…hip fracture, major surgery and intensive care [1,2]. The condition is associated with falls, aspiration, pressure sores, loss of function, longer length of stay…

…A single central feature is enough to proceed with urgent investigation , and a normal CT of the brain does not exclude an infarction in the…

…fatigue, faintness, and other symptoms may occur without chest pain and should be considered anginal equivalents. The emergency evaluation of non traumatic chest discomfort is…

…do so only at the expense of abnormally high filling pressures. The resulting haemodynamic congestion produces a characteristic clinical phenotype of breathlessness, fatigue and oedema…

Procedurer The test measures the ability of the adrenal cortex to respond to maximal ACTH stimulation, and it is rarely the injection itself that determines…

…increased respiratory rate and depth, increased sweating, and muscle fatigue. Although this is a subjective measure, it provides a fairly good estimate of the actual…

…that either affect the automaticity of the sinoatrial node or block the impulse from reaching the atria. Disturbed automaticity and blocked impulses lead to arrhythmias…

…8. Document the ceiling of care and the decision on intubation early. Initial assessment Confirm that the presentation fits an exacerbation A COPD exacerbation is…

…risk of rebound. The referring physician should have made this decision; document which applies. Nitroglycerin is continued; note it in the report. Shaving and careful…

…loculated. A loculated collection can produce regional cardiac compression and tamponade even without a large circumferential effusion. Causes Tamponade shares the causes of pericardial effusion…