…work best exploit time, gravity and slow movement; those that fail usually do so because the patient tenses up with pain, or because the operator…

…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…

…markedly frail 65 year old may require the more cautious approach generally applied to older patients. Frailty is characterized by reduced physiological reserve and increased…

…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…

…Prescribe basal insulin, mealtime insulin and the correction dose as three separate entries on the drug chart. Glucose targets on the ward Situation Target plasma…

Akutsjukvård Psykiatri Lathundar Delirium in older adults: quick reference A quick reference for ward and on call physicians: recognise hypoactive delirium, stabilise the patient, work…

…and quality of life may be equally important therapeutic objectives. Evidence from randomized trials is often less applicable to very frail or multimorbid patients because…

…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…

…sac impedes venous return to the right atrium. Similarly, in tension pneumothorax, the elevated intrathoracic pressure obstructs the venous return via the superior and infer

…the brain DWI FLAIR mismatch can be used for selection with an unknown time of onset when MRI is immediately available and does not delay…

…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…

…nonpharmacological management should be actively implemented. Adults with blood pressure ≥140/90 mmHg should receive both lifestyle and antihypertensive drug therapy. For grade 1 hypertension…

…artery dissection (SCAD) Standard angiography may fail to demonstrate plaque disruption, intraluminal thrombus, or dissection. Intravascular ultrasound (IVUS) and optical coherence tomography (OCT) can reveal…

…a pivotal therapeutic target [4]: Beta Blockers : Administered to reduce adrenergic stimulation [4]. Sedation and Intubation : Along with anxiolytics, these measures minimize sympathetic surges [4]…

…if other methods fail to open the airway. Figure 1. Methods to open the airway. No large study has compared oropharyngeal and nasopharyngeal airways in…

…the hemodynamic significance of a coronary lesion, with anatomic and functional assessment discordant in a substantial minority of intermediate lesions. Over the past three decades…

…radial, and circumferential contraction. Thus, methods such as ejection fraction may provide easily obtained parameters, but fail to provide important insights into left ventricular mechanics…