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Opioids in acute pain: quick reference for dosing and conversion

…failure, heart failure, a history of peptic ulcer, and old age Titrate according to the effect and the respiratory rate, not to a schedule. Always…

Blood Pressure Targets in Older and Frail Adults

…widening pulse pressure are common in later life. These changes contribute to the complexity of defining an appropriate treatment target, particularly when a lower DBP…

Cardiovascular Risk in Women: Sex-Specific Factors

Cardiology Clinical medicine Definition and pathophysiology Cardiovascular disease (CVD) is the leading cause of death among women worldwide and in the United States. In the…

Atrial fibrillation: quick reference for emergency management

…without delay, in any of the following: A systolic blood pressure < 90 mmHg caused by the arrhythmia. Ongoing myocardial ischaemia with chest pain and…

Skin biopsy — punch, shave and excision

…report. A shave biopsy of a pigmented lesion that turns out to be a melanoma can make the Breslow thickness unmeasurable and staging therefore impossible…

Introduction to pediatric & neonatal ECG interpretation

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

QT duration & corrected QT (QTc) duration: ECG features & implications

…calculator → Normal values for QTc interval Bazett's formula is several decades old and has been questioned because it performs poorly at low (<50…

ECG in left ventricular hypertrophy (LVH): criteria and implications

…LVH) and right ventricular hypertrophy (RVH). The electrical vector of the left ventricle is enhanced in LVH, which results in large R waves in left…

Introduction to pediatric & neonatal ECG interpretation

…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…

Ventricular fibrillation, pulseless electrical activity and sudden cardiac arrest

…ECG Case 1: Ventricular tachycardia progressing to ventricular fibrillation Below are sequential ECG recordings during a sudden cardiac arrest in a 43 year old male…

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