…instability and hypertension [4]. Step 2: look systematically for acute organ damage Organ or condition Findings to look for Initial investigation : : : CNS Confusion, reduced consciousness…

…algorithm, incorporating an intravenous administration of 1 mg epinephrine. Predominant causes of anaphylactic cardiac arrest include food allergies, insect stings, and drug induced reactions. Approximately…

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

…plastic film or a dressing to protect an ulcer, and where needed a photoplethysmograph and a toe cuff. Preparation: The patient must have rested lying…

…Palpable foot pulses are not an acceptable substitute, and in patients with diabetes or renal failure the index may be falsely normal because of medial…

…Diabetes with neuropathy or peripheral arterial disease — a risk of osteomyelitis and poor healing. Check the ankle brachial index and the foot status before any…

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

…perfusion is insufficient to meet the basal nutritional requirements of tissue. Typical symptoms include: Ischaemic rest pain. Coldness or numbness of the foot and toes…

…reduced food intake Insulin pump The patient manages the pump themselves where possible. In impaired consciousness or DKA: remove the pump and change to an…

…last dose before an invasive procedure. Exact intervals according to the local protocol or the on call coagulation service. Bridging with low molecular weight heparin…