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Atrial fibrillation: quick reference for emergency management

…is high or the time of onset uncertain, choose the more cautious course. Anticoagulation Assess the risk with CHA₂DS₂ VA (the sex category has been…

Cryotherapy of skin lesions

…skin: a risk of permanent hypopigmentation. Areas with poor circulation, above all the lower leg in a patient with peripheral arterial disease or diabetes — the…

Warfarin therapy

…a potential interaction, and that there is a ready made plan for what happens when the INR runs away or the patient bleeds. In Sweden…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…the documentation is insufficient; check more frequently. Warfarin is often preferable <15 or dialysis DOACs are not recommended. Warfarin after individual assessment Rule of thumb…

Atrial Fibrillation in the Critically Ill Patient

…risk of stroke and other thromboembolic events. Subclinical cerebral injury may contribute to vascular dementia, and thromboembolism may affect organs other than the brain. Patients…

Exercise stress testing in special patient populations

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

Gastric lavage and activated charcoal

…coagulopathy, recent oesophageal or gastric surgery Gastric lavage Seizures or an unstable patient — stabilise first The induction of vomiting has no place in the modern…

Targeted temperature management after cardiac arrest

…and caution Active fever prevention has in practice no absolute contraindications. With active cooling to hypothermia , caution applies in: Ongoing uncontrolled bleeding or marked coagulopathy…

Inpatient insulin therapy: quick reference

…Document what has been changed, who is following it up and when. Sources American Diabetes Association, Standards of Care in Diabetes: diabetes care in the…

Acute severe asthma in adults: quick reference

…speech, work of breathing, level of consciousness and air entry repeatedly. 9. Measure PEF or FEV1 if the patient can manage it without delaying treatment…

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