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Capnography (end-tidal carbon dioxide measurement, ETCO2) during cardiac arrest

…beginning of the next inspiration. Normal ETCO 2 : 38 mmHg (5 kPa) or 5%. Monitoring ETCO 2 aids in: Assessing ventilation quality. Determining ventilation rate…

Acute severe asthma in adults: quick reference

…reduced consciousness or marked stillness Respiratory rate Under 25 per minute At least 25 per minute A falling rate, bradypnoea or apnoea Pulse Under 110…

Sepsis and septic shock: quick reference for the first hour

…A respiratory rate of at least 22/min, increased work of breathing, a new oxygen requirement, a saturation below 93 per cent on air, or…

Poisoning: quick reference for antidotes and initial management

…needed. Intubate for a threatened airway, a marked risk of aspiration, or failure that is not rapidly reversed by an antidote B Respiratory rate, saturation…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…gas is needed mainly when concomitant respiratory failure or an exact assessment of oxygenation requires it [3]. Calculation of osmolality Use the same formula throughout…

Coronary CT Angiography and CAD-RADS Reporting

…for diagnosing CAD in stable patients with: Low clinical likelihood or no previous diagnosis of CAD Characteristics suggesting that good quality imaging is achievable It…

Spirometry

…or an intracranial aneurysm Contact the responsible specialist An aortic aneurysm 6 cm Relative — avoid forced manoeuvres An ongoing respiratory infection with a risk of…

Edrophonium test

…of the chosen finding — measurement, photograph or video. 3. Give atropine 0.5 mg intravenously (alternatively glycopyrronium 0.2 mg) to reduce the risk of…

Hyponatraemia: quick reference for work-up and correction

…level of consciousness Coma Marked drowsiness, for example a Glasgow Coma Scale below 8 Vomiting together with clear neurological impairment Respiratory failure or respiratory arrest…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…specific 99th percentile upper reference limit. It is classified as acute when serial measurements demonstrate a rise and/or fall. A stable elevation indicates chronic…

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