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Reduction of dislocations

…before radiography. The longer a joint remains dislocated, the harder the reduction becomes and the greater the risk of chondral and neurovascular injury. Aim for…

🟠 Mitral valve

…abnormal often abnormal abnormal, possibly flail CW profile mitral regurgitation weak variable dense Shape CW profile mitral regurgitation parabolic variable early peak, triangular Size left…

Blood Pressure Targets in Older and Frail Adults

…Moreover, trial participants who were described as frail generally had no more than mild frailty, limiting the applicability of trial findings to people with substantial…

Ambulatory blood pressure monitoring and Holter ECG

…interpreted as specialist investigations. Both fail more often for practical than for medical reasons: the cuff is in the wrong place, the electrodes come off…

Inpatient insulin therapy: quick reference

…on the drug chart. Glucose targets on the ward Situation Target plasma glucose : : Most inpatients 6–10 mmol/L Frail older people, a short expected…

Delirium in older adults: quick reference

…the investigation, not the end. In a frail older patient an apparently small insult — sleep deprivation, urinary retention or a new sedative drug, for example…

Cardiovascular Prevention in the Very Elderly

…important therapeutic objectives. Evidence from randomized trials is often less applicable to very frail or multimorbid patients because these groups have historically been underrepresented. Consequently…

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

…Books that claim to make it "simple" can provide a quick entry point but fail to delve into the crucial depths needed for clinical practice…

Cardiac arrest during sepsis

…a dose of 30 ml/kg. Should fluid resuscitation fail to maintain a mean arterial pressure (MAP) above 65 mmHg, consider the initiation of vasopressor…

Sinus bradycardia: definitions, ECG, causes and management

…infarction. Sinus Node Dysfunction (SND) – Sinus node dysfunction implies that the cells of the sinoatrial node are defective and fail to generate electrical impulses. Side…

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