…in parallel with drug treatment and transport planning [1,5]. Symptom duration Under 12 hours: reperfusion is indicated in persisting STEMI. 12 to 48 hours…

…The local stroke protocol and immediate contact with the on call stroke consultant or the thrombectomy centre take precedence where there is a discrepancy or…

…to the table above. 9. Check that the whole lesion, including the margin, has turned white. Contact technique with a cryoprobe gives a deeper and…

…Corticosteroids and other immunosuppressive treatments can blunt the febrile response. A neutropenic patient with a suspected infection and organ dysfunction must therefore be managed as…

…secondary prevention 8 Contact the endoscopist and the consultant on call early. In cirrhosis or suspected variceal bleeding, also contact a gastroenterologist with hepatology expertise…

…benefit of both methods falls steeply with the time since ingestion, and both can harm the patient through aspiration. Contact your national or regional poison…

…reduced eye contact Common and particularly easy to miss. May be misinterpreted as fatigue, depression or dementia Mixed Alternates between hypoactivity and hyperactivity Common on…

…discuss with the on call coagulation service Always in parallel: mechanical control of bleeding, tranexamic acid where it is not contraindicated, and contact with the…

…air and speeds resorption. Other conditions in which high flow oxygen is given irrespective of the saturation according to international guidelines are decompression sickness and…

…of failure to capture is insufficient stimulus energy. Modern pacemakers have built in functions to calibrate the stimulus amplitude and width according to myocardial excitability…