…oxide Rapid onset and offset; the patient cooperates Intra articular local anaesthesia Lidocaine into the glenohumeral joint in shoulder dislocation, with an effect equivalent to…

…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…

…have greater consequences in frail patients. Clinical Assessment Frailty and Functional Status Treatment decisions should not be based on age alone. Assessment should include: Degree…

…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…

…Abnormal (pathological) causes of sinus bradycardia In all other situations, sinus bradycardia should be regarded as a pathological finding. Numerous pathological conditions cause sinus bradycardia…