…everyone with a reduced level of consciousness, seizures, confusion, a change in behaviour, collapse or an acute neurological deficit. Hypoglycaemia can cause hemiparesis, aphasia and…

…in the preceding hour. Remove socks and any compression stockings. Avoid measuring the arm pressure on the side with a dialysis fistula, lymphoedema after axillary…

…level of consciousness and circulation. 2. Give controlled oxygen with a target of 88 to 92 percent until the risk of hypercapnia has been assessed…

…The following division is clinically useful and is consistent with commonly used guidelines [1,3]. Level Plasma potassium Management : : : Mild 5.5 to 5.9…

…from a central line if one is present 4 Take a full blood count with a differential, CRP, creatinine, electrolytes, liver function tests, glucose and…

…readings at home or on 24 hour recording. Masked hypertension: normal in the office but raised outside it — associated with the same risk as manifest…

…laxative and an antiemetic prescribed at the same time as the opioid — not afterwards. A current creatinine with the eGFR, the weight, the age and…

…procedure is safe: that synchronisation really is switched on when the shock is delivered, and that the thromboembolic risk has been dealt with before the…

…ward and on call physicians: recognise hypoactive delirium, stabilise the patient, work systematically through the possible causes, apply several non pharmacological measures at the same…

…of breathing, level of consciousness and PEF improve at the same time. Acute severe asthma is characterised by bronchospasm, mucosal oedema and mucus plugging. Expiratory…