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Cardiac arrest due to hypoxia and asphyxia

…by insufficient ventilation, leading to hypoxia. Etiologies of hypoxic cardiac arrest : Trauma and injuries : Direct trauma can cause airway injuries, resulting in obstruction. Central nervous…

Capnography (end-tidal carbon dioxide measurement, ETCO2) during cardiac arrest

…various factors such as the cause of cardiac arrest, compression efficacy, ventilation depth and frequency, and adrenaline administration. Therefore, it is advised to use ETCO2…

Classification of Acute Coronary Syndromes (ACS) & Acute Myocardial Infarction (AMI)

…without significant ST segment elevations on ECG. NSTE ACS is caused by partial occlusion of the artery (i.e. coronary blood flow is not completely…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…with a subungual haematoma — manage it as an open fracture. The anatomy of the nail apparatus The terminology is hard to follow without a picture…

Statin Intolerance and Statin-Associated Muscle Symptoms

…into: Complete intolerance: inability to tolerate any dose of any statin. Partial intolerance: inability to tolerate the dose required to achieve the patient’s LDL…

NSTEMI (Non-ST Elevation Myocardial Infarction) & Unstable Angina: Diagnosis, Criteria, ECG, Management

…flow and thus more extensive myocardial ischemia (referred to as transmural ischemia). Yet, the pain caused by NSTEMI and unstable angina is considerable and most…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…reduction as in the table above for rivaroxaban and edoxaban. Check every 6 months 15 30 Dabigatran contraindicated. The other DOACs are possible according to…

Urinary catheterisation

…only 3–5 cm and almost straight, but the meatus can be hard to find in older women. Two things separate the safe catheterisation from…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…failure. Cardiogenic shock. Complete transection of a papillary muscle may cause immediately overwhelming MR. Partial rupture, often involving the tip or head of the muscle…

Assessment of the pupillary reflex in cardiac arrest

…such as termination of cardiopulmonary resuscitation, is limited. Pupillary light reflex (PLR) The pupillary light reflex (PLR) – the constriction of the pupils in response to…

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