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Immediate Management of Type A and Type B Aortic Dissection

…Type B disease may produce rupture, renal, mesenteric or limb malperfusion, spinal cord ischaemia, paraplegia or paraparesis, rapid aortic expansion, refractory pain and hypertension despite…

🟠 Ticagrelor (Brilinta, Brilique)

…or treatment with another adenosine diphosphate (ADP) receptor inhibitor for patients who had coronary syndrome and are at high risk of developing a new event…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…syndrome or symptomatic bradycardia in the absence of a pacemaker. Hypersensitivity to adenosine. Administration Normal route : Peripheral intravenous (IV). Alternative route : Central venous administration of…

Delirium in older adults: quick reference

…poisoning, withdrawal or several factors Inattention is central. A simple check is to ask the patient to recite the months of the year backwards. A…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

Myocardial ischemia and infarction ECG Definition and Pathophysiology Acute coronary syndromes (ACS) encompass a spectrum of clinical conditions characterized by a recent change in symptoms…

Cardiac arrest due to hypoxia and asphyxia

…Aspiration Chronic obstructive pulmonary disease (COPD) Bronchospasm (asthma) Other : Coma Central hypoventilation syndromes Neuromuscular diseases Anemia The natural course of asphyxia Should ventilation be entirely…

Targeted temperature management after cardiac arrest

…paracetamol, cold infusions. A ventilator, an arterial line, a central venous catheter, ECG monitoring, blood gases. Drugs for sedation, analgesia and control of shivering. Procedure…

Sepsis and septic shock: quick reference for the first hour

…PaO2 Circulation A systolic blood pressure of 100 mmHg or less, a MAP below 65 mmHg, delayed capillary refill, cold or mottled skin Metabolism and…

Acute Limb Ischaemia: Recognition and Urgent Management

…be cold, pale, cyanotic or mottled. Capillary refill is delayed, and venous filling may be reduced. Other possible findings include muscle stiffening and loss of…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…repolarization and provoke ventricular tachycardia or ventricular fibrillation. The likelihood of clinically significant EMI is generally low, particularly with bipolar electrocautery performed away from the…

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