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Atrial Fibrillation in the Critically Ill Patient

…newly detected for the first time, or newly developed during management of an acute illness. The clinical relationship between AF and acute deterioration is often…

Acute exacerbation of COPD: quick reference

…6. Assess the indication for antibiotics on the basis of sputum purulence, the other cardinal symptoms and the severity of the illness. 7. Start NIV…

Corticosteroids: quick reference for dose equivalents and stress dosing

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

Delirium in older adults: quick reference

…distress. Delirium is an acute neuropsychiatric syndrome and a clinical diagnosis, often described as acute brain failure. It is precipitated by somatic illness, drugs, poisoning…

Oxygen therapy

…below the target range, or a PaO2 below 8 kPa on an arterial blood gas. Acute critical illness during initial stabilisation — cardiac arrest, shock, sepsis…

Blood Pressure Targets in Older and Frail Adults

…patients. Frailty is characterized by reduced physiological reserve and increased vulnerability to adverse outcomes. It is dynamic and may improve or worsen with illness, treatment…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…from acute coronary atherothrombosis, oxygen supply–demand imbalance, direct myocardial injury, systemic illness, structural heart disease, or several mechanisms acting simultaneously. Acute myocardial infarction Acute…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…as amyloidosis or sarcoidosis Other cardiac procedures Chemotherapeutic agents Catheter ablation Critical illness Defibrillator shocks Strenuous exercise Cardiac contusion The diagnosis should therefore distinguish isolated…

Acute kidney injury: quick reference for management

…Step 1: confirm the course and assess severity Establish the baseline Look for previous creatinine values in the record, preferably from before the current illness.

Acute severe asthma in adults: quick reference

…indicates a severe attack, while a PEF below 33 percent or signs of ventilatory failure means life threatening illness [1,2]. Important interpretation of the…

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