…which is not supported by evidence. The patient may need active treatment and prompt follow up, but not necessarily acute normalisation in the emergency department…

…insect residues). For patients on beta blocker therapy, consider administering 1 2 mg of glucagon intravenously. Currently, there is insufficient evidence to support the use…

…particularly after exposure to a drug, insect venom or another non food allergen 2. Acute airway, respiratory or circulatory compromise after exposure to a known…

…3. Dorsalis pedis artery — the signal is sought on the dorsum of the foot lateral to the extensor hallucis longus tendon. Measure in the same…

…to compression The ankle brachial index measured with Doppler determines whether compression may be applied at all, and if so at what pressure. Palpable foot…

…often with chemical matrix ablation A nail spicule that has split off Removal of the spicule A painful subungual haematoma with an intact nail plate…

…milk ducts, malignancy differential Surgeon or mammography Sole of the foot Deep compartments Orthopaedic surgeon Close to large vessels, in the groin or on the…

…to the arterial obstruction: Buttock, hip or thigh symptoms suggest aortoiliac disease. Calf symptoms are typical of femoropopliteal disease. More distal disease may cause foot…

…the insulin. Giving mealtime insulin to a patient who is not eating. Give it after the meal when the food intake is uncertain. Not writing…

…its own thresholds in the patient on anticoagulants; see the acute stroke quick reference. Stopping the drug and forgetting to restart it after the procedure…

…or a prior heart attack and a high risk of developing an atherothrombotic event. Contraindications Hypersensitivity to the active substance or any excipient. Active bleeding…

…Food processing, additives and cooking methods may also contribute. The cardioprotective effect is therefore likely to result from the cumulative influence of multiple modest dietary…

…22 above 70 years, and reduced food intake together form the basis of most screening instruments and should prompt a nutritional assessment. See also unintentional…

…reduced speech, immobility, poor food intake, reduced eye contact Common and particularly easy to miss. May be misinterpreted as fatigue, depression or dementia Mixed Alternates…

…mg once daily. Rationale: Patients in this age group have higher bleeding risk and increased exposure to the active metabolite of prasugrel. Patients weighing <…

…food intake redistributes blood to the gastrointestinal tract which reduces blood availability in the heart. Symptoms of ischemic heart disease are generally not related to…