…examination, ECG, selective vascular imaging Traumatic or toxic syndrome Onset after trauma, a change in medication or an exposure Concussion, temporal bone injury, dissection, aminoglycoside…

…Measure the plasma glucose immediately in everyone with a reduced level of consciousness, seizures, confusion, a change in behaviour, collapse or an acute neurological deficit…

…3 (0.3 mg/24hrs) Dosage in renal failure and renal replacement therapy: Dose as in normal renal function Adverse effects Excessive sedation. Confusion. Hallucinations…

…procedures Chemotherapeutic agents Catheter ablation Critical illness Defibrillator shocks Strenuous exercise Cardiac contusion The diagnosis should therefore distinguish isolated myocardial injury from infarction caused by…

…with rate 500 ml/h). Cold shower. Ice packs. Heat stroke ( 40°C) Neurological symptoms, confusion, convulsion, tachycardia, hypotension, coma. As above but with lower temperatures…

…early repolarization have varied over the years and across studies. This has lead to much confusion. In 2015 MacFarlane et al issued a consensus statement…

…failure New drowsiness, confusion or agitation Suspect hypoxaemia or hypercapnia Cyanosis or saturation below target despite oxygen Severe impairment of gas exchange Hypotension, cool peripheries…

…Position and behaviour Can lie down or sit Often sits leaning forward, anxious Confusion, reduced consciousness or marked stillness Respiratory rate Under 25 per minute…

…local protocol Psychiatric symptoms Sleep disturbance, hypomania, confusion. Commonest early on and at high doses Muscle weakness Steroid myopathy, with proximal weakness Red flags and…

…persist after the visit and predict future hypertension and cardiovascular risk [3]. Questions that rapidly change management Ask specifically about: Neurological symptoms: confusion, visual loss…