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Casting and immobilisation

…An unstable fracture requiring operative fixation. A circumferential cast in a fresh injury, before surgery, or while swelling is progressing. Take care in impaired sensation…

Central venous catheter

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

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

…longer serial intervals. Clinical Presentation and Initial Clinical Context Chest pain or discomfort is the most common symptom initiating evaluation for ACS. Features that increase…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

…Accounting for 60 70% of ACS presentations, plaque rupture typically occurs in thin cap fibroatheromas (TCFAs). These vulnerable plaques possess a massive necrotic lipid core…

Vulnerable Plaque and Mechanisms of Acute Coronary Occlusion

…activation and coagulation, with formation of an intraluminal thrombus. The clinical spectrum includes unstable angina, non ST segment elevation myocardial infarction (NSTEMI), and ST segment…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…pattern in every case; it may represent the posterior component of a broader infarct territory. Clinical Presentation and Symptoms The source material addresses posterior infarction…

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

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

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

Arrhythmias and arrhythmology Critical care Definition and pathophysiology Atrial fibrillation (AF) is the most frequent supraventricular arrhythmia in patients with acute coronary syndromes (ACS) and…

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