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Cardiac arrest due to anaphylaxis

…swollen airways or dermatological symptoms suggestive of anaphylaxis. Dyspnea, wheezing, or coughing before cardiac arrest also speak for anaphylaxis (airway obstruction caused by a foreign…

Anaphylaxis: quick reference for emergency management

…Remove a visible bee sting. Never delay adrenaline in order to identify or remove the allergen. 2. Give adrenaline 1 mg/ml intramuscularly into the…

Foreign body in the ear and nose

…of fluid causes a chemical burn Two or more magnets (including in different nostrils) Immediately — pressure necrosis across the septum A live insect As soon…

Arterial line

…that an arterial line must never be confused with a venous access. Indications Continuous blood pressure monitoring in haemodynamic instability or during ongoing vasoactive treatment…

Acute severe asthma in adults: quick reference

…in a severe or life threatening attack. 6. Give a systemic steroid early. 7. Insert intravenous access, but do not let blood sampling or cannulation…

Joint aspiration

…passes through muscle without major vessels or nerves, and the landmark — the posterior corner of the acromion — is easy to palpate even in a large…

Edrophonium test

…indication and contraindications, attach ECG monitoring and insert a venous cannula. 2. Document the baseline status of the chosen finding — measurement, photograph or video. 3…

Epistaxis — compression, cautery and anterior nasal packing

…a nasal speculum and a head lamp. Without a visible source, no cautery. 2. Insert 2–3 pledgets with lidocaine and a vasoconstrictor vertically into…

Eye examination and corneal foreign body

…each eye separately , with the patient's usual glasses and then through a pinhole. This is done before any drops. 2. Inspect the eyelids, conjunctiva…

Hyperkalaemia: quick reference for emergency treatment

…compromise or a very strong clinical suspicion. 3. Give intravenous calcium in the presence of hyperkalaemic ECG changes or arrhythmia. 4. Shift potassium into the…

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