…normally need investigation on the basis of an isolated, asymptomatic low sensor reading alone. Symptoms Autonomic symptoms Early warning symptoms are due to sympathetic activation…

…Repeat on the other arm. 2. Ankle pressure. Place the cuff just above the malleoli, with its lower edge about 2 cm above the tip…

…A documented decision on the ceiling of care. Signs of a serious condition Finding Significance : : Inability to speak in full sentences Marked work of breathing…

…and the incidence is particularly high after hip fracture, major surgery and intensive care [1,2]. The condition is associated with falls, aspiration, pressure sores…

…about to stop breathing. Diminishing wheeze means improvement only if air entry, speech, work of breathing, level of consciousness and PEF improve at the same…

…or below 1.0 × 10⁹/L with an expected fall to below 0.5 × 10⁹/L within 48 hours Profound neutropenia A neutrophil count below…

…pericardiocentesis is at best a bridge to it. A small (under 10 mm), loculated or purely posterior effusion with no safe route for puncture — surgical…

…clinical tool developed to assess the risk of major bleeding in patients with atrial fibrillation (AF) on anticoagulation therapy. Its purpose is to guide clinicians…

…premature ventricular contractions When every other beat on the ECG is a premature ventricular complex (PVC), the rhythm is referred to as PVC in bigeminy…

…has had time to adapt. Hypotension and muffled heart sounds are important when present but are relatively insensitive findings. Some patients with subacute tamponade may…