…Chest compressions in traumatic cardiac arrest In the context of cardiac tamponade, increased pressure within the pericardial sac impedes venous return to the right atrium…

…often presents with similar ECG changes, including ST segment elevations, ST segment depressions, and T wave inversions. These overlapping features frequently lead to confusion between…

…generally do not resolve simply with cessation of activity, unlike typical exertional angina. A precipitating factor is identifiable in up to one half of cases…

…1, not 200%). Conclusion Echocardiographic calculation of Qp/Qs is a cornerstone in managing patients with intracardiac shunts. By integrating anatomical measurements and Doppler hemodynamics…

…haemorrhage into the plaque. The diagnosis is supported by the general criteria for acute MI together with evidence of acute coronary atherothrombosis. Post mortem demonstr

…Impending muscle fatigue Respiratory rate above 25 to 30 per minute Increased risk of ventilatory failure New drowsiness, confusion or agitation Suspect hypoxaemia or hypercapnia…

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…

…light sedation with a daily wake up trial shortens the time on the ventilator. See the article on confusion for the management of delirium in…

…confusion, convulsion, tachycardia, hypotension, coma. As above but with lower temperatures. Electrolyte replacement. Large infusions of fluids are typically needed. Table 1. Grading of hyperthermia…

…Neutropenia expected to last longer than 7 days, or shorter neutropenia with clinical risk factors International guidelines generally use a single temperature of 38.3…

…balanced crystalloid in the first instance. Give small boluses, for example 250 to 500 mL, with immediate reassessment of the blood pressure, pulse, peripheral perfusion…

…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…

…al it was reported that early repolarization was associated with 3–5 times as great a risk of idiopathic ventricular fibrillation and sudden cardiac arrest…

…before starting treatment. Clinical assessment History that affects the level of risk Ask briefly and to the point: When did the deterioration begin, suddenly or…

…imbalance Hypercalcemia Definition : P/S Ca 2+ 2.6 mmol/L In approximately 90% of cases, hypercalcemia is attributed to primary hyperparathyroidism or neoplastic etiologies…

…of adrenal insufficiency. Prophylaxis during longer corticosteroid treatment Risk Action : : Osteoporosis Calcium and vitamin D. A bisphosphonate with longer treatment and risk factors, according to…

…instability and hypertension [4]. Step 2: look systematically for acute organ damage Organ or condition Findings to look for Initial investigation : : : CNS Confusion, reduced consciousness…

…total body water. In hypotonic hyponatraemia the amount of water is too great in relation to the amount of dissolved cations [3]. The first five…

…systems found an association with lower mortality, but most of the evidence was observational and the results must not be taken to mean that an…

…findings are absent in roughly half of patients with a central cause. A normal routine neurological examination is therefore not sufficient to exclude stroke [3]…