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

…including while fasting. Many with type 2 Mealtime insulin (rapid acting) Covers the carbohydrate in the meal Anyone who is eating Correction dose (rapid acting…

…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…

…infection or gastroenteritis at home Double or triple the oral daily dose during the days of illness (the patient's sick day rules) Vomiting or…

…or clearly worse than baseline. Contact relatives, home care services, the residential care home or the previous care provider. 5. Confirm delirium with a structured…

…setting, manually or with an automated device. Home blood pressure monitoring (HBPM): self measurement at home, generally with a validated upper arm oscillometric device. Ambulatory…

…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…

…below apply to adults unless otherwise stated, and paediatric doses are given per kilogram with the stated maximum. Always check against the local guideline and…

…wax retains moisture. Contraindications Absolute contraindications to irrigation: A known or suspected perforation of the tympanic membrane — including a history of grommets, ear discharge or…

…multidisciplinary secondary prevention intervention for patients with cardiovascular disease, including those recovering from myocardial infarction. It extends beyond exercise training to incorporate individualized physical activity…

…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…

…of the thrombus. This means that a patient who experienced chest pain at home may be asymptomatic during the assessment in the ER, only to…

…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…

Procedurer In acute circulatory failure it is not the number of cannulae that matters but the flow per unit time . A large bore, short cannula…

…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…

…of cardiac arrest Worldwide the incidence of out of hospital cardiac arrest ranges from 20 to 140 cases per 100,000 inhabitants ( Ahern et al )…