…reduce a fracture dislocation or to miss a posterior dislocation. The exceptions are an obvious recurrent dislocation in a patient with known instability and a…

…Keep the saturation in the lower part of the target range. Paraquat poisoning — oxygen worsens the lung injury. Discuss with your national or regional poison…

…in patients with symptoms suggestive of acute myocardial infarction and at least one of the following criteria present: haemodynamic instability or cardiogenic shock recurrent or…

…In parallel with the drug treatment Resuscitation, investigation and drug treatment must proceed simultaneously. Do not wait for laboratory results, CT or EEG before the…

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

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

…to every intervention Within 60 min Contact intensive care in shock, rapidly progressive organ dysfunction, respiratory failure, impaired consciousness, or a need for a vasopressor…

…reduce urethral trauma. The balloon is filled with sterile water according to the volume printed on the catheter , usually 10 mL in adults. Do not…

…gastric lavage: a wide bore orogastric tube (Ch 28–32 in an adult), a funnel or a lavage system, lukewarm fluid (tap water for adults…

…risk of blood contact. An alcohol or chlorhexidine swab. Let the skin dry completely before inserting the needle — alcohol carried in with the needle stings…

…is important because it maximizes the contact surface between the transducer and the skin. Generous use of gel is recommended. In addition to the gel…

…in ischaemic stroke, Nationell arbetsgrupp Stroke (the national stroke working group), version 4 of 27 February 2024. The local stroke protocol and immediate contact with…

…contact with the blood bank. 3. Secure large bore access, or rapid central access, but do not delay transfusion or control of the bleeding in…

…grommets, ear discharge or pain on contact with water. A history of ear surgery in which the middle ear may be open (a mastoid cavity…

…main principle behind artificial pacemakers; i.e applying an external electrical current that depolarizes cells in contact with the lead tip, and thus generate an…

…Confirm delirium with a structured instrument , for example the 4AT or the CAM according to local protocol. 6. Look for several concurrent causes. In older…

…or a hand held device (iCare, Tono Pen). Procedure Systematic examination 1. Visual acuity in each eye separately , with the patient's usual glasses and…

…passed urine. Contact intensive care in circulatory compromise, serious arrhythmia, marked QRS widening, a sine wave pattern, or a need for repeated calcium treatment. Urgent…

…Contact the centre early in serious, unusual or unclear poisoning, with modified release preparations, mixed poisoning, pregnancy, children, a need for an antidote or dialysis…

…month Neurosurgery or an intracranial aneurysm Contact the responsible specialist An aortic aneurysm 6 cm Relative — avoid forced manoeuvres An ongoing respiratory infection with a…

…blood gas with electrolytes, sodium, potassium, ionised calcium, creatinine, CK in rhabdomyolysis, and salicylate concentration in poisoning. Procedure 1. Contact your national or regional poison…

…five levels, with mild skin and mucosal reactions in the lower grades and marked airway, respiratory or circulatory compromise in the higher ones [5]. For…

…discuss with the on call coagulation service Always in parallel: mechanical control of bleeding, tranexamic acid where it is not contraindicated, and contact with the…

…secondary prevention 8 Contact the endoscopist and the consultant on call early. In cirrhosis or suspected variceal bleeding, also contact a gastroenterologist with hepatology expertise…

…is rarely the right measure. Contraindications Anaemia that can be corrected with iron, B12 or folate in a stable patient. Transfusion given solely to reach…

…the deceased — in the donation register, on a donor card, or through statements made to the next of kin. Active malignancy with a risk of…

…difficulty in a patient recently treated for AMI. Dyspnoea may occur, particularly when the effusion is substantial or when haemodynamic consequences develop. In patients with…

…involvement is commonly associated with inferior or lateral myocardial infarction. Consequently, posterior infarction should not be regarded as an isolated electrocardiographic pattern in every case…

…etc. Most cases of malfunction are associated with the electronics in the pulse generator or dislodgement or fracture of the leads. External causes are less…

…response system using your local emergency number. Contact the nearest intensive care unit with expertise in toxicological emergencies. Antidote Administer the specific antidote promptly upon…

…phenomenon. Preparation and equipment Liquid nitrogen in a flask (−196 °C) and a cryospray gun with interchangeable nozzles, or a cryoprobe for contact technique. Cotton…

…thromboembolic risk has been dealt with before the atria begin to contract again. An unsynchronised shock that happens to fall in the T wave can…

…flat. Lead V1 : Inverted or flat T wave is rather common, particularly in women. The T wave inversion is concordant with the QRS complex. Leas…

…may increase in, for example, pulmonary hypertension or pulmonic stenosis. Heart rate . Synchronicity : Optimal contraction requires the majority of all ventricular myocardium to contract simultaneously…

…into several sheets wrapping around the ventricle with varying orientation. This organization allows the left ventricle to contract in a highly sophisticated and effective way…

…sodium and glucose loss in approximately a 1:1 stoichiometric relationship. The resulting glucosuria and natriuresis reduce proximal tubular workload, contract plasma volume and modestly…

…organized into several sheets that wrap around the ventricle with varying orientation. As explained below, this enables the ventricle to contract in several directions simultaneously…

…Figure 1. Pulsed tissue doppler with sample volume in the mitral valve plane. Color Tissue Doppler Color tissue Doppler analyzes myocardial velocities within a color…

…well with the severity and extent of ischemia. In the setting of moderate ischemia, the myocardium becomes hypokinetic, meaning that the ischemic segments contract less…

…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…

…by a repolarization (recovery). The action potential occurs in all cardiac cells but its appearance varies depending on cell type. During de and repolarization ions…