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Paracentesis

…commonest error in paracentesis is not performing it. Every patient admitted with ascites should undergo a diagnostic paracentesis , because spontaneous bacterial peritonitis often lacks abdominal…

High-Sensitivity Troponin: 0/1-Hour Rule-In and Rule-Out Algorithms

…Definite ACS In patients with ST segment elevation, immediate reperfusion assessment is required. Patients with NSTE ACS should be admitted for management of acute ischaemia…

Atrial Fibrillation in the Critically Ill Patient

…In the critically ill patient, AF may be pre existing, newly detected for the first time, or newly developed during management of an acute illness…

Exercise stress testing in special patient populations

…acute myocardial infarction in order to assess the presence of myocardial ischemia, evaluate angina pectoris, evaluate exercise performance, evaluate the effect of interventions and medications…

Poisoning: quick reference for antidotes and initial management

…what was expected. The poison control centre is the authoritative local source for the current indication, dosing, sampling and duration of treatment. International guidelines must…

Pulmonary embolism: quick reference for risk stratification and treatment

…Clinical probability in the stable patient The Wells criteria for pulmonary embolism: Criterion Points : : Clinical signs of deep vein thrombosis 3 Pulmonary embolism is the…

Atrial fibrillation: quick reference for emergency management

…not 48. The 2024 ESC guidelines and several Swedish clinical knowledge resources have tightened the former 48 hour rule for patients with risk factors. Check…

Neutropenic fever: quick reference for emergency management

…whether the patient has sepsis, septic shock, or a need for high dependency or intensive care 3 Take at least two sets of blood cultures…

Transcutaneous and transvenous pacing

…can keep a patient alive until a transvenous lead is in place — but only if it is working, and the commonest source of error is…

Acute severe asthma in adults: quick reference

…Do not wait for the blood gas result before starting treatment. Clinical assessment History that affects the level of risk Ask briefly and to the…

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