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Reduction of dislocations

Procedurer A dislocation is reduced with muscle relaxation, not with force. The methods that work best exploit time, gravity and slow movement; those that fail…

Oxygen therapy

…as one: with an indication, a route of administration and a target range for the saturation . What usually goes wrong is not that the patient…

🟠 Management of STEMI (ST-Elevation Acute Myocardial Infarction)

Info This page summarises the most current recommendations for the management of acute coronary syndromes with persistent ST segment elevations (i.e STEMI, ST segment…

Status epilepticus: quick reference for emergency treatment

…access cannot be obtained quickly and parenteral treatment is needed. Prepare airway equipment and contact anaesthesia early with a prolonged seizure, repeated doses of benzodiazepine…

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

…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…

Neutropenic fever: quick reference for emergency management

…imaging, the blood count or contact with the patient's own clinic delay empirical antibiotics [1]. A practical target: give the first dose of broad…

Sepsis and septic shock: quick reference for the first hour

…alert systems found an association with lower mortality, but most of the evidence was observational and the results must not be taken to mean that…

Urinary catheterisation

…Voiding problems in neurogenic bladder dysfunction, in the first instance with clean intermittent self catheterisation rather than an indwelling catheter. A catheter is not, however…

Gastric lavage and activated charcoal

…with the time since ingestion, and both can harm the patient through aspiration. Contact your national or regional poison control centre before you decide, not…

Injection technique — intramuscular, subcutaneous and intradermal

…7. Withdraw the needle at the same angle and press with a dry swab. Do not massage. Intramuscular — ventrogluteal The first choice for larger volumes…

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