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Atrial Fibrillation in the Critically Ill Patient

…segment depression or T wave inversion can occur without coronary artery disease. Proposed explanations in the source material include cardiac memory after abnormal ventricular activation…

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…

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

…negative predictive value in patients with suspected acute coronary syndrome (ACS). Cardiac troponin is a marker of myocardial injury, not a disease specific marker of…

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…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…territory. Clinical Presentation and Symptoms The source material addresses posterior infarction primarily in the context of suspected acute coronary syndrome and acute myocardial ischaemia. Patients…

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

…and hyperkalemia. When bradycardia occurs in the context of inflammatory heart disease, it often reflects myocardial pathology that may also reduce myocardial contractility and cause…

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

…coronary disease and progressive, “piece meal” necrosis extending beyond the original infarct zone. Coronary Occlusion and Myocardial Injury STEMI generally results from abrupt reduction in…

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