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…

…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…

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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…examinations In small children, it is possible to perform the entire transthoracic echocardiography (TTE) with the child in the supine position. This is possible due…

…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…

…the incoming products and contact with the blood bank. 3. Secure large bore access, or rapid central access, but do not delay transfusion or control…

…the tympanic membrane — including a history of grommets, ear discharge or pain on contact with water. A history of ear surgery in which the middle…

…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…

…than baseline. Contact relatives, home care services, the residential care home or the previous care provider. 5. Confirm delirium with a structured instrument , for example…

…The absence of a slit lamp — the cornea should not be instrumented without magnification. With a suspected chemical injury the priorities are reversed: irrigate first…

…2. Confirm the potassium with a repeat sample, but do not delay treatment when there are ECG changes, circulatory compromise or a very strong clinical…

…is staffed around the clock for health care professionals. Contact the centre early in serious, unusual or unclear poisoning, with modified release preparations, mixed poisoning…

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

…Contact your national or regional poison control centre for advice on the treatment threshold and on whether haemodialysis should be considered. Rhabdomyolysis with marked elevation…

…intravenous access, fluid and early contact with anaesthesia or intensive care Refractory anaphylaxis Persisting airway, respiratory or circulatory compromise despite two adequate intramuscular doses of…

…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…

…combination with circulatory compromise a rapidly falling haemoglobin after fluid treatment has been started a continuing transfusion requirement. A normal haemoglobin early on does not…

…in a bleeding patient. A transfusion set with a filter. Blood components must not be given through a set without a filter. Sodium chloride 9…

…period, for example after poisoning, since this is not compatible with a DCD process. The assessment of medical suitability is made by the transplant team…

…weeks, improvement with anti inflammatory treatment, and the tendency to recur all support an immunopathological mechanism. The precise cause, however, is not fully established. At…

…consideration of additional leads. Evaluation and Physical Examination At first medical contact, assessment should occur concurrently with acquisition of the initial ECG. Evaluation includes prompt…

…Figure 6. Tachyarrhythmia with ventricular pacing. Failure to capture Definition : pacing does not result in myocardial activation. Two types of failure to capture should be…

…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…

…has turned white. Contact technique with a cryoprobe gives a deeper and more controlled freeze on flat surfaces; spray technique is better on irregular surfaces…

…when the shock is delivered, and that the thromboembolic risk has been dealt with before the atria begin to contract again. An unsynchronised shock that…

…segment depression, ST segment elevation) and T wave changes . The reader may wish to view the video lecture on The ST segment, J point, J…

…half of the heart, it is important to familiarize yourself with the principles of hemodynamics and conditions prevailing on the right side. Echocardiography is the…

…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…

…Prognosis is generally worse when diabetes coexists with these conditions. However, the cardiovascular effects of SGLT2 inhibitors are not explained simply by their effects on…

…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…

…Therefore the apex does not move much during the cardiac cycle, despite the fact that cells in the apex contract as much as the cells…

…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…

…AKI, is a syndrome of rapidly deteriorating renal function. Management is governed not by the creatinine value alone but by the course, urine output, volume…

…Contractile cells start to contract a few milliseconds after the start of the depolarization and they start relaxing a few milliseconds after the repolarization is…