…aged 1–10 years is unknown: estimate it as (age in years + 4) × 2 kg , but use a length based tool if one is available…

…serious condition Finding Significance : : Inability to speak in full sentences Marked work of breathing Use of accessory respiratory muscles or paradoxical abdominal breathing Impending muscle…

…a fixed dose is given without assessment, when a modified release preparation is started in an opioid naive patient, or when a conversion between drugs…

…switching between opioids, cross tolerance is incomplete: reduce the calculated equianalgesic dose by 25–50 per cent and titrate. At a high dose, in old…

CPR Poisoning and drug toxicity In adolescents and young adults, intoxication events leading to cardiac arrest are notably prevalent, primarily due to the misuse of…

…saturation, chest movement and a blood gas. Ventilate by mask in opioid induced respiratory depression while naloxone is prepared C Pulse, blood pressure, peripheral perfusion…

…opioid, titrated, preferably with an antiemetic Nitrous oxide Rapid onset and offset; the patient cooperates Intra articular local anaesthesia Lidocaine into the glenohumeral joint in…

…and sedation: an opioid (morphine or fentanyl) combined with a benzodiazepine (midazolam or diazepam) is the commonest combination; propofol is used in units with airway…

…anticholinergics, opioids and salicylate — where gastric emptying is delayed — may justify charcoal later, in some cases up to 6 hours or more. Discuss this with…

…opioids. IIa C Anxiety Tranquillizer (e.g benzodiazepine) is considered. IIa C Cardiac arrest Management Recommendation Level of evidence Urgent angiography is indicated in patients…