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Acute exacerbation of COPD: quick reference

Lungmedicin Akutsjukvård Lathundar Key messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and…

Acute severe asthma in adults: quick reference

Lungmedicin Akutsjukvård Lathundar Immediate management The most dangerous asthma attack is the silent one. A patient who has become calm, quiet in the chest and…

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…

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:…

Cardiac arrest in hyperthermia and malignant hyperthermia

…of hospital cardiac arrests in Melbourne, Australia. Emerg Med 2013;30:3842. Luna GK, Pavlin EG, Kirkman T, Copass MK, Rice CL. Hemodynamic effects of…

Upper gastrointestinal bleeding: quick reference

…of the bleeding clinically Signs of major or ongoing bleeding are: hypotension or a postural drop tachycardia a cold periphery and delayed capillary refill confusion…

Corticosteroids: quick reference for dose equivalents and stress dosing

…effect. They say nothing about the mineralocorticoid effect or about suppression of the HPA axis, where a long half life produces more marked suppression. Stress…

Hypertensive crisis: quick reference for acute blood pressure lowering

…coronary and renal perfusion, particularly in patients with long standing hypertension and a rightward shifted autoregulation [1,3]. The term hypertensive urgency is best avoided…

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

Acute vertigo: quick reference for HINTS and differential diagnosis

…exposure Concussion, temporal bone injury, dissection, aminoglycoside toxicity, antiepileptic drugs, alcohol or sedatives Trauma and medication directed workup This corresponds to the principles of TiTrATE…

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