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Sepsis and septic shock: quick reference for the first hour

…min Clinical assessment of the focus; check previous culture results, antibiotics, allergies, renal function, health care exposure and the risk of resistant organisms 0 to…

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

…Capnography refers to the measurement of end tidal carbon dioxide (ETCO 2 ) in the respiratory system. ETCO 2 is the partial pressure of carbon dioxide …

Spirometry

…Relative — avoid forced manoeuvres An ongoing respiratory infection with a risk of transmission Until symptom free Haemoptysis of unclear cause Until investigated Relative obstacles also…

Acute severe asthma in adults: quick reference

…and dynamic hyperinflation. The consequences are increased work of breathing, exhaustion and, in the most severe cases, hypotension, pneumothorax and respiratory arrest [1]. The first…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…resolved. Capillary measurement of beta hydroxybutyrate has high diagnostic accuracy [2]. A venous blood gas is generally sufficient for the assessment of pH and bicarbonate…

Edrophonium test

…obstructive airways disease — relative; the risk of bronchospasm is real. Hypotension and haemodynamic instability. Respiratory compromise during an ongoing crisis. Distinguish the conditions instead by…

Hyponatraemia: quick reference for work-up and correction

…7. Start a fluid balance chart and hourly urine measurement. Sudden polyuria is a warning sign of impending overcorrection. Grading Hyponatraemia is defined as a…

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…

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…

Coronary CT Angiography and CAD-RADS Reporting

…permits delineation of the coronary lumen. Coronary imaging is technically demanding because the vessels are small and are subject to both cardiac and respiratory motion…

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