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Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…patients with valve prostheses or other cardiac devices (pacemaker, CRT, ICD). In addition to staphylococcus aureus , hemolytic streptococci and pneumococci cause acute endocarditis. Other microorganisms…

Central venous catheter

…choice in most situations. The femoral vein is the right choice in cardiac arrest and in the uncontrolled emergency — but it should be changed or…

Risk factors for sudden cardiac arrest

…arteries or in heart muscle. In other words, the heart today is anatomically the same as it was yesterday except that an electrical charge developed…

Acute exacerbation of COPD: quick reference

…sputum purulence, the other cardinal symptoms and the severity of the illness. 7. Start NIV without undue delay in persistent hypercapnic respiratory acidosis, if invasive…

Hypoglycaemia: quick reference for emergency management

…a missed meal, physical activity and any other precipitating factor. Thresholds The thresholds below are used above all in diabetes. The severity of the symptoms…

Dix–Hallpike test and Epley manoeuvre

…minute or so, that are provoked by a change of position — turning over in bed, lying down, standing up, tilting the head backwards. A symptom…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…or silent STEMIs is greater in patients with diabetes mellitus and increases with age. STEMI may present as sudden onset breathlessness. Other less common presentations…

Acute Coronary Syndrome: Definitions and Initial Triage

…patients with recent changes in symptoms or clinical signs, with or without diagnostic electrocardiographic abnormalities and with or without an acute rise in cardiac troponin…

Bone marrow aspiration and biopsy

…previous punctures: change side, and avoid irradiated fields. Preparation and equipment Informed consent, current full blood count and coagulation screen, medication list. Chlorhexidine in alcohol…

Hypertensive crisis: drugs and doses

…not routinely marketed in Sweden and may require a named patient licence, among them clevidipine, nicardipine, fenoldopam, enalaprilat, phentolamine and sodium nitroprusside. Availability may change…

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