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Foreign body in the ear and nose

…small, smooth or transparent object lying posteriorly or superiorly. Attempts already made and failed elsewhere. A child who cannot be kept still without sedation. Suspected…

Percutaneous Coronary Intervention for Chronic Total Occlusions: Indications and Outcomes

…Additional features associated with greater difficulty include a previously failed attempt, a blunt proximal stump, vessel bending, calcification and an occlusion length of at least…

Laryngeal mask and difficult airway

…of the mask, a syringe for the cuff in the models that have one, a cuff manometer. A videolaryngoscope with both a Macintosh like and…

Arterial line

…pulse is weak, after previous failed attempts, or in children. A rolled towel to place under the wrist, and tape to secure the hand. Positioning:…

Colchicine and Anti-inflammatory Therapy in Coronary Disease

…because of fatal infections and high cost. Low dose methotrexate did not reduce cardiovascular outcomes, and several other agents, including pexelizumab, losmapimod and darapladib, failed…

Periprocedural Myocardial Infarction After PCI and CABG

…injury in patients undergoing either procedure, and postprocedural cTnI elevation correlates with evidence of injury on cardiac magnetic resonance. Interpretation is more difficult when the…

Assessment of the pupillary reflex in cardiac arrest

…result, pupils often dilate widely within 30–120 seconds of cardiac arrest and light reactivity is lost when cerebral blood flow ceases. In other words…

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

…indicated with continuing ischaemia, shock, serious arrhythmia or acute heart failure. Routine opening of a persistently occluded infarct related artery in a stable and asymptomatic…

ACE Inhibitor Cough and Angioedema: Practical Management

…should begin with a comprehensive history and physical examination. Clinicians should inquire about historical clues suggesting alternative etiologies, such as a sensation of postnasal drip…

ECG changes caused by antiarrhythmic drugs, beta blockers & calcium channel blockers

…pronounced symptoms and other therapies have failed. Patients with structural heart disease or reduced left ventricular function are not eligible. Effects of propafenone and flecainide…

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