…of objectively demonstrating peripheral arterial disease, and it is needed more often than it is used — not only in claudication, but before every compression treatment…

…and if so at what pressure. Palpable foot pulses are not an acceptable substitute, and in patients with diabetes or renal failure the index may…

…disease — a risk of osteomyelitis and poor healing. Check the ankle brachial index and the foot status before any procedure on a toe. Critical ischaemia…

…oral or intravenous analgesia, or procedural sedation in advance. Inadequate analgesia is the commonest reason for an incompletely performed drainage. Procedure 1. Locate the centre…

…status and walking capacity, because these may reveal “masked” PAD in patients who do not exert themselves sufficiently to provoke symptoms. Intermittent claudication Intermittent claudication…

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

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

…does not have to be present for the condition to be serious [1]. Intramuscular adrenaline (epinephrine) is the first line treatment and must be given…

…when the last dose was taken. It matters more than the laboratory value. A normal INR and a normal APTT do not exclude DOAC effect…

…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…

…appetite, the gut microbiome and metabolic expenditure. Food processing, additives and cooking methods may also contribute. The cardioprotective effect is therefore likely to result from…

…population measure that performs poorly at the level of the individual: it does not distinguish muscle from fat and takes no account of fat distribution…

…A diagnosis of delirium is therefore the beginning of the investigation, not the end. In a frail older patient an apparently small insult — sleep deprivation…

…an arterial line should be considered. The blood pressure must not be dismissed as caused merely by pain or anxiety. These factors can affect the…

…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…

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