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Opioid therapy in severe pain

…in acute severe pain Practical points during titration: Give the injection slowly over at least a minute; a rapid injection causes nausea and a fall…

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

…era of artificial intelligence (AI). ECG interpretation requires a comprehensive understanding of cardiovascular pathophysiology and electrocardiology. Unfortunately, numerous books and online resources fall into the…

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

…complications fall into two broad categories: Electrical complications , particularly ventricular arrhythmias. Mechanical or pump failure complications , including heart failure and cardiogenic shock. Most out of…

Causes of sudden cardiac arrest

…degree of ischemia, parasympathetic and sympathetic tone) while others take months or years to develop (e.g. myocardial remodeling in heart failure or after myocardial…

Ventricular Tachycardia

…Torsades de Pointes in Long QT Syndrome) [1] . Underlying Etiologies The etiology of VT is broadly dichotomized into structural heart disease (SHD) and structurally normal…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…there is a documented rise and/or fall of cTn values. However, myocardial injury alone is an entity in itself and may arise from non…

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

…by a rise and/or fall in cTn with at least one value above the 99th percentile URL; and Clinical evidence of acute myocardial ischaemia…

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

…rise and/or fall of high sensitivity cardiac troponin (hs cTn), with at least one value above the 99th percentile upper reference limit (URL) in…

Short and long-term prognostication in cardiac arrest

…reduction in cell metabolism and thus prolongs survival. Myocardial stunning starts to normalize within minutes after the hypoxia is relieved. However, full recovery of contractility…

Hyperkalaemia: quick reference for emergency treatment

…calcium in the presence of hyperkalaemic ECG changes or arrhythmia. 4. Shift potassium into the cells with insulin and glucose. Add high dose salbutamol in…

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