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Atrial Fibrillation in the Critically Ill Patient

Arrhythmias and arrhythmology Critical care Definition and pathophysiology Atrial fibrillation (AF) is the most frequent supraventricular arrhythmia in patients with acute coronary syndromes (ACS) and…

Ambulatory blood pressure monitoring and Holter ECG

…lymphoedema or a dialysis fistula in both arms, an arm circumference too large for the available cuffs, and in a patient who does not tolerate…

Poisoning: quick reference for antidotes and initial management

…acidaemia and increase the entry of salicylate into the central nervous system. Discuss the case early with the poison control centre and with anaesthesia or…

Alcohol withdrawal and delirium tremens: quick reference

…varies between regions and units. Follow the local protocol for choice of drug, dosing, route of administration and criteria for intermediate care or intensive care…

Casting and immobilisation

…or while swelling is progressing. Take care in impaired sensation (neuropathy, spinal cord injury) — the patient does not feel the pressure sore. Preparation and equipment…

🟠 Inotropes and Vasopressors

…vasopressor and inotropic effects (Figure 1). Below follows a drug manual for use in the CCU (coronary care unit), ICU (intensive care unit) or ER…

Inotropes and Vasopressors: Doses, indications, contraindications and effects

…vasopressor and inotropic effects (Figure 1). Below follows a drug manual for use in the CCU (coronary care unit), ICU (intensive care unit) or ER…

Blood transfusion and massive haemorrhage

…can form after transfusion or pregnancy. Check the validity before ordering blood ; an expired type and screen discovered when the patient is already bleeding costs…

Pulmonary embolism: quick reference for risk stratification and treatment

…or warfarin Subsegmental pulmonary embolism without deep vein thrombosis An individual assessment; in selected cases the patient can be observed without anticoagulation Red flags and…

STEMI: Fibrinolysis, Indications, Contraindications and Rescue PCI

…intensive care facilities, and, where available, cardiothoracic and advanced haemodynamic support services. When fibrinolysis is indicated Fibrinolysis is indicated when: STEMI is diagnosed or strongly…

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