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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…

ACE Inhibitor Cough and Angioedema: Practical Management

…to chronic neuropathic pain. This syndrome presents with a dry or minimally productive cough and a tickle or sensitivity in the throat, and is made…

Neutropenic fever: quick reference for emergency management

…abdominal pain or a rapid deterioration in general condition may be the only signs of infection. Corticosteroids and other immunosuppressive treatments can blunt the febrile…

Anaphylaxis: quick reference for emergency management

…adrenaline and initial fluid treatment Adrenaline infusion and advanced resuscitation in a monitored setting The grade can change within minutes. Treat the current physiological threat…

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…

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

…chest pain itself, encompassing symptoms like tightness, pressure, and discomfort in the chest, arms, neck, jaw, upper back, and abdomen, as well as dyspnea and…

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

…the chest pain pathway. Testing is optional and may be selected according to clinical judgement. Low to moderate probability: greater than 5% to 50% in…

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