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Neutropenic fever: quick reference for emergency management

…at least one hour Neutropenia A neutrophil count below 0.5 × 10⁹/L, or below 1.0 × 10⁹/L with an expected fall to below…

Atrial fibrillation: quick reference for emergency management

…Impaired consciousness. Synchronised cardioversion under sedation, at an energy level according to the local protocol. An anticoagulant is given as soon as possible, but must…

The Best Clinical ECG Book: ECG Made Easy or Complete?

…tests, and versatile study tools. From basic cardiac physiology to the nuanced strategies of evidence based management, this book and course have been meticulously crafted…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…sarcoidosis Other cardiac procedures Chemotherapeutic agents Catheter ablation Critical illness Defibrillator shocks Strenuous exercise Cardiac contusion The diagnosis should therefore distinguish isolated myocardial injury from…

Pericardiocentesis

…periphery Almost always Pulsus paradoxus above 10 mmHg A fall in systolic blood pressure during inspiration; one of the most useful signs Low voltage on…

Acute Coronary Syndrome: Definitions and Initial Triage

…recent MI. Myocardial injury is separate from MI. It refers to cardiac troponin release that does not fulfil the criteria for ischaemic myocardial infarction. It…

Acute kidney injury: quick reference for management

…for dialysis? AKI occurs in about one fifth of adults during a hospital episode in international studies and is linked to substantial mortality, even though…

Oxygen therapy

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

Bone marrow aspiration and biopsy

Procedurer Aspirate and biopsy answer different questions and do not replace one another: the aspirate shows cellular morphology and provides material for flow cytometry and…

Chronic Kidney Disease as a Cardiovascular Risk Factor

…hypertension, CKD and CVD reinforce one another. Dysfunctional adipose tissue contributes to inflammatory and metabolic abnormalities, while CKD promotes vascular and myocardial disease through direct…

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