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Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…for days after the infusion is discontinued. Noradrenaline (norepinephrine) acts primarily as a vasopressor. While detailed receptor pharmacology is not specified in the source material…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…serial assessment remain central. Diagnostic Strategy Initial 12 lead ECG The resting 12 lead ECG is the first line diagnostic test in suspected acute coronary…

Atrial Fibrillation in the Critically Ill Patient

…inversion can occur without coronary artery disease. Proposed explanations in the source material include cardiac memory after abnormal ventricular activation, transient rate related conduction abnormalities…

Casting and immobilisation

…or after suturing over a joint. Pain relief and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…be admitted for management of acute ischaemia. Those with possible ACS, a non diagnostic ECG, and normal initial troponin may be observed in a chest…

Abscess incision and drainage

…involve a surgeon The following locations must not be handled routinely in primary care or in the emergency department without contacting the appropriate specialty: Location…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…less mobile. Echocardiography is the first place method for detecting vegetation in case of suspicion of endocarditis. Transthoracic echocardiography (TTE) has a sensitivity of about…

Isoprenaline and Dopamine Infusions for Bradycardia

…the AV node and His Purkinje system, such as isoproterenol and/or procainamide. EPS with isoproterenol is also recommended for risk stratification in specific populations…

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

…The source material emphasizes that patients and families should be educated to recognize chest discomfort or dyspnoea as potentially indicating myocardial infarction, particularly in individuals…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…In the setting of ST elevation myocardial infarction (STEMI), cardiogenic shock most commonly reflects severe left ventricular (LV) dysfunction, accounting for approximately 80% of cases…

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