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

…primary PCI if the total expected time is 120 minutes or less If PCI cannot be performed within 120 minutes Fibrinolysis within 10 minutes of…

Performing Echocardiographic Examinations

…possible due to the small distance between the heart and the ultrasound transducer, and because less air filled lung tissue covers the heart. In adults…

Sepsis and septic shock: quick reference for the first hour

…oxygen requirement, a saturation below 93 per cent on air, or a falling PaO2 Circulation A systolic blood pressure of 100 mmHg or less, a…

Spirometry

…The manoeuvre ends when the volume increases by less than 0.025 L during the last second , or when the expiratory time has reached 15…

Status epilepticus: quick reference for emergency treatment

…Prepare airway equipment and contact anaesthesia early with a prolonged seizure, repeated doses of benzodiazepine, aspiration, hypoventilation, circulatory failure or an anticipated need for anaesthesia…

Upper gastrointestinal bleeding: quick reference

…intestinal transit. Coffee ground vomiting is less specific than fresh haematemesis and can also be seen when the bleeding is slow or has stopped. The…

Urinary catheterisation

…partial rupture into a complete one. Contact the urologist or the surgeon on call for urethrography and suprapubic drainage. Preparation and equipment A sterile catheterisation…

Assessment of Pacemaker Malfunction

…This may be due to lead dislodgement, lead fracture or inadequate myocardial contact. It may also be due to the low amplitude (voltage) of the…

Acute kidney injury: quick reference for management

…10. Contact nephrology early in severe, progressive or diagnostically unclear AKI. Definition and staging according to KDIGO Acute kidney injury is present when at least…

Cryotherapy of skin lesions

…interchangeable nozzles, or a cryoprobe for contact technique. Cotton buds for small lesions (these give a more superficial and less controllable depth of freeze). A…

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