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Nasogastric tube

…tube from the tip of the nose to the earlobe and from there to the xiphoid process. Mark the distance on the tube. In adults…

Cardiac arrest during sepsis

…Phenylephrine Vasopressin Prioritize the collection of blood cultures to identify potential pathogens and guide antimicrobial therapy. Administer broad spectrum antibiotics in accordance with local clinical…

Abscess incision and drainage

…cellulitis instead gives a diffuse oedematous picture without a demarcated fluid collection. Ultrasound also shows the depth of the cavity and its distance to vessels…

Cardiac Tamponade: Recognition and Pericardiocentesis

…a life threatening clinical syndrome in which increased intrapericardial pressure compresses the heart and impairs ventricular filling. It generally results from accumulation of pericardial fluid…

Secondary Hypertension: When and How to Investigate

… rather, it is an indicator of increased cardiovascular risk and a setting in which secondary hypertension is relatively common. Patients presumed to have resistant hypertension…

Paracentesis

…left side so that the fluid collects in the left flank. Have the patient empty the bladder first. Procedure Choice of insertion site The left…

Hyponatraemia: quick reference for work-up and correction

…permitted correction over 24 and 48 hours. 7. Start a fluid balance chart and hourly urine measurement. Sudden polyuria is a warning sign of impending…

Pleural aspiration and chest drain

…and in empyema there are no absolute contraindications — the procedure is life saving and necessary respectively. Otherwise: Type Contraindication : : Absolute No safe pocket of fluid…

Cardiac electrophysiology and ECG interpretation

…the relevant components of the conduction system, the heart and the classical ECG waveforms. Figure 1 . The cardiac cycle starts when cells in the sinoatrial…

QT duration & corrected QT (QTc) duration: ECG features & implications

…calculating corrected QT duration (QTc). QT correction according to Bazett , Fridericia , Framingham and Hodges follow in the calculator below. Open the calculator → Normal values…

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