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Poisoning: quick reference for antidotes and initial management

…salicylate poisoning, intubation with an inadequate minute ventilation can rapidly worsen the acidaemia and increase the entry of salicylate into the central nervous system. Discuss…

Urinary alkalinisation

…serum concentration. Alkalinisation increases renal elimination several fold and at the same time reduces the passage of salicylate into the central nervous system. Contact your…

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

…measurements provide only a limited representation of usual blood pressure and may be biased by the clinical environment. Out of office measurement is consequently central…

Central venous catheter

…dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure and central venous oxygen saturation. Repeated blood sampling during intensive care. Exhausted…

Heart Failure With Preserved Ejection Fraction: Diagnosis and Treatment

…greater burden of cardiovascular and non cardiovascular comorbidity than patients with reduced EF. Pathophysiology Abnormal ventricular relaxation and increased filling pressures The central hemodynamic abnormality…

Posterior Myocardial Infarction: Diagnosis on the Standard ECG

…and high risk features of acute coronary syndrome. The physical examination should include: Assessment of all major peripheral pulses. Blood pressure measurement in both arms…

Arterial line

…vasopressor treatment, when the radial trace may underestimate central pressure. The dorsalis pedis artery works but often shows more pronounced pulse pressure amplification. The brachial…

Targeted temperature management after cardiac arrest

…null The current ERC and ESICM recommendation is continuous core temperature measurement and the active prevention of fever — defined as a temperature above about 37…

Resistant Hypertension: Evaluation and Treatment

…increase blood pressure; or An undiagnosed secondary cause of hypertension. White coat hypertension must be excluded with out of office measurements. Objective assessment of adherence…

Sepsis and septic shock: quick reference for the first hour

…work of breathing, a new oxygen requirement, a saturation below 93 per cent on air, or a falling PaO2 Circulation A systolic blood pressure of…

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