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STEMI: Primary PCI and System-of-Care Time Targets

…or previous angina. Patients should be advised to seek emergency medical assistance rather than self presenting to an emergency department or contacting primary care first…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…results from abrupt reduction in coronary blood flow caused by thrombotic occlusion of a previously atherosclerotic artery. Plaque erosion or rupture exposes thrombogenic material to…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…symptoms may be challenging to differentiate from normal physiological changes of pregnancy. Evaluation and Physical Examination The source material does not provide a detailed description…

Atrial Fibrillation in the Critically Ill Patient

…dyspnoea improves and sympathetic activation subsides, making it difficult to determine whether AF initiated the deterioration or resulted from it. AF has important consequences beyond…

Isoprenaline and Dopamine Infusions for Bradycardia

Arrhythmias and arrhythmology Critical care Pharmacology & dosing Definition and Pathophysiology Bradycardia and conduction disorders arise from dysfunction within the sinus node, the atrioventricular node (AVN…

Casting and immobilisation

…a fresh injury, acute swelling, after reduction and before surgery. The slab allows the volume to increase. A circumferential cast gives better stability, but only…

Arterial Hypertension: Definition, Diagnosis and Out-of-Office Measurement

…of office measurement is consequently central to diagnosis and long term management. Clinical presentation and symptoms The source material does not describe the typical symptoms…

Hypertension: Initial Combination Therapy and Drug Selection

…heterogeneous, and some patients may benefit from a more individualized selection strategy. When to Initiate Pharmacological Treatment Lifestyle intervention is an essential component of care…

Abscess incision and drainage

…microbiology request form. Drainage material: rubber dam drain, a strip cut from a glove, petrolatum impregnated packing strip or a vessel loop for loop drainage…

Central venous catheter

…body drape. Lidocaine 10 mg/mL for local anaesthesia, normal saline to flush all lumens, suture material or a securement device, transparent dressing. Monitoring throughout…

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