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Status epilepticus: quick reference for emergency treatment

…convulsive activity, t2, the risk of permanent neuronal injury increases. Treatment must therefore start at 5 minutes and be escalated without unnecessary pauses [1]. The…

Short and long-term prognostication in cardiac arrest

…Neurons are exceptionally vulnerable to hypoxia and anoxia ( Casas et al ). In cardiac arrest without chest compressions (i.e. if cerebral perfusion ceases), irreversible neuronal…

Edrophonium test

…responds to further cholinesterase inhibition. The test has a sensitivity of around 60 % and is not specific: motor neurone disease, myopathies and Lambert–Eaton syndrome…

ACE Inhibitor Cough and Angioedema: Practical Management

…P. When ACE is inhibited, the resulting accumulation of these peptides irritates afferent neural pathways in the respiratory tract. This process is not dose dependent…

Primary Aldosteronism: Screening and Management

…cells, macrophages, neurons and other tissues. This distribution helps explain why PA produces cardiovascular injury beyond its effects on blood pressure and potassium balance. The…

Cardiac arrest due to electrolyte imbalance

…previously known as central pontine myelinolysis. Excessively rapid correction of sodium can result in catastrophic demyelination of pontine neurons. Acute Hyponatremia (<48 hours duration): Rapid…

Assessment of the pupillary reflex in cardiac arrest

…Reflex in Cardiac Arrest The pupillary light reflex is controlled by a simple neural circuit: light signals travel from the retina via the optic nerve…

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