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Acute exacerbation of COPD: quick reference

…heart failure, pulmonary embolism, pneumothorax and acute coronary syndrome must be actively considered [1]. Do the following early: 1. Assess airway, work of breathing, level…

Abscess incision and drainage

…Contraindications and when to involve a surgeon The following locations must not be handled routinely in primary care or in the emergency department without contacting…

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…

Inpatient insulin therapy: quick reference

…failure The insulin requirement falls . Reduce the dose and measure more frequently Acute illness and infection The insulin requirement rises, often despite a reduced food…

Invasive Coronary Angiography: Indications and Vascular Access

Myocardial ischemia and infarction Procedurer Definition and Clinical Role Invasive coronary angiography (ICA) is a catheter based investigation that visualizes the coronary arterial tree after…

Interpretation of neonatal and pediatric electrocardiograms (ECG)

…in order to minimize the probability of missing significant abnormalities. The following parameters must be assessed, in chronological order: Heart rate Rhythm P wave PR…

Care after return of spontaneous circulation (ROSC)

…injuries, hemodynamic and respiratory instability, multiorgan failure, infections, seizures and temperature management. The ICU is the preferred level of care for the absolute majority. The…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…ECG changes. Significant pericardial effusion may bring about the following ECG changes.: Low voltage: large amounts of pericardial effusion will diminish the QRS amplitudes. Electrical…

Pericardial Effusion & Cardiac tamponade

…affecting cardiac function or hemodynamics. The following functions are attributed to the pericardium: The pericardium serves as a barrier to infections. The pericardium reduces friction…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

Clinical chemistry & laboratory medicine Myocardial ischemia and infarction Definition and Pathophysiology Myocardial injury Myocardial injury is a biochemical diagnosis defined by at least one cardiac…

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