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Atrial Fibrillation in the Critically Ill Patient

…to vascular dementia, and thromboembolism may affect organs other than the brain. Patients with AF in the setting of ACS have more comorbidities and a…

Neutropenic fever: quick reference for emergency management

…the suspected focus, but avoid sampling that delays antibiotics 6 Take a targeted history and examine the patient, with particular attention to the mouth, throat…

Anaphylaxis: quick reference for emergency management

…oedema, together with at least one of the following: airway compromise respiratory compromise circulatory compromise severe gastrointestinal symptoms, particularly after exposure to a drug, insect…

Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…to change management. In patients with a very low probability of obstructive CAD, testing may generate false positive results and unnecessary downstream procedures. In patients…

Unstable Angina: Definition and Contemporary Management

…a recent myocardial infarction. UA belongs to the broader spectrum of acute coronary syndromes, which may present with recent changes in symptoms or signs, with…

Paracentesis

…sheath, and a cell count plus albumin on the sample. Indications Diagnostic paracentesis: Newly detected ascites — always. Every admission of a patient with known ascites…

Hyperkalaemia: quick reference for emergency treatment

…new bradycardia and acute kidney injury may be at greater immediate risk than a stable dialysis patient with a plasma potassium of 6.6 mmol…

Incretins in Cardiometabolic Medicine: Leveraging GLP-1, GIP, and Glucagon Receptor Agonism for Cardiovascular Risk Reduction

…significant metabolic risk. 3 For patients with a BMI below 35 kg/m², direct assessments such as waist circumference, waist to hip ratio, or dual…

Hyponatraemia: quick reference for work-up and correction

…symptoms New confusion Severe headache Persistent nausea Moderately reduced consciousness Marked gait instability The specificity of the symptoms is limited. In a patient with moderate…

Hypertensive crisis: quick reference for acute blood pressure lowering

…coronary and renal perfusion, particularly in patients with long standing hypertension and a rightward shifted autoregulation [1,3]. The term hypertensive urgency is best avoided…

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