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Spirometry

…aside time, coach actively, and do not accept a trace you would not be prepared to show a colleague. Indications Investigation of chronic cough, dyspnoea…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…total osmolality but not in the effective osmolality, because urea crosses cell membranes relatively freely and therefore does not produce the same sustained shift of…

Hyponatraemia: quick reference for work-up and correction

…The bolus can be repeated, usually up to a total of three boluses, if severe symptoms persist and the initial rise is insufficient [3,6…

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 …

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…

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…

Sepsis and septic shock: quick reference for the first hour

…disorientation, agitation, drowsiness or a reduced GCS Respiration A respiratory rate of at least 22/min, increased work of breathing, a new oxygen requirement, 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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