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

…from symptom onset to recognition and seeking medical assistance. Prehospital assessment, treatment and transport. Diagnostic assessment and initiation of reperfusion therapy. The interval from treatment…

Ankle-brachial index (ABI)

…claudication, the ankle pressure is measured immediately after treadmill walking or after repeated heel raises. A fall of ≥ 20 % after exercise confirms peripheral arterial disease…

Hypoglycaemia: quick reference for emergency management

…needed to prevent a further fall Level 2, clinically significant < 3.0 mmol/L A seriously low glucose; immediate treatment is required Level 3…

Arterial Hypertension: Definition, Diagnosis and Out-of-Office Measurement

…term relationship with cardiovascular risk is therefore graded, although practical clinical care requires diagnostic and treatment thresholds. The 2024 European guideline defines hypertension as an…

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 : …

Acute kidney injury: quick reference for management

…bicarbonate or blood gas, calcium, phosphate, glucose and a full blood count. 5. Take a urine dipstick and, where the cause is unclear or a…

Neutropenic fever: quick reference for emergency management

…sets of blood cultures from separate peripheral punctures. Also culture from a central line if one is present 4 Take a full blood count with…

Pericardiocentesis

…needle, 7–9 cm (a spinal needle or the needle from a pericardiocentesis set), 10 mL and 20 mL syringes, a three way tap. A…

Acute Coronary Syndrome: Definitions and Initial Triage

… or angina occurring after a recent MI. Myocardial injury is separate from MI. It refers to cardiac troponin release that does not fulfil the criteria…

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