…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 early with life threatening features or an inadequate response. First line treatment is oxygen in hypoxaemia, repeated doses of an inhaled short acting…

…life threatening organ dysfunction caused by a dysregulated host response to infection. Clinically this usually corresponds to an acute increase in the SOFA score of…

…and assessing the severity of electrolyte disturbances, particularly before laboratory results are available. Notably: Both hyperkalemia and hypokalemia can induce life threatening arrhythmias and cardiac…

…Myocardial ischemia and infarction Definition and pathophysiology Myocardial infarction (MI) is a clinical diagnosis that integrates myocardial injury, evidence of acute myocardial ischaemia, electrocardiographic findings…

…In severe cases, there can be a rupture of the atria or ventricles. Myocardial infarction : The contusion can cause coronary artery dissection, atherothrombosis or rupture…

…Increased risk of ventilatory failure New drowsiness, confusion or agitation Suspect hypoxaemia or hypercapnia Cyanosis or saturation below target despite oxygen Severe impairment of gas…

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…

…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:…

…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…

…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…

…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…

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

…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…

…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

…apply to the anti inflammatory effect. They say nothing about the mineralocorticoid effect or about suppression of the HPA axis, where a long half life…

…and stabilise the patient Immediate assessment 1. Assess airway, breathing, circulation and level of consciousness. 2. Attach ECG, pulse oximetry and repeated blood pressure measurement…

…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…

…of “ 100” for Qp/Qs is likely a typo; standard practice uses the ratio directly (e.g., 2:1, not 200%). Conclusion Echocardiographic calculation of…

…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…