…ventricle to contract in several directions simultaneously. The subendocardium is the muscle layer closest to the endocardium. The subendocardium has the poorest prerequisites in the…

…this layer results in a twisting (rotating) motion of the entire left ventricle. Basal segments rotate clockwise, and the apex rotates counterclockwise. This rotating, or…

…anticholinergics, opioids and salicylate — where gastric emptying is delayed — may justify charcoal later, in some cases up to 6 hours or more. Discuss this with…

…be saved early for later targeted analysis. Initial monitoring and investigations Investigation Comment : : Plasma glucose Taken immediately and repeated in impaired consciousness, or with insulin…

…rasping, or grating sound produced by contact between inflamed pericardial layers. It may have up to three components per cardiac cycle and is often best…

…anticoagulation can cause a stroke hours to weeks later. Everything else in the procedure is routine. Synchronised cardioversion or unsynchronised defibrillation Synchronised cardioversion Unsynchronised defibrillation …

…during the cardiac cycle, despite the fact that cells in the apex contract as much as the cells in the basal parts. Since the apex…

…6. Call the PCI service immediately in STEMI, a STEMI equivalent or very high risk NSTEMI. 7. Document symptom onset, first medical contact, the diagnostic…

…needed 9 Contact the haematologist or oncologist. Contact an infectious diseases physician early in a high risk course, in instability, with resistance problems, or with…

…medical contact. I B ECG monitoring should start immediately and a defibrillator must be ready. I B Consider connecting leads V7, V8 and V9 in…