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Acute Limb Ischaemia: Recognition and Urgent Management

…symptoms should be documented carefully. Longer standing and more severe pain or functional loss reduce the likelihood of successful limb salvage. Evaluation and physical examination…

Leg ulcers — wound debridement and compression therapy

…ulcers; everything else is supportive. But the same compression applied to a limb with arterial insufficiency can cause necrosis and, in the worst case, amputation…

Casting and immobilisation

…or after suturing over a joint. Pain relief and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal…

Ankle-brachial index (ABI)

…rest pain in the foot or leg, or a non healing distal ulcer. Before compression treatment of a leg ulcer — compression in arterial insufficiency can…

Reduction of dislocations

…an obvious recurrent dislocation in a patient with known instability and a low energy mechanism, and a neurovascularly threatened limb in which reduction cannot wait…

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

…provoke symptoms. Intermittent claudication Intermittent claudication is exertional discomfort in a limb muscle that improves with rest. The symptom may be described as pain, aching…

Management of bradycardia (bradyarrhythmia)

…Blood pressure ECG monitoring D Disability AVPU: Alert Voice responsive Pain responsive Unresponsive Limb movements Pupillary light reflexes Blood glucose E Exposure Identify signs of…

Immediate Management of Type A and Type B Aortic Dissection

…material does not provide a detailed symptom to anatomy correlation. Pain may be absent, particularly in iatrogenic aortic injury. Iatrogenic lesions commonly follow cardiac surgery…

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…

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