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Urinary alkalinisation

…at the same time reduces the passage of salicylate into the central nervous system. Contact your national or regional poison control centre for advice on…

Poisoning: quick reference for antidotes and initial management

…increase the entry of salicylate into the central nervous system. Discuss the case early with the poison control centre and with anaesthesia or intensive care…

Arterial Hypertension: Definition, Diagnosis and Out-of-Office Measurement

…office measurement is consequently central to diagnosis and long term management. Clinical presentation and symptoms The source material does not describe the typical symptoms or…

Central venous catheter

…plasmapheresis or other extracorporeal therapy (requires a large bore dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure and central venous…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…variable and echocardiographic measurement has meaningful variability. Patients with LVEF 40% have substantial morbidity and mortality, despite often having a greater burden of cardiovascular and…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…pulses. Blood pressure measurement in both arms. Cardiac auscultation. Pulmonary auscultation. Evaluation for heart failure. Assessment for circulatory compromise, haemodynamic instability, or electrical instability. Posterior…

Arterial line

…loss or large volume shifts. Patients in whom non invasive measurement is unreliable: marked obesity, pronounced vasoconstriction, arrhythmia, intra aortic balloon pump. Assessment of stroke…

Targeted temperature management after cardiac arrest

…contractility of hypothermia are not tolerated. A decision to withhold further life sustaining treatment. Preparation and equipment Continuous core temperature measurement. An oesophageal probe or…

Resistant Hypertension: Evaluation and Treatment

… or An undiagnosed secondary cause of hypertension. White coat hypertension must be excluded with out of office measurements. Objective assessment of adherence may be undertaken…

Sepsis and septic shock: quick reference for the first hour

…lactate, two sets of blood cultures, and a culture from the likely focus 0 to 15 min Ringer's acetate for hypotension or hypoperfusion, usually…

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