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Acute coronary syndrome: quick reference for loading doses and time targets

…unstable angina. Management begins in parallel with the diagnostic work up. Obtain an interpretable 12 lead ECG within 10 minutes of first medical contact, attach…

Neutropenic fever: quick reference for emergency management

…imaging, the blood count or contact with the patient's own clinic delay empirical antibiotics [1]. A practical target: give the first dose of broad…

Oxygen therapy

Procedurer Oxygen is a drug and must be prescribed as one: with an indication, a route of administration and a target range for the saturation…

Urinary alkalinisation

…is disputed and practice differs between units. Poisoning with other weak acids where the poison control centre recommends it, for example certain phenoxy acid herbicides…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…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…

Assessment of Pacemaker Malfunction

…etc. Most cases of malfunction are associated with the electronics in the pulse generator or dislodgement or fracture of the leads. External causes are less…

Acute stroke and thrombolysis: quick reference

…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…

Cryotherapy of skin lesions

…has turned white. Contact technique with a cryoprobe gives a deeper and more controlled freeze on flat surfaces; spray technique is better on irregular surfaces…

Delirium in older adults: quick reference

…than baseline. Contact relatives, home care services, the residential care home or the previous care provider. 5. Confirm delirium with a structured instrument , for example…

Upper gastrointestinal bleeding: quick reference

…with inadequate protective reflexes active major haematemesis severe agitation respiratory failure an anticipated difficult or prolonged endoscopic intervention a need for general anaesthesia for other…

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