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Laryngeal mask and difficult airway

…larger , since a mask that is too small leaks and gives a poorer seal. Procedure Insertion of the laryngeal mask 1. Check the mask, remove…

Statin Intolerance and Statin-Associated Muscle Symptoms

…ancestry Previous muscle disease or a personal or family history of muscle disorders Acute infection Renal or hepatic impairment Hypothyroidism Vitamin D deficiency Concomitant interacting…

Eye examination and corneal foreign body

Procedurer The single most important step in any eye injury is to measure and document the visual acuity before anything else is done. The second…

Neutropenic fever: quick reference for emergency management

…immunotherapies may require separate local protocols. Definition Criterion Practical definition : : Fever A single temperature of at least 38.3 degrees, or at least 38.0…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…Alternative route : Central venous administration of adenosine is suitable in the intensive care unit or coronary care unit. Adenosine injection must be administered quickly (1…

Empirical antibiotic therapy: quick reference for common infections

…primary infection, low risk of recurrence vancomycin 125 mg × 4 PO 10 days Clostridioides difficile, high risk of recurrence fidaxomicin 200 mg × 2 PO 10…

Poisoning: quick reference for antidotes and initial management

…salicylate poisoning, intubation with an inadequate minute ventilation can rapidly worsen the acidaemia and increase the entry of salicylate into the central nervous system. Discuss…

The T-wave: physiology, variants and ECG features

…misunderstood, particularly in the setting of ischemia. Normal T wave inversion An isolated (single) T wave inversion in lead V1 is common and normal. It…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…HIV infection or other circumstances that may affect cessation or treatment monitoring. Single question screening can identify unhealthy drug use requiring counselling regarding cardiovascular effects…

Edrophonium test

…of ocular myasthenia, thereafter MuSK and LRP4 antibodies) and on neurophysiology (repetitive nerve stimulation with a decrement ≥ 10 % at 3 Hz, sensitivity about 75 %; single…

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