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Acute stroke and thrombolysis: quick reference

…local stroke protocol and immediate contact with the on call stroke consultant or the thrombectomy centre take precedence where there is a discrepancy or uncertainty…

Spirometry

…equipment Equipment: a calibrated spirometer with a daily volume check (a 3 litre calibration syringe), a disposable mouthpiece with a bacterial filter, a nose clip…

Atrial fibrillation: quick reference for emergency management

…Cardioversion without preceding anticoagulation is reserved for CHA₂DS₂ VA 0–1 48 hours or unknown duration An anticoagulant for at least 3 weeks before cardioversion…

Laryngeal mask and difficult airway

…wall. Glottic or subglottic obstruction — the mask sits above the obstruction and solves nothing. A mouth opening below about 2 cm. Extensive pharyngeal pathology: tumour…

Endotracheal intubation

…a small chin, tumour, an irradiated neck E valuate 3 3 2 3 fingerbreadths of mouth opening, 3 fingerbreadths from chin to hyoid, 2 fingerbreadths…

Foreign body in the ear and nose

…actively look for another , in the other nostril, in the ears and in the mouth. Nose 1. Ask the patient to blow the nose gently…

Nasogastric tube

…CSF rhinorrhoea or CSF otorrhoea. Where this is suspected, the tube is passed through the mouth (orogastrically), never through the nose. Preparation and equipment A…

Neutropenic fever: quick reference for emergency management

…suspected focus, but avoid sampling that delays antibiotics 6 Take a targeted history and examine the patient, with particular attention to the mouth, throat, skin…

Status epilepticus: quick reference for emergency treatment

…not restrain the limbs and do not put anything in the mouth. Suction the mouth as needed and place the patient in the recovery position…

Targeted temperature management after cardiac arrest

…outcome TTM2 (2021) 33 °C versus normothermia with active fever prevention (intervention at ≥ 37.8 °C) No difference in 6 month mortality or functional outcome…

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