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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

…primary care first. If ischaemic discomfort persists, emergency medical services should be called. Patients who have been prescribed sublingual nitroglycerin should be instructed in its…

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…

Atrial Fibrillation in the Critically Ill Patient

…changes Thromboembolic complications, particularly stroke In ACS, AF may be present before the acute event, detected for the first time during its management, or arise…

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…

Hypertension: Initial Combination Therapy and Drug Selection

…individualized selection strategy. When to Initiate Pharmacological Treatment Lifestyle intervention is an essential component of care. In adults with elevated blood pressure, nonpharmacological management should…

Casting and immobilisation

…Take care in impaired sensation (neuropathy, spinal cord injury) — the patient does not feel the pressure sore. Preparation and equipment Material Comment : : Stockinette Innermost against…

Wound suturing

…first needle goes in. A wound that has not been irrigated clean, has not been inspected to its depth, and has not been assessed for…

Secondary Hypertension: When and How to Investigate

…should undergo a structured assessment and be referred to a specialized centre because the work up may require expertise and technologies unavailable in primary care…

Central venous catheter

…intensive care. Exhausted peripheral venous access during prolonged intravenous therapy. The need for central access is not in itself an indication for emergency insertion in…

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