…the local protocol Psychiatric symptoms Sleep disturbance, hypomania, confusion. Commonest early on and at high doses Muscle weakness Steroid myopathy, with proximal weakness Red flags…

…Contact relatives, home care services, the residential care home or the previous care provider. 5. Confirm delirium with a structured instrument , for example the 4AT…

…in a person with type 1 diabetes , not even before fasting or an investigation. Stopping it leads to ketoacidosis within hours. Treatment with correction doses…

…but normal readings at home or on 24 hour recording. Masked hypertension: normal in the office but raised outside it — associated with the same risk…

…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…

…with all agents prescribed at maximum or maximally tolerated doses. The apparently uncontrolled office blood pressure must be confirmed using home blood pressure monitoring or…

…the same time, exacerbation is a clinical syndromic diagnosis, not a sufficient explanation for all acute dyspnoea in a patient with COPD. Pneumonia, heart failure…

…treatment; biphasic reactions occur. Everyone must go home with an adrenaline auto injector and written instructions. Patients taking beta blockers may respond poorly to adrenaline…

…procedure, or over a few days at home for a hard plug. Have the patient lie with the ear uppermost for 5 minutes after instillation…

…and infarction Definition and Purpose Cardiac rehabilitation is a comprehensive, multidisciplinary secondary prevention intervention for patients with cardiovascular disease, including those recovering from myocardial infarction…

…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 upper abdominal pain. An ECG recording costs approximately $10 (10€) and may reduce morbidity and mortality substantially in patients with acute coronary syndromes. Importantly…

…g × 3 IV 8 days including oral step down Hospital acquired pneumonia, severe piperacillin–tazobactam 4 g × 4 IV Exacerbation of COPD with an indication…

…the area. A previous intraosseous attempt in the same bone within the past 24 hours — the fluid leaks out through the old hole. Infection or…

…Please refer to HOPE Score. Severity Features Body temperature (°C) Mild hypothermia Conscious with tremors 32 35°C Moderate hypothermia Impaired consciousness, with or without shivering…

…Some data sources also monitor sudden cardiac arrest. The EuReCA registry includes resuscitation data from 27 European nations and the Get With the Guidelines Resuscitation…