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

…earlier after coronary occlusion and progress over time. Experimentally, necrosis advances from the subendocardium towards the subepicardium over several hours. The extent and tempo of…

Early repolarization pattern on ECG (early repolarization syndrome)

…However, the confusion actually extends beyond the ECG definition. For decades it was believed that early repolarization was a benign condition, which is why the…

Acute exacerbation of COPD: quick reference

…8. Document the ceiling of care and the decision on intubation early. Initial assessment Confirm that the presentation fits an exacerbation A COPD exacerbation is…

Hypoglycaemia: quick reference for emergency management

Endokrinologi & metabolism Akutsjukvård Lathundar Emergency overview Measure the plasma glucose immediately in everyone with a reduced level of consciousness, seizures, confusion, a change in behaviour…

Intensive care parameters

…trial shortens the time on the ventilator. See the article on confusion for the management of delirium in intensive care. Renal replacement therapy Absolute indications:…

Upper gastrointestinal bleeding: quick reference

…or ongoing major haematemesis: early anaesthetic assessment before endoscopy Assess the severity of the bleeding clinically Signs of major or ongoing bleeding are: hypotension or…

Acute severe asthma in adults: quick reference

…in hypoxaemia, repeated doses of an inhaled short acting β2 agonist, ipratropium in more severe attacks, and a systemic steroid given early [2,3]. Grading…

Neutropenic fever: quick reference for emergency management

…obligatory Hypothermia, new confusion, tachypnoea, hypotension, rigors, abdominal pain or a rapid deterioration in general condition may be the only signs of infection. Corticosteroids and…

Sepsis and septic shock: quick reference for the first hour

…system Finding : : CNS New confusion, disorientation, agitation, drowsiness or a reduced GCS Respiration A respiratory rate of at least 22/min, increased work of breathing…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…with advancing age. Presentations without pain may include: Sudden breathlessness Syncope or sudden loss of consciousness Confusion Profound weakness An arrhythmia Peripheral embolism An ot

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