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Sepsis and septic shock: quick reference for the first hour

…and the results must not be taken to mean that an electronic alert replaces clinical judgement [5]. Recognising sepsis Suspected or confirmed infection together with…

Poisoning: quick reference for antidotes and initial management

…own to declare the patient well. Clinical findings, the ECG and targeted concentration measurements carry more weight. Where serious poisoning is suspected, blood and urine…

Cardiac arrest in intoxication (poisoning)

…contaminated with the toxicant. Irrigate skin and eyes using saline solution (NaCl) if suspected of toxin exposure. Gastrointestinal lavage is infrequently employed due to aspiration…

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…

Anaphylaxis: quick reference for emergency management

…oedema, together with at least one of the following: airway compromise respiratory compromise circulatory compromise severe gastrointestinal symptoms, particularly after exposure to a drug, insect…

Acute stroke and thrombolysis: quick reference

…The local stroke protocol and immediate contact with the on call stroke consultant or the thrombectomy centre take precedence where there is a discrepancy or…

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

…in parallel with drug treatment and transport planning [1,5]. Symptom duration Under 12 hours: reperfusion is indicated in persisting STEMI. 12 to 48 hours…

Eye examination and corneal foreign body

…contraindications to instrumental removal: Suspected penetrating injury or an intraocular foreign body — shield the eye with a rigid shield, give systemic antibiotics and contact an…

Gastric lavage and activated charcoal

…benefit of both methods falls steeply with the time since ingestion, and both can harm the patient through aspiration. Contact your national or regional poison…

Otoscopy and ear syringing

…contraindications to irrigation: A known or suspected perforation of the tympanic membrane — including a history of grommets, ear discharge or pain on contact with water…

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