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Immediate Management of Type A and Type B Aortic Dissection

Cardiology Emergency medicine Surgery & trauma Definition and Pathophysiology Aortic dissection is a major form of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer…

Cardiac Tamponade: Recognition and Pericardiocentesis

Cardiology Emergency medicine Procedurer Definition and Pathophysiology Cardiac tamponade is a life threatening clinical syndrome in which increased intrapericardial pressure compresses the heart and impairs…

Endotracheal intubation

…heavy sedation, surgery — and cardiac arrest. Contraindications There are no absolute contraindications in the emergency situation. Consider alternatives when: Intubation is not consistent with the…

Corticosteroids: quick reference for dose equivalents and stress dosing

…keep tablets down Parenteral hydrocortisone. The patient must have an emergency injection at home Acute illness, trauma, surgery Parenteral hydrocortisone, at a dose according to…

Drug-Eluting Coronary Stents: Evolution, Evidence and Stent Choice

…clinical presentation, bleeding risk, the anticipated need for non cardiac surgery, procedural complexity, and the relative merits of PCI and coronary artery bypass grafting (CABG…

Exercise stress test on cycle ergometer

…Assessment of chronotropic function and pacemaker settings. Preoperative functional assessment before major surgery. At a low pre test probability most positive results are false positives…

Peripheral venous cannula and intraosseous access

…trauma, burns or status epilepticus when peripheral access fails or is judged futile. Children in an emergency, where peripheral venous access often takes too long…

Short Synacthen test

…Suspected secondary adrenal insufficiency in pituitary disease, after pituitary surgery or radiotherapy, or with suspected suppression of the HPA axis after long term glucocorticoid treatment…

Indications, Contraindications, and Preparations for Exercise Stress Testing

…CABG, CRT, etc. Assessment of perioperative risk for noncardiac surgery. Exercise prescription. Determine the degree of disability. Contraindications for exercise stress test Although exercise stress…

Cardiac Rehabilitation After Myocardial Infarction

…percutaneous coronary intervention, or cardiac surgery. The post infarction patient may experience: Reduced exercise tolerance Physical deconditioning Activity related anxiety Depression or psychological distress Loss…

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