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Cardiac arrest during pregnancy and childbirth

…unsuccessful resuscitation within a 4 minute window, an emergent cesarean section should be considered to optimize fetal outcomes. The gestational age should ideally exceed 20…

Hypertensive Emergency and Urgency: Differentiation and Treatment

…precipitating state resolves. The distinction is therefore not based on the BP value alone: Feature Hypertensive emergency Hypertensive urgency BP Often ≥180/110 mmHg; no…

Atrial fibrillation: quick reference for emergency management

…patient. Rate control in the stable patient Drug Situation Comment : : : Beta blocker (metoprolol) First choice in most cases The IV dose is titrated slowly. Caution…

Right Ventricular Infarction: Recognition and Haemodynamic Management

Emergency medicine Myocardial ischemia and infarction Definition and pathophysiology Right ventricular infarction (RVI) is myocardial necrosis involving the right ventricle, most often occurring in association…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

Cardiology Emergency medicine Definition and Pathophysiology Acute aortic syndromes comprise classic aortic dissection, intramural haematoma (IMH), and penetrating atherosclerotic ulcer (PAU). Aortic dissection accounts for…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

Cardiology Emergency medicine Definition and pathophysiology Acute pulmonary embolism (PE) is classified according to haemodynamic status, clinical severity, evidence of right ventricular (RV) dysfunction, and…

Acute Limb Ischaemia: Recognition and Urgent Management

…medicine Emergency medicine Definition and pathophysiology Acute limb ischaemia (ALI) is an abrupt reduction in arterial perfusion of an upper or lower limb that causes…

Atropine: Dosing in Bradycardia and Its Limitations

Arrhythmias and arrhythmology Emergency medicine Pharmacology & dosing Definition and Pathophysiology Bradycardia encompasses a spectrum of rhythm disturbances characterized by an inappropriately slow heart rate. Within…

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…

Foreign body in the ear and nose

…for the majority of cases, and the great majority of objects can be removed in general practice or in the emergency department with simple equipment…

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