…central access is not in itself an indication for emergency insertion in an unstable situation: intraosseous access or a large bore peripheral cannula bridges the…

…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…

…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…

…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…

…confirmed with a laboratory analysed plasma glucose when the situation allows. Glucose meters are less reliable in the hypoglycaemic range. Poor peripheral circulation, cold fingers…

…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…

…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…

…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…

…of a millilitre, at most about 0.5 mL. A larger volume draws in peripheral blood and dilutes the specimen. Marrow clots within seconds; the…

…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…