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The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…is a rise and/or fall in cTn values. An elevated cTn alone does not establish MI, because myocardial injury may occur without myocardial ischaemia…

Traumatic cardiac arrest

…reversible causes of traumatic cardiac arrest ( Salomone et al ): Hypovolemia : Hypovolemic shock is common in both penetrating and blunt force trauma. Loss of blood volume…

Hypoglycaemia: quick reference for emergency management

…a reduced level of consciousness, seizures, confusion, a change in behaviour, collapse or an acute neurological deficit. Hypoglycaemia can cause hemiparesis, aphasia and radiological changes…

🟠 Clonidine

…g in 1 ml vial. Dilute with 10 ml of normal saline and give by slow injection over 5 10 minutes. Dilute immediately before use…

Cardiac arrest in hyperthermia and malignant hyperthermia

…JE, Gwyther R, Kirkman E. Closed chest compressions reduce survival in an animal model of hemorrhage induced traumatic cardiac arrest. Resuscitation 2019;140: 37 42…

Early repolarization pattern on ECG (early repolarization syndrome)

…in these two papers and the authors of this article decided to adopt the criteria from MacFarlane et al . However, the confusion actually extends beyond…

Acute exacerbation of COPD: quick reference

…Start NIV without undue delay in persistent hypercapnic respiratory acidosis, if invasive ventilation is not immediately required. 8. Document the ceiling of care and the…

Acute severe asthma in adults: quick reference

…speech, work of breathing, level of consciousness and air entry repeatedly. 9. Measure PEF or FEV1 if the patient can manage it without delaying treatment…

Corticosteroids: quick reference for dose equivalents and stress dosing

…afternoon and evening. See the quick reference on inpatient insulin therapy Peptic ulcer A proton pump inhibitor with concomitant NSAID use or a history of…

Hypertensive crisis: quick reference for acute blood pressure lowering

…Ask specifically about: Neurological symptoms: confusion, visual loss, focal neurological signs, seizures, severe or sudden headache. Chest pain, back pain, dyspnoea, orthopnoea and new sweating…

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