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

…first medical contact, the diagnostic ECG, the reperfusion decision, thrombolysis and PCI wire crossing. Exact times are needed for continued management and quality follow up…

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

…blood gas with lactate, two sets of blood cultures, and a culture from the likely focus 0 to 15 min Ringer's acetate for hypotension…

Spirometry

…symptoms, and occupational exposure to dust, gas or fumes. Preoperative assessment before thoracic or upper abdominal surgery in a patient with known lung disease. Follow…

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

…with the electronics in the pulse generator or dislodgement or fracture of the leads. External causes are less common and include electrolyte disorders, metabolic disorders…

Acute kidney injury: quick reference for management

…for at least 12 hours Use whichever criterion gives the higher stage. A patient can thus be stage 3 by urine output despite a less…

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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