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Sepsis and septic shock: quick reference for the first hour

…the immunosuppressed and patients with renal or hepatic failure can have subtle symptoms. Findings that suggest acute organ dysfunction Organ or system Finding : : CNS New…

Blood pressure

…repeated measurements on at least two occasions, and preferably confirmation by home measurement or 24 hour recording — the thresholds for which are lower than for…

Heart Failure with Preserved Ejection Fraction (HFpEF)

…Hemodynamically, the gold standard definition of HFpEF relies on the demonstration of spontaneous or provokable elevated left ventricular (LV) filling pressures, defined invasively as a…

Otoscopy and ear syringing

…1. Confirm that the tympanic membrane is intact if it can be seen at all, and ask specifically about a previous perforation or grommets. 2…

Renal parameters

…where a fractional excretion of urea below 35 % is a better alternative. Follow up At an eGFR below 60, or in the presence of albuminuria…

Inpatient insulin therapy: quick reference

…Hypoglycaemia on the ward is more dangerous than moderate hyperglycaemia over a few days. Principles Insulin component Function Who needs it : : : Basal insulin (intermediate or…

Early repolarization pattern on ECG (early repolarization syndrome)

…the early repolarization pattern and sudden cardiac arrest due to idiopathic ventricular fibrillation. The combination of early repolarization pattern on ECG and ventricular fibrillation or…

The physiology of cardiopulmonary resuscitation (CPR)

…in the ROC PRIMED trial. These patients were enrolled in a randomized trial that evaluated the efficacy of a CPR adjunct and also recorded the…

Left bundle branch block (LBBB) in acute myocardial infarction: the Sgarbossa criteria

…branch block in myocardial ischemia and infarction A summary of the issues that arise when facing a patient with left bundle branch block (LBBB) and…

CME: How dietary fat affects coronary arteries, LDL cholesterol and body weight

…related to coronary artery disease and I will emphasize on issues that are typically raised by patients. The controversy: How media and bloggers questioned LDL…

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