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Central venous catheter

…the shortest catheter, while left sided and femoral insertions require longer ones — check the length in the set against the chosen side. An ultrasound machine…

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…

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

…attacks of vertigo, seconds to a minute or so, that are provoked by a change of position — turning over in bed, lying down, standing up…

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

…blood pressure in combination with new or progressive acute target organ damage. Common manifestations are hypertensive encephalopathy, intracerebral haemorrhage, acute coronary syndrome, acute left ventricular…

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