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Injection technique — intramuscular, subcutaneous and intradermal

…injection is placed too high — which causes the shoulder injury known as SIRVA. Both are avoided with the right landmark and the right needle length…

Endotracheal intubation

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

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…status, clinical severity, evidence of right ventricular (RV) dysfunction, and myocardial injury. This classification is central to determining the intensity of monitoring, supportive treatment, anticoagulation…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…of cases. Other causes include acute mechanical complications—particularly ventricular septal defect (VSD) and papillary muscle rupture with acute severe mitral regurgitation—predominant right ventricular…

Dix–Hallpike test and Epley manoeuvre

…Gufoni manoeuvre for treatment. Contraindications Absolute: Unstable cervical spine injury, recent cervical spine surgery, atlantoaxial instability, severe rheumatoid arthritis of the neck. Symptomatic carotid stenosis…

Opioid therapy in severe pain

…effect varies tenfold between individuals, and the only way to find the right level is to give a small dose, wait until it has worked…

Diuretic Strategy and Decongestion in Heart Failure

…organ injury Consider mechanical circulatory support Refractory advanced disease Consider palliative care Right ventricular failure is characterized by increased right atrial and right ventricular pressures…

Traumatic cardiac arrest

…Chest compressions in traumatic cardiac arrest In the context of cardiac tamponade, increased pressure within the pericardial sac impedes venous return to the right atrium…

Post-Infarction Pericarditis and Dressler Syndrome

…In patients with pericarditis complicated by constriction, symptoms and signs of right sided heart failure may predominate. Pericardial effusions associated with post infarction pericarditis are…

ST elevation myocardial infarction (STEMI) without ST elevations on 12-lead ECG

…in the right ventricle . Both these situations do, however, yield ECG changes that indicate the underlying pathology. It is important to be aware of the…

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