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Isoprenaline and Dopamine Infusions for Bradycardia

…activity (PEA). Evaluation and Physical Examination The source material does not provide specific details regarding the physical examination maneuvers for patients with bradycardia. Diagnostics Electrocardiography…

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

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

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

Critical care Myocardial ischemia and infarction Definition and Pathophysiology Cardiogenic shock is a state of inadequate tissue and end organ perfusion caused by cardiac insufficiency…

Atrial Fibrillation in the Critically Ill Patient

…AF may be pre existing, newly detected for the first time, or newly developed during management of an acute illness. The clinical relationship between AF…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…the specific context of perioperative care in patients with pulmonary arterial hypertension (PAH), progression of right heart failure may indicate the need for inodilator therapy…

Hypertension: Initial Combination Therapy and Drug Selection

…from a more individualized selection strategy. When to Initiate Pharmacological Treatment Lifestyle intervention is an essential component of care. In adults with elevated blood pressure…

Casting and immobilisation

…over a joint. Pain relief and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal radiograph. Contraindications An…

Wound suturing

Procedurer The result of a repair is determined before the first needle goes in. A wound that has not been irrigated clean, has not been…

Secondary Hypertension: When and How to Investigate

…a greater likelihood of cure. When to investigate General indications Patients with suggestive signs, symptoms, or medical histories should undergo appropriate screening for secondary hypertension…

Central venous catheter

…for several simultaneous, incompatible infusions. Haemodialysis, plasmapheresis or other extracorporeal therapy (requires a large bore dialysis catheter, not an ordinary triple lumen catheter). Measurement of…

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