…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…compressions ineffective. For instance, a traumatic hemorrhage can deplete intravascular volume to such an extent that chest compressions fail to generate stroke volumes. Consequently, addressing…

…aphasia, hemianopia or hand paresis in a person of working age Blood pressure Measure initially in both arms if this does not delay reperfusion treatment…

…actual weight minus ideal weight). Red flags and pitfalls Creatinine is a poor measure in the frail and the elderly. A normal creatinine can conceal…

…moderate to severe frailty, or very old or frail patients who may not tolerate rapid blood pressure reduction. Initial Combination Therapy General Strategy For most…

…obstructive lesion Coronary embolism or thrombus Epicardial coronary vasospasm Coronary microvascular dysfunction Spontaneous coronary artery dissection (SCAD) Standard angiography may fail to demonstrate plaque disruption…

…for evaluating the success of TdP treatment or detailed step by step algorithms for alternative therapies when initial pharmacological approaches fail to suppress the arrhythmia…

…of cervical spine injury, in which scenario head tilt chin lift should only be used if other methods fail to open the airway. Figure 1…

…DEFINE FLAIR · iFR SWEDEHEART · 5 yr pooled analysis · VALIDATE RFR Coronary Flow Reserve (CFR) & Index of Microcirculatory Resistance (IMR) CFR: ratio of hyperemic to resting…

…as ejection fraction may provide easily obtained parameters, but fail to provide important insights into left ventricular mechanics. Regional differences in contractile function are of…