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Chest Pain in the Emergency Department: Diagnostic Pathways

…tightness, heaviness, burning, or discomfort in the chest and may extend to the arms, shoulders, neck, jaw, upper back, abdomen, or epigastrium. Dyspnoea, nausea, vomiting…

Differential Diagnosis of Chest Pain: A Clinical Overview

Emergency medicine Lathundar Differential Diagnosis of Chest Pain: A Clinical Overview The evaluation of acute chest discomfort requires a systematic differential diagnosis, as the syndrome…

Reduction of dislocations

…elbow, finger, patella, jaw or hip prosthesis. A dislocation with neurovascular compromise or skin tenting — reduce promptly, before radiography. The longer a joint remains dislocated…

Laryngeal mask and difficult airway

…3. Ensure that the patient is sufficiently deeply sedated or relaxed — a half awake patient coughs, clenches the jaw and develops laryngospasm . 4. Open the…

Acute Coronary Syndrome: Definitions and Initial Triage

…pressure, tightness, heaviness, or discomfort. Pain radiating to the neck, jaw, shoulders, back, or one or both arms. Indigestion or heartburn, particularly when associated with…

Chronic Coronary Syndrome: Diagnosis and Initial Evaluation

…many patients report less characteristic symptoms, while others present primarily with exertional dyspnoea. Symptoms should be characterized systematically, including: Onset and duration. Location and radiation…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…The central consequence of extensive infarction is loss of contractile myocardium, with reduced cardiac output and systemic hypoperfusion. LV failure may produce elevated filling pressures…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…Less common sites of radiation include the abdomen, back, lower jaw, and neck. The pain may radiate as high as the occipital area but does…

ST-Segment Elevation Myocardial Infarction: Diagnosis and ECG Criteria

…environmental factors and genetic background. Thrombotic susceptibility is likewise affected by inflammation and other systemic influences. The severity of myocardial injury is determined not only…

Advanced cardiopulmonary resuscitation (CPR) - Advanced cardiovascular life support (ACLS)

…is performed by paramedics, nurses or physicians, depending on the design of the pre hospital system. ACLS involves placing an advanced airway, defibrillating shockable rhythms…

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