Endokrinologi & metabolism Lathundar An inpatient has a different insulin sensitivity from at home: less food, more stress, often corticosteroids, often impaired renal function. Prescribe basal…

…be increased under stress) and pharmacological anti inflammatory treatment (which must be tapered in a controlled fashion). The management is the opposite in each case…

…term relationship with cardiovascular risk is therefore graded, although practical clinical care requires diagnostic and treatment thresholds. The 2024 European guideline defines hypertension as an…

…capacity, while risk factor treatment and lifestyle modification reduce the burden of recurrent coronary risk. Nutritional counselling, smoking cessation, blood pressure and lipid management, and…

…substantially in patients with acute coronary syndromes. Importantly, the ECG findings dictate the management of acute coronary syndromes. Hence, an ECG must be performed and…

…least two occasions, and preferably confirmation by home measurement or 24 hour recording — the thresholds for which are lower than for office measurement. Classification of…

…several concurrent causes. In older patients delirium is often multifactorial. 7. Start non pharmacological treatment immediately , in parallel with the investigation. 8. Document the diagnosis…

…maximally tolerated doses. The apparently uncontrolled office blood pressure must be confirmed using home blood pressure monitoring or ambulatory blood pressure monitoring. Other guideline formulations…

…hypercapnia, NIV or invasive ventilation. Home oxygen and the patient's usual saturation. Previous exacerbations and hospital admissions. Current inhaled treatment and adherence. Opioids, benzodiazepines…

…at least 4–8 hours after anaphylaxis that required treatment; biphasic reactions occur. Everyone must go home with an adrenaline auto injector and written instructions…

…Diabetes, immunosuppression A risk of necrotising otitis externa Anticoagulant treatment Bleeding into the ear canal Previous radiotherapy to the head and neck Fragile skin, poor…

…Readers interested in ST segment elevation differential diagnoses may read our own article. Take home message: Inspect the J point! Posted by Dr Dan Olsson.

…the ischemic area!) [2]. Take home message: in the setting of acute coronary syndromes, be quick to administer antithrombotic medications and reperfusion. Refer to G…

…are taken from the recommendations of Strama Stockholm for the empirical antibiotic treatment of adults in hospital and in residential care homes (SÄBO) 2025/2026…

…rule that saves time is simple: two attempts or 90 seconds — then go intraosseous. Indications Peripheral venous cannula: Intravenous drug treatment, fluid or blood products…

…severe hypothermia No signs of life <24 °C Actions in accidental hypothermia with cardiac arrest or cardiopulmonary depression Use HOPE Score to assess the prognosis…

…Hasselqvist Ax et al ). About 70% of all cardiac arrests occur in homes. These cases have substantially worse survival than cases occurring in public places…