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Gastric lavage and activated charcoal

…stomach has gone from routine to exception. Activated charcoal — in Sweden usually called medicinal charcoal — is the first line measure in decontamination, and gastric lavage…

Common laboratory tests

…age and pregnancy Procalcitonin < 0.25 µg/L Supports a bacterial aetiology; used to guide antibiotic therapy Glucose and lipids Test Threshold Comment : : : Fasting…

Cardiac Tamponade: Recognition and Pericardiocentesis

…collection with initially limited symptoms because the pericardium has had time to adapt. Hypotension and muffled heart sounds are important when present but are relatively…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…rise and/or fall. A stable elevation indicates chronic myocardial injury . Myocardial injury is not synonymous with myocardial infarction. Cardiac troponin identifies injury to myocardial…

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

…tests, and versatile study tools. From basic cardiac physiology to the nuanced strategies of evidence based management, this book and course have been meticulously crafted…

Acute Coronary Syndrome: Definitions and Initial Triage

…without persistent ST segment elevation, accompanied by a rise and subsequent fall in cardiac specific troponin attributable to myocardial ischaemia. UA presents with compatible ischaemic…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…entity in itself and may arise from non ischaemic cardiac conditions (such as myocarditis) or non cardiac conditions (such as renal failure). To establish a…

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

…assessment and initiation of reperfusion therapy. The interval from treatment initiation to restoration of coronary flow. Early reperfusion, reduction of myocardial energy requirements and mitigation…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…injury from infarction caused by acute ischaemia. Acute myocardial infarction Acute MI requires both: Acute myocardial injury , demonstrated by a rise and/or fall in…

Causes of sudden cardiac arrest

…The discrepancy between traditional figures and recent studies is due to the dramatic decrease in the incidence of acute coronary syndromes over the past decades…

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