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Atrial Fibrillation in the Critically Ill Patient

…of stroke. In patients with acute decompensated heart failure, AF with rapid ventricular response is particularly important. Cardioversion is generally not immediately indicated if the…

Exercise stress testing in special patient populations

…as estimating the extent of ischemia. After revascularization procedures, stress testing is utilized to assess whether there is any residual ischemia or angina pectoris. Patients…

Poisoning: quick reference for antidotes and initial management

Akutsjukvård Lathundar Basic principle Manage the patient, not the list of poisons. Stabilisation according to ABCDE, the plasma glucose, a blood gas and an ECG…

Pulmonary embolism: quick reference for risk stratification and treatment

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

Atrial fibrillation: quick reference for emergency management

…anticoagulant? The unstable patient Immediate electrical cardioversion, without delay, in any of the following: A systolic blood pressure < 90 mmHg caused by the arrhythmia…

Neutropenic fever: quick reference for emergency management

…Lathundar Key message Fever in a neutropenic patient is an emergency. Infection can progress rapidly, while the typical local signs of inflammation may be faint…

Paracentesis

…on the sample. Indications Diagnostic paracentesis: Newly detected ascites — always. Every admission of a patient with known ascites. Clinical deterioration in a cirrhotic patient with…

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

…work of breathing, exhaustion and, in the most severe cases, hypotension, pneumothorax and respiratory arrest [1]. The first few minutes 1. Sit the patient up…

Hyponatraemia: quick reference for work-up and correction

…gait instability The specificity of the symptoms is limited. In a patient with moderate symptoms the physician must judge the likelihood that the symptoms really…

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