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Abscess incision and drainage

…abscess, a markedly unwell patient with fever and systemic upset, suspected necrotising soft tissue infection, a child who cannot tolerate the procedure while awake. Suspected…

Deceased donor organ donation

…Indirect criteria after circulatory arrest, following a five minute no touch period The circulation at retrieval Maintained up to retrieval Ceased; warm ischaemic time is…

Invasive Coronary Angiography: Indications and Vascular Access

…selective intracoronary contrast injection under fluoroscopy. The procedure is performed by advancing guidewires and diagnostic catheters from a percutaneous arterial access site to the aortic…

Fourth Universal Definition of Myocardial Infarction: Types 1–5

…4a MI: Represents a periprocedural myocardial infarction associated with percutaneous coronary intervention (PCI). Type 4b MI: Denotes myocardial infarction related to stent thrombosis following PCI…

Periprocedural Myocardial Infarction After PCI and CABG

…revascularization is common and may reflect procedural myocardial injury rather than a clinically significant infarction. Mechanisms of injury Procedural injury may result from acute compromise…

Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting in Multivessel Coronary Artery Disease

…of patients. Evaluation and clinical assessment Clinical factors influencing treatment selection The following characteristics favour CABG when clinically and anatomically appropriate: Diabetes mellitus, particularly with…

Gastric lavage and activated charcoal

…first The induction of vomiting has no place in the modern treatment of poisoning. Charcoal also does not bind every poison. With the following substances…

Cardiac arrest in intoxication (poisoning)

…and prolonged ICU admissions. Pending the correct level of care, the following actions can be performed. CPR Initiate CPR in adherence to standard guidelines. However…

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

…the following: Symptoms of myocardial ischaemia. New ischaemic ECG changes. New pathological Q waves. Imaging evidence of new loss of viable myocardium or a new…

Refractory Angina: Options When Standard Therapy Fails

…The increasing prevalence of refractory angina reflects population ageing and improved survival among patients with CAD following advances in anti ischaemic treatment and coronary revascularization…

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