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Neutropenic fever: quick reference for emergency management

…whether the patient has sepsis, septic shock, or a need for high dependency or intensive care 3 Take at least two sets of blood cultures…

Joint aspiration

…arthritis must be distinguished from crystal arthritis — the most important indication and an emergency procedure . An unclear arthritis, as part of the diagnostic work up…

Sepsis and septic shock: quick reference for the first hour

…of blood cultures, and a culture from the likely focus 0 to 15 min Ringer's acetate for hypotension or hypoperfusion, usually 500 mL as…

Cardiac arrest during sepsis

…coagulation (DIC), and hypoperfusion manifesting as hypotension. The high mortality associated with sepsis underscores the critical importance of timely and appropriate interventions. In patients presenting…

Abscess incision and drainage

…Place a field block around the abscess. 3. Make the incision along the skin tension lines and make it long enough — as a rule of…

Leg ulcers — wound debridement and compression therapy

…closer monitoring — the patient cannot feel pressure injury Peripheral neuropathy of other cause As above Severe pain Titrate the pressure up gradually Rheumatoid arthritis with…

Lumbar puncture

…more than the scan contributes. Only clinical signs of herniation halt the puncture, and antibiotics and a corticosteroid are then given immediately after blood cultures…

Paracentesis

…tube for the cell count, a serum tube for albumin, protein and LDH, and two blood culture bottles (aerobic and anaerobic) inoculated at the bedside…

Pericardiocentesis

Procedurer Pericardiocentesis is performed on the basis of the haemodynamics, not the volume of fluid. A litre that has accumulated slowly can be asymptomatic, while…

Pleural aspiration and chest drain

…suspicion of tension pneumothorax in a haemodynamically or respiratorily unstable patient. Contraindications In tension pneumothorax and in empyema there are no absolute contraindications — the procedure…

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