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Traumatic cardiac arrest

CPR Cardiac arrest due to trauma In cases of traumatic cardiac arrest, addressing reversible etiologies takes precedence over chest compressions. If trauma is not definitively…

Short and long-term prognostication in cardiac arrest

…crucial events and factors: Cause of cardiac arrest : Shockable rhythms (ventricular fibrillation, pulseless ventricular tachycardia) are mostly due to acute myocardial ischemia or myocardial infarction…

Approach to patients with chest pain: differential diagnoses, management & ECG

ECG Myocardial ischemia and infarction Approach to patients with chest pain: differential diagnoses, evaluation and management Chest pain is one of the most common symptoms…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…focal neurological symptoms attributable to the affected carotid territory. Recent neurological symptoms are particularly important in determining management. The benefit of carotid revascularisation is greatest…

Aspirin in Primary Prevention: Current Recommendations

…by increased serious gastrointestinal bleeding and a non significant increase in cerebral haemorrhage. Bleeding outcomes The principal harm of aspirin in primary prevention is bleeding…

Atrial Fibrillation in the Critically Ill Patient

…Subclinical cerebral injury may contribute to vascular dementia, and thromboembolism may affect organs other than the brain. Patients with AF in the setting of ACS…

Familial Hypercholesterolaemia: Diagnosis, Cascade Screening and Treatment

…cerebral vascular disease or peripheral vascular disease. A family history of premature myocardial infarction, vascular disease or marked hypercholesterolaemia. Physical findings related to cholesterol deposition…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…requires attention to the type of stroke and the possibility of thrombolytic treatment. Cardiac and pulmonary complications Acute hypertension may precipitate myocardial ischemia or infarction…

The physiology of cardiopulmonary resuscitation (CPR)

…coronary and cerebral perfusion, and ventilation of the lungs during cardiopulmonary resuscitation (CPR) differ substantially from normal circumstances. The purpose of CPR is to create…

Assessment of the pupillary reflex in cardiac arrest

…light causes rapid bilateral pupillary constriction (a brisk reflex), whereas low light causes dilation. This reflex is highly sensitive to brainstem integrity and cerebral perfusion…

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