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Blood transfusion and massive haemorrhage

…in ongoing bleeding with coagulopathy, or as part of balanced transfusion in massive haemorrhage. Transfusion thresholds in the stable, non bleeding patient Patient category Transfusion…

A new ECG biomarker for sudden cardiac death

…those who did, only a minority had a reduced value — the majority of sudden cardiac deaths occur in patients with preserved LVEF, for whom no…

Pericardiocentesis

…spinal needle or the needle from a pericardiocentesis set), 10 mL and 20 mL syringes, a three way tap. A Seldinger set with a guidewire…

Electrical cardioversion

…then reserved for patients with a CHA₂DS₂ VA score of 0–1. Check what applies in your own region. Duration above the threshold or unknown:…

Left Main Coronary Artery Disease: Revascularisation Strategy

…Haemodynamic or electrical instability in advanced or acute presentations Left main disease may be clinically silent, and revascularisation recommendations are not restricted to patients with…

Atrial fibrillation: quick reference for emergency management

…patients with risk factors. Check what applies in your own region. The time limit is not a guarantee. Where the stroke risk is high or…

Cardiac arrest during sepsis

…and can guide resuscitative efforts. If the patient presents with hypotension or has a lactate level exceeding 4 mmol/l, commence an intravenous fluid resuscitation…

Extracorporeal cardiopulmonary resuscitation (ECPR)

…for chest compressions. ECMO is considered in individuals who can survive with satisfactory quality of life if the circulation is temporarily supported by ECMO. Furthermore…

Sepsis and septic shock: quick reference for the first hour

…electronic alert replaces clinical judgement [5]. Recognising sepsis Suspected or confirmed infection together with new organ dysfunction must raise the suspicion of sepsis. The patient…

Transcutaneous and transvenous pacing

…Asystole with no electrical activity at all — pacing has no documented benefit there. Transcutaneous pacing: burns or wounds in the area where the pads would…

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