for significant left main stenosis irrespective of symptomatic status or the documented ischaemic burden. In chronic coronary…

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