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Cardiac arrest due to electrolyte imbalance

…reflexes. Severe <115 mmol/L Seizures, coma, respiratory arrest, brainstem herniation and death. Table 2. Grading of hyponatremia. Hypernatremia Hypernatremia does not cause cardiac arrest…

Acute exacerbation of COPD: quick reference

…Akutsjukvård Lathundar Key messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and the…

Clinical application of ECG in chest pain & acute myocardial infarction

…myocardial ischemia. Other symptoms include dyspnea, pain radiating to the left arm/shoulder/throat, palpitations, back pain and selected cases of upper abdominal pain. An…

Peripheral Artery Disease: Diagnosis, Ankle–Brachial Index and Risk Management

…or arteries supplying the limbs. In adults over 40 years of age, atherosclerosis is the predominant cause. Other mechanisms include thrombosis, embolism, vasculitis, fibromuscular dysplasia…

Anthropometric measurements

…Ratios and other measurements Measurement Calculation Threshold : : : Waist–hip ratio Waist / hip Men 0.90, women 0.85 = abdominal obesity Waist–height ratio Waist…

Bone marrow aspiration and biopsy

…Previous pelvic irradiation on the intended side (yields fibrotic, unrepresentative marrow — choose the other side). A patient who cannot lie still — plan for sedation rather…

Carotid Artery Disease: Screening, Medical Therapy and Revascularisation

…peripheral artery disease (PAD), and other manifestations of systemic atherosclerosis. The principal clinical concern is cerebral embolism or haemodynamic compromise leading to transient ischaemic attack…

Neutropenic fever: quick reference for emergency management

…abdominal pain or a rapid deterioration in general condition may be the only signs of infection. Corticosteroids and other immunosuppressive treatments can blunt the febrile…

Immediate Management of Type A and Type B Aortic Dissection

…diagnosis is delayed. The typical presentation is sudden onset, severe chest, back or abdominal pain. Pain may be described as ripping, tearing, sharp or stabbing…

Other ECG changes in ischemia and infarction

…of ischemia (but the sensitivity is low). U wave changes always accompany other ischemic ST T changes. They may occur in both NSTEMI and STEMI…

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