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Sepsis and septic shock: quick reference for the first hour

…exposure and the risk of resistant organisms 0 to 60 min Empirical intravenous antibiotics in septic shock or in certain or highly likely sepsis 0…

Management of bradycardia (bradyarrhythmia)

…are the strongest predictors of adverse outcomes. Non acute or asymptomatic bradycardia Non acute bradycardia is a common finding in both healthy and diseased individuals…

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

…Phase 0 : Indicates the beginning of the next inspiration. Normal ETCO 2 : 38 mmHg (5 kPa) or 5%. Monitoring ETCO 2 aids in: Assessing ventilation…

Endotracheal intubation

…despite maximal oxygen or non invasive ventilation. Inadequate ventilation with a rising pCO₂ and respiratory acidosis, or a markedly increased work of breathing with impending…

Status epilepticus: quick reference for emergency treatment

…monitoring, intravenous or intraosseous access, a targeted history At 5 minutes A full, adequate dose of a benzodiazepine About 10 minutes Repeat the benzodiazepine once…

Pericardiocentesis

…and where no liver, lung or vessel lies in the path of the needle. Access Puncture site Direction Comment : : : : Subxiphoid 1–2 cm below and…

Poisoning: quick reference for antidotes and initial management

…the expected course and the possibility of rapid reversal with an antidote. Intubation is recommended for neurological, respiratory or haemodynamic failure that cannot be corrected…

Arrhythmias before and during cardiac arrest

CPR Cardiac arrest is a result of tachyarrhythmia, bradyarrhythmia or asystole. The tachyarrhythmias include ventricular fibrillation (VF) and pulseless ventricular tachycardia (VT). The bradyarrhythmias include…

Alcohol withdrawal and delirium tremens: quick reference

…preferably before or at the same time as carbohydrate administration. 3. Rapid identification of seizures, delirium tremens, infection, trauma and metabolic disturbance. 4. Monitoring at…

Acute Pulmonary Embolism: Risk Stratification and Reperfusion

…extent of circulatory compromise. Features associated with an unfavourable short term prognosis include: Tachycardia Low systolic blood pressure Respiratory insufficiency, manifested by tachypnoea and/or…

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