…less common presentations, with or without pain, include sudden loss of consciousness, a confusional state, profound weakness, the appearance of an arrhythmia, evidence of peripheral…

…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…

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

…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…

…signs of raised intracranial pressure or impending herniation Moderately severe symptoms New confusion Severe headache Persistent nausea Moderately reduced consciousness Marked gait instability The specificity…

…trial shortens the time on the ventilator. See the article on confusion for the management of delirium in intensive care. Renal replacement therapy Absolute indications:…

…immunosuppressive drugs, radiotherapy, bone marrow failure and certain targeted cancer treatments. Fever is not obligatory Hypothermia, new confusion, tachypnoea, hypotension, rigors, abdominal pain or a…

…and patients with renal or hepatic failure can have subtle symptoms. Findings that suggest acute organ dysfunction Organ or system Finding : : CNS New confusion, disorientation…

…of the bleeding clinically Signs of major or ongoing bleeding are: hypotension or a postural drop tachycardia a cold periphery and delayed capillary refill confusion…

…with advancing age. Presentations without pain may include: Sudden breathlessness Syncope or sudden loss of consciousness Confusion Profound weakness An arrhythmia Peripheral embolism An ot

…115 125 mmol/L Headache, nausea, vomiting, muscle cramps, apathy, confusion, impaired reflexes. Severe <115 mmol/L Seizures, coma, respiratory arrest, brainstem herniation and death…

…ST segment depressions, and T wave inversions. These overlapping features frequently lead to confusion between LBBB and acute STEMI. In fact, studies have shown that…