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Reduction of dislocations

…longer a joint remains dislocated, the harder the reduction becomes and the greater the risk of chondral and neurovascular injury. Aim for reduction within a…

Endotracheal intubation

…Inadequate ventilation with a rising pCO₂ and respiratory acidosis, or a markedly increased work of breathing with impending exhaustion. Threatened airway obstruction: inhalation injury, anaphylaxis…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…altered shear stress and intimal injury promote atherosclerosis. The principal anatomical distributions are: Abdominal aorta and iliac arteries, involved in approximately 30% of symptomatic patients…

Acute Aortic Syndromes: Intramural Haematoma and Penetrating Atherosclerotic Ulcer

…subclavian artery. Penetrating atherosclerotic ulcer PAU is focal ulceration of an atherosclerotic plaque that penetrates through the internal elastic lamina into the media. The lesion…

STEMI: Primary PCI and System-of-Care Time Targets

…related myocardial territory and limitation of infarct size. The extent of myocardial injury is strongly influenced by total ischaemic time. This interval includes: The time…

Dix–Hallpike test and Epley manoeuvre

…are provoked by a change of position — turning over in bed, lying down, standing up, tilting the head backwards. A symptom free interval between attacks…

Post-Infarction Pericarditis and Dressler Syndrome

…AMI, although descriptions of the syndrome include a broader interval of approximately 1–8 weeks. The pathogenesis is presumed to be immune mediated. Pericardial injury…

Opioid therapy in severe pain

…excreted metabolite that causes late sedation and respiratory depression Marked liver failure A reduced dose of all of them, at a longer interval All op

Care after return of spontaneous circulation (ROSC)

…or initiation of ECMO. The syndrome was first described by Negovsky , who identified four processes that defined the victim's outcome: Neurological injury Myocardial dysfunction…

Urinary alkalinisation

…marked elevation of CK and threatened kidney injury, as an adjunct to the decisive measure: early and generous fluid administration. The benefit of alkalinisation over…

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