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Ventricular Tachycardia

…collectively dictate the urgency and modality of intervention [3] . By Duration: Non sustained VT (NSVT): Defined as three or more consecutive ventricular beats at a…

Hyperkalaemia: quick reference for emergency treatment

…are ECG changes, circulatory compromise or a very strong clinical suspicion. 3. Give intravenous calcium in the presence of hyperkalaemic ECG changes or arrhythmia. 4…

Acute coronary syndrome: quick reference for loading doses and time targets

…ongoing or recurrent pain [1,3,4]. This quick reference gives internationally established doses. Drug availability, thrombolysis regimens, renal function thresholds and the division of…

Acute exacerbation of COPD: quick reference

…the decision on intubation early. Initial assessment Confirm that the presentation fits an exacerbation A COPD exacerbation is an acute or subacute worsening of dyspnoea…

Physiological Assessment of Coronary Stenoses and Revascularization Decisions

…and the key trials supporting each. A more detailed mechanistic discussion of each index follows in Section 2, and a guideline oriented comparison (procedural requirements…

Complications of Coronary Angiography and Vascular Access Management

…institutional practice. Complications are more frequent during PCI than during purely diagnostic angiography. Elective PCI has reported mortality of 0.1–0.3%, large myocardial…

Warfarin therapy

…risk of falls; anaemia and a known gastrointestinal source are investigated before starting. A referral or notification to the anticoagulation clinic, and a decision on…

Endotracheal intubation

…A score of 3 or more indicates a difficult intubation — call for help and get out the videolaryngoscope and plan B before you give the…

Exercise stress test on cycle ergometer

…disease and evaluation of treatment effect, the medication is continued — abrupt withdrawal carries a risk of rebound. The referring physician should have made this decision…

Lumbar puncture

…a reduced level of consciousness, focal neurological signs or seizures — because the delay costs more than the scan contributes. Only clinical signs of herniation halt…

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