…so because the patient tenses up with pain, or because the operator pulls harder rather than more slowly. The neurovascular status must be documented before…

…1. Check the indication and contraindications, attach ECG monitoring and insert a venous cannula. 2. Document the baseline status of the chosen finding — measurement, photograph…

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

…mode no shock at all is then delivered while the patient deteriorates. Indications Emergency, irrespective of duration and anticoagulation status: Tachyarrhythmia with haemodynamic compromise: hypotension…

…cardiovascular risk varies considerably according to age and the presence of concomitant risk factors. In contrast, patients with confirmed hypertension generally require BP lowering treatment…

…the recovery of consciousness. Urgent EEG if the patient does not wake or if ongoing electrographic seizure activity is suspected Benzodiazepines are the established first…

…and more heat production — a risk of burns Document the distal neurovascular status before casting : sensation, motor function, pulses and capillary refill. Check the skin…

…if the diary states when the patient fell asleep and got up. Holter ECG and longer rhythm monitoring Indications Palpitations, presyncope or syncope of suspected…

…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…

…a patient at risk of rapid deterioration. Intraosseous access: Cardiac arrest where venous access is not immediately available. Shock, severe trauma, burns or status epilepticus…