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Targeted temperature management after cardiac arrest

…to 33 °C has not been shown to improve survival or the neurological outcome compared with keeping the patient normothermic — but fever after cardiac arrest…

Hyponatraemia: quick reference for work-up and correction

…for example a Glasgow Coma Scale below 8 Vomiting together with clear neurological impairment Respiratory failure or respiratory arrest Clinical signs of raised intracranial pressure…

Dix–Hallpike test and Epley manoeuvre

…A symptom free interval between attacks, with possible residual unsteadiness. No hearing loss, tinnitus or neurological deficits. In horizontal positional vertigo (lateral semicircular canal) the…

Hypoglycaemia: quick reference for emergency management

…Measure the plasma glucose immediately in everyone with a reduced level of consciousness, seizures, confusion, a change in behaviour, collapse or an acute neurological deficit…

Acute vertigo: quick reference for HINTS and differential diagnosis

…Clear focal neurological findings are absent in roughly half of patients with a central cause. A normal routine neurological examination is therefore not sufficient to…

Deceased donor organ donation

…two pathways DBD DCD : : : Full name Donation after death by neurological criteria (total brain infarction) Donation after circulatory death Starting point A ventilated patient who…

Intensive care parameters

…Acid–base and electrolytes in intensive care Neurological monitoring Parameter Target Comment : : : Intracranial pressure (ICP) < 22 mmHg The treatment threshold in traumatic brain injury…

Lumbar puncture

…before lumbar puncture in suspected bacterial meningitis — not even with a reduced level of consciousness, focal neurological signs or seizures — because the delay costs more…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…to transient ischaemic attack (TIA) or stroke. The risk associated with asymptomatic disease depends substantially on stenosis severity and plaque characteristics. In the general population…

Anticoagulation Strategies in Atrial Fibrillation

…thrombin generation. The clinical consequence of this triad is severe: cardioembolic strokes associated with AF are typically larger, present with more severe neurological deficits, and…

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