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Cardiac arrest in intoxication (poisoning)

…to mitigate the risk of potential contaminants endangering the rescuer. Contact expertise Contact your national or regional poison control centre, and activate the emergency medical…

Acute coronary syndrome: quick reference for loading doses and time targets

…and unstable angina. Management begins in parallel with the diagnostic work up. Obtain an interpretable 12 lead ECG within 10 minutes of first medical contact…

Neutropenic fever: quick reference for emergency management

…neutropenic fever is limited, but delayed antibiotics are associated with a worse outcome in sepsis and in several studies of neutropenic patients. In septic shock…

🟠 Management of STEMI (ST-Elevation Acute Myocardial Infarction)

…of evidence A 12 lead ECG should be interpreted immediately (within 10 minutes) at first medical contact. I B ECG monitoring should start immediately and…

Acute stroke and thrombolysis: quick reference

…version 4 of 27 February 2024. The local stroke protocol and immediate contact with the on call stroke consultant or the thrombectomy centre take precedence…

Delirium in older adults: quick reference

…accounts for a minority of cases Hypoactive Lethargy, slow responses, reduced speech, immobility, poor food intake, reduced eye contact Common and particularly easy to miss…

Eye examination and corneal foreign body

…or an intraocular foreign body — shield the eye with a rigid shield, give systemic antibiotics and contact an ophthalmologist urgently . A positive Seidel's sign…

Gastric lavage and activated charcoal

…oxygen and complete equipment for intubation and ventilation must be to hand before the lavage begins. The head of the trolley must be able to…

Hyperkalaemia: quick reference for emergency treatment

…address the cause, assess renal function and the rate of rise. Often outpatient or brief inpatient follow up depending on the clinical picture Moderate 6…

Injection technique — intramuscular, subcutaneous and intradermal

…an arm with a dialysis fistula. Preparation and equipment Hand disinfection; gloves where there is a risk of blood contact. An alcohol or chlorhexidine swab…

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