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Nail procedures — paronychia, ingrown toenail and subungual haematoma

…follow without a picture, and several of the steps below refer to structures that are not visible when looking at the nail. The nail plate…

Right Ventricular Infarction: Recognition and Haemodynamic Management

…inferior left ventricular infarction. At least minor right ventricular necrosis is found in approximately one third of patients with inferior infarction. Extensive involvement is less…

🟠 Left and right atrium

Reference values for atrial size and volume Women Men Normal range Mildly abnormal Moderately abnormal Severely abnormal Normal range Mildly abnormal Moderately abnormal Severely abnormal…

Complications of Coronary Angiography and Vascular Access Management

…Radial access has also been associated with lower overall major adverse cardiac events and mortality in pooled analyses of randomized trials. Femoral access remains appropri

De-escalation and Shortened Dual Antiplatelet Therapy in Patients at High Bleeding Risk

…presence of at least one major criterion or two minor criteria. The source material does not provide the individual ARC HBR criteria. Modification of antiplatelet…

🟠 Prasugrel (Effient, Efient, Prasita)

…risk of major and minor bleeding, as classified by the TIMI system (Thrombolysis in Myocardial Infarction). Prasugrel should only be considered for patients at increased…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…troponin with at least one value above the 99th percentile upper reference limit; and Clinical evidence of acute myocardial ischaemia. At least one of the…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…the vein atrial and the atrio ventricular connections, the relationship between the ventricles, the ventriculo arterial connection and the relationship of the great arteries (segmental…

Traumatic cardiac arrest

…Nonetheless, prompt interventions can reverse cardiac arrest and survivors of traumatic cardiac arrest often exhibit favorable neurological outcomes ( Rawshani et al ). Traumatic cardiac arrests typically…

Opioids in acute pain: quick reference for dosing and conversion

…combination, or reduce both Red flags and pitfalls A respiratory rate < 8/min, or an increasing level of sedation , are signs of overdose. Sedation…

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