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

…such as amyloidosis or sarcoidosis Other cardiac procedures Chemotherapeutic agents Catheter ablation Critical illness Defibrillator shocks Strenuous exercise Cardiac contusion The diagnosis should therefore distinguish…

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…

Acute exacerbation of COPD: quick reference

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

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…

Neutropenic fever: quick reference for emergency management

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

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 severe asthma in adults: quick reference

…or raised Other Moderate work of breathing Accessory muscle use Cyanosis, exhaustion, hypotension or collapse The classification is based on a combination of clinical findings…

Hyponatraemia: quick reference for work-up and correction

…of raised intracranial pressure or impending herniation Moderately severe symptoms New confusion Severe headache Persistent nausea Moderately reduced consciousness Marked gait instability The specificity of…

Cardiac arrest due to electrolyte imbalance

…apathy, confusion, impaired reflexes. Severe <115 mmol/L Seizures, coma, respiratory arrest, brainstem herniation and death. Table 2. Grading of hyponatremia. Hypernatremia Hypernatremia does not…

Left bundle branch block (LBBB) in acute myocardial infarction: the Sgarbossa criteria

…lead to confusion between LBBB and acute STEMI. In fact, studies have shown that LBBB is the most common cause of false activations of the…

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