…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…

…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…

…inadequate, consider an intravenous bolus of epinephrine (20 50 μg) or an epinephrine infusion (0.01 to 0.10 μg/kg/min). Pediatric…

…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…

…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…

…at high risk of developing a new event. Administration Ticagrelor can be administered with or without food. For patients who cannot swallow the tablets whole…

…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…

…months or 10 % over six months, a BMI < 20 in people under 70 years or < 22 above 70 years, and reduced food intake…

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

…with or without food. Administering a 60 mg loading dose on an empty stomach may provide the fastest onset of effect. Do not crush or…

…fundamental to be able to differentiate benign from serious etiologies. Therefore, when encountering a patient with chest pain the primary task is to exclude or…