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Cardiac Tamponade: Recognition and Pericardiocentesis

…stroke volume produces an exaggerated inspiratory fall in systemic systolic blood pressure, termed pulsus paradoxus. Tamponade is therefore characterized haemodynamically by elevation and near equalization…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

…progressive, and highly dynamic inflammatory disease of the arterial wall. It is characterized by the subendothelial accumulation of apolipoprotein B containing lipoproteins, macrophage infiltration, smooth…

Acute Coronary Syndrome: Definitions and Initial Triage

…UA) represents myocardial ischaemia without demonstrable acute cardiomyocyte injury or necrosis. It is characterized by prolonged angina at rest, usually lasting more than 20 minutes…

STEMI: Primary PCI and System-of-Care Time Targets

…mitigation of reperfusion injury are complementary objectives of initial STEMI management. The principal acute complications fall into two broad categories: Electrical complications , particularly ventricular arrhythmias…

The Best Clinical ECG Book: ECG Made Easy or Complete?

…world: What is the best ECG book? This question is far from trivial and the stakes are high; mastering ECG interpretation will frequently be a…

Hyponatraemia: quick reference for work-up and correction

…112 mmol/L may be relatively unaffected, while a rapid fall from 140 to 125 mmol/L can cause marked symptoms [4]. Grade Plasma sodium : …

Ventricular Tachycardia

…secondary prevention strategies. By Morphology: Monomorphic VT (MMVT): Characterized by a uniform QRS morphology from beat to beat in each electrocardiographic lead. MMVT strongly indicates…

Gastric lavage and activated charcoal

Procedurer Emptying the stomach has gone from routine to exception. Activated charcoal — in Sweden usually called medicinal charcoal — is the first line measure in decontamination…

Blood transfusion and massive haemorrhage

…the bedside. The check against the patient's own identity immediately before transfusion is the single most important safety measure in the entire chain. In…

Inpatient insulin therapy: quick reference

Endokrinologi & metabolism Lathundar An inpatient has a different insulin sensitivity from at home: less food, more stress, often corticosteroids, often impaired renal function. Prescribe basal…

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