…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…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…

…bleeding risk. These strategies are intended primarily to reduce bleeding rather than to replace the default 12 month regimen in the general ACS population. Clinical…

…with greater ST elevation in aVR had higher crude in hospital and 6 month mortality (up to 18% at 6 months for 1 mm elevation…

…to Figure 1 . Figure 1. Cross sectional view of ventricular wall thickness in children (<1 month old) and adults. Because the left ventricle, in adults…

…24 hour Holter A few times per week 48–72 hour Holter or 7 day recording About once a month Thumb ECG or event recorder…

…0–1 month 1–3 months 3–6 months 6–12 months 1–3 years 3–5 years 5–8 years 8–12 years 12…

…Davignon et al is preferred for patients aged <1 month. 0–1 month 1–3 months 3–6 months 6–12 months 1–3 years…

…comparative evidence between prasugrel and ticagrelor is conflicting. A 12 month regimen remains the default for most patients with ACS, including those with NSTE ACS…

…ECG). The fetal circulation During the fetal period and the first month of life the right ventricle is larger than the left ventricle. This is…

…third degree AV block (not caused by medications) Stroke within 1 month Preparations for exercise stress testing The laboratory and personnel Exercise stress testing may…

…Davignon et al is preferred for patients aged <1 month. 0–1 month 1–3 months 3–6 months 6–12 months 1–3 years…