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Hyperkalaemia: quick reference for emergency treatment

…the patient last passed urine. Contact intensive care in circulatory compromise, serious arrhythmia, marked QRS widening, a sine wave pattern, or a need for repeated…

Acute stroke and thrombolysis: quick reference

…properly selected patients. Tenecteplase 0.25 mg/kg is a safe and effective alternative to alteplase and is simpler to administer, since the whole dose…

Hyponatraemia: quick reference for work-up and correction

…how acute the condition is. A patient with a chronic plasma sodium of 112 mmol/L may be relatively unaffected, while a rapid fall from…

Short and long-term prognostication in cardiac arrest

…in cardiac arrest is highly dependent on the initial rhythm (first recorded rhythm). The initial rhythm is a marker of several crucial events and factors…

Central venous catheter

…on the healthy side, since a pneumothorax there would be poorly tolerated. A patient who cannot lie flat or cannot cooperate — consider sedation, a different…

Gastric lavage and activated charcoal

…it rarely alters the course and adds a risk of aspiration. Repeated doses of charcoal are given in serious poisoning with agents that undergo enterohepatic…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…elevation but are non ischaemic mimics rather than MINOCA when identified as the final diagnosis. Reported prevalence varies according to the population and diagnostic criteria…

Takotsubo cardiomyopathy (broken heart syndrome, stress induced cardiomyopathy)

…patients referred to PCI with a suspicion of STE ACS/STEMI, actually have takotsubo. Previous studies reported that 98 out of 100 cases had full…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…that of never smokers for a prolonged period. In heavy smokers, cardiovascular risk falls within five years of stopping but may remain elevated thereafter. The…

Blood pressure

…on a single reading. It requires repeated measurements on at least two occasions, and preferably confirmation by home measurement or 24 hour recording — the thresholds…

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