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Electrical cardioversion

…documents have tightened the threshold to 24 hours for patients with risk factors; cardioversion between 24 and 48 hours without ongoing anticoagulation is then reserved…

Hyponatraemia: quick reference for work-up and correction

…main clinical rule Two questions determine the initial management: 1. Does the patient have severe neurological symptoms that may be due to the hyponatraemia? 2…

Cardiac arrest in hypothermia (accidental hypothermia)

…the patient's coldness can mimic post mortem conditions. Therefore, a meticulous assessment of vital signs is crucial. Exceptionally high survival rates have been documented…

Blood transfusion and massive haemorrhage

…stable patient. Transfusion given solely to reach a laboratory value without a clinical question. A patient who declines blood transfusion. The decision must be documented…

Reduction of dislocations

…neurovascular status must be documented before and after every attempt at reduction — otherwise it is impossible to determine afterwards whether a nerve injury was caused…

Left Main Coronary Artery Disease: Revascularisation Strategy

…are not restricted to patients with symptoms. Current guidance supports revascularisation for significant left main stenosis irrespective of symptomatic status or the documented ischaemic burden…

Chest Pain in the Emergency Department: Diagnostic Pathways

…remains consequential, and historically 2–6% of patients discharged with presumed non ischaemic chest pain were subsequently found to have had an infarction. Pathophysiological Considerations…

Cardiovascular Risk in Inflammatory and Autoimmune Disease

…and APS. Some patient groups have a two to three fold greater prevalence of asymptomatic atherosclerotic cardiovascular disease (ASCVD) than the general population. The evidence…

Stroke Prevention in Atrial Fibrillation: Choosing Anticoagulation

…prior stroke, bleeding tendency or previous bleeding, labile international normalized ratio (INR), older age, drugs predisposing to bleeding and alcohol use. A high bleeding risk…

Deceased donor organ donation

…the next of kin no longer have a right of veto based on their own view . Their role is to convey what the deceased person…

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