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

…contact, attach continuous rhythm monitoring, secure intravenous access, assess the circulation and the bleeding risk, and exclude dangerous differential diagnoses [1,2]. STEMI and other…

Upper gastrointestinal bleeding: quick reference

…Haematochezia can occur in massive upper bleeding with rapid intestinal transit. Coffee ground vomiting is less specific than fresh haematemesis and can also be seen…

Delirium in older adults: quick reference

…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…

Oxygen therapy

Procedurer Oxygen is a drug and must be prescribed as one: with an indication, a route of administration and a target range for the saturation…

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…

Urinary alkalinisation

…is disputed and practice differs between units. Poisoning with other weak acids where the poison control centre recommends it, for example certain phenoxy acid herbicides…

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…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…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…

Assessment of Pacemaker Malfunction

…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…

Cryotherapy of skin lesions

…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…

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