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Upper gastrointestinal bleeding: quick reference

…suspicion of portal hypertension? Variceal and ulcer bleeding are managed differently from the first minute. Peptic ulcer remains the commonest cause of upper gastrointestinal bleeding…

Anaphylaxis: quick reference for emergency management

…flushing or angio oedema, together with at least one of the following: airway compromise respiratory compromise circulatory compromise severe gastrointestinal symptoms, particularly after exposure to…

Blood transfusion and massive haemorrhage

…wrong patient — a mislabelled tube, or an identity check performed at the nurses' station instead of at the bedside. The check against the patient's…

Paracentesis

…always. Every admission of a patient with known ascites. Clinical deterioration in a cirrhotic patient with ascites: fever, abdominal pain, encephalopathy, rising creatinine, gastrointestinal bleeding…

🟠 Aspirin (Acetylsalicylic acid)

…and other NSAIDs: Increased risk of gastrointestinal bleeding when combined with acetylsalicylic acid. Uric acid excretion agents (e.g., probenecid): Salicylates counteract the effect of…

🟠 Prasugrel (Effient, Efient, Prasita)

…surgery, gastrointestinal bleeding, or active peptic ulcer). Patients weighing < 60 kg (maintenance dose of 5 mg recommended instead of 10 mg). Patients receiving medications…

Aspirin in Primary Prevention: Current Recommendations

…aggregation. Because aspirin affects only one pathway of platelet activation, its antiplatelet effect is relatively limited compared with agents that inhibit other platelet pathways. The…

Chest Pain in the Emergency Department: Diagnostic Pathways

…The emergency evaluation of non traumatic chest discomfort is structured around three principal diagnostic categories: Myocardial ischaemia , particularly acute coronary syndrome (ACS). Other cardiopulmonary causes…

Torsades de Pointes: Definition, Characteristics, and Management

…antihistamines, and the gastrointestinal stimulant cisapride [1]. The estimated incidence of DI LQTS and DI TdP is drug dependent, ranging between 1% and 8% for…

CPAP and non-invasive ventilation (NIV)

…or upper gastrointestinal tract, ileus and ongoing upper gastrointestinal bleeding. Marked agitation or inability to cooperate. Copious secretions without an effective cough. Choice of method…

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