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Leg ulcers — wound debridement and compression therapy

…ongoing compression therapy, and always in the event of new or increasing pain. Preparation and equipment Doppler for the ankle brachial index, blood pressure cuff…

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

…of the foot and toes. Pain that is worse at night or when the limb is horizontal. Improvement when the leg is placed in a…

Ankle-brachial index (ABI)

…disease and at the same time indicates a substantially increased risk of myocardial infarction and stroke. Indications Intermittent claudication, rest pain in the foot or…

Approach to patients with chest pain: differential diagnoses, management & ECG

…symptoms in clinical practice and it is fundamental to be able to differentiate benign from serious etiologies. Therefore, when encountering a patient with chest pain…

Hypertensive crisis: quick reference for acute blood pressure lowering

…and an unstable course, an arterial line should be considered. The blood pressure must not be dismissed as caused merely by pain or anxiety. These…

Abscess incision and drainage

…fasciitis — pain that is disproportionately severe, a rapid course, skin discolouration, systemic upset — is an acute surgical emergency, not an abscess. Preparation and equipment No…

Anaphylaxis: quick reference for emergency management

…but not in itself anaphylaxis. The patient must nonetheless be observed, since the reaction can progress. Practical grading There are several grading systems, and no…

Opioids in acute pain: quick reference for dosing and conversion

…per day. Patches have no place in acute, unstable pain: the onset takes 12 to 24 hours and the offset just as long. Breakthrough dose…

Chest Pain in the Emergency Department: Diagnostic Pathways

…pain is a broad clinical syndrome rather than a narrowly defined symptom. It includes pain, pressure, tightness, heaviness, burning, or discomfort in the chest and…

Opioid therapy in severe pain

…titration in acute severe pain Practical points during titration: Give the injection slowly over at least a minute; a rapid injection causes nausea and a…

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