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Reduction of dislocations

…the elbow is flexed to 90 degrees. The forearm is moved very slowly outwards in the horizontal plane , with pauses each time the patient tenses…

Opioids in acute pain: quick reference for dosing and conversion

…opioid at the same time. Opioids in abdominal pain of unclear cause do not delay the diagnosis and should be given, but document the examination…

Chest Pain in the Emergency Department: Diagnostic Pathways

…with presumed non ischaemic chest pain were subsequently found to have had an infarction. Pathophysiological Considerations The central pathophysiological concern in the emergency department is…

Opioid therapy in severe pain

…small adjustments impossible. Procedure Intravenous titration in acute severe pain Practical points during titration: Give the injection slowly over at least a minute; a rapid…

Clinical application of ECG in chest pain & acute myocardial infarction

ECG Myocardial ischemia and infarction Use of ECG in acute coronary syndromes & chest pain patients An ECG must be performed on all patients seeking medical…

Drugs in the emergency setting

…therapy and Opioid therapy in severe pain. Cardiac arrest Drug Adult Child : : : Adrenaline 1 mg IV/IO every 3–5 min. In asystole and PEA…

Differential Diagnosis of Chest Pain: A Clinical Overview

…diagnosis, as the syndrome associated with ischemic heart disease is broader than chest pain itself, encompassing symptoms like tightness, pressure, and discomfort in the chest…

Pre-test Probability and Selection of Non-invasive Testing in Stable Angina

…is generally preferred to exclude obstructive CAD. Intermediate or high probability: above 15% in the chest pain pathway. Either CCTA or functional imaging is appropriate…

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

…The table below shows a systematic history taking in patients presenting with chest pain (chest discomfort) or other symptoms suggestive of the five conditions listed…

Exercise stress testing in special patient populations

ECG Exercise stress test Exercise stress testing in patients with previous acute coronary syndromes (myocardial infarction), women, elderly and revascularized individuals Clinicians should be familiar…

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