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Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…with bipolar electrocautery performed away from the device and with monopolar electrocautery below the umbilicus. Nevertheless, perioperative planning should be individualized according to the patient…

Interpretation of ECG after ROSC (Return of Spontaneous Circulation)

…PCI. The COACT, PEARL and TOMAHAWK trials studied patients with ROSC who did not display ST segment elevations and randomized them to urgent angiography. These…

Gynaecological examination and cervical smear

…reason to refrain from investigating postmenopausal bleeding or a visible cervical lesion. Contraindications There are no absolute contraindications, but refrain or adapt in: The patient…

Care after return of spontaneous circulation (ROSC)

…of patients will not survive post resuscitation care. Among those who survive to hospitalization, 50 65% die within 24 hours ( Soar et al ). The causes…

Resistant Hypertension: Evaluation and Treatment

…treatment and who therefore require assessment for pseudo resistance, secondary hypertension, treatment related contributors, and excess cardiovascular risk. The European definition requires failure to reduce…

Antibiotic dosing in renal impairment: quick reference

…to 1.73 m². Recalculate in patients who are markedly larger or smaller than average. Higher doses may be required in the critically ill patient…

🟠 HAS-BLED Score Calculator

…it serves as a tool to identify patients who may require more careful monitoring and management of modifiable risk factors. The HAS BLED score has…

Atrial Fibrillation in the Critically Ill Patient

…cerebral injury may contribute to vascular dementia, and thromboembolism may affect organs other than the brain. Patients with AF in the setting of ACS have…

Lipid-Lowering Therapy: Statins as First-Line Treatment

…the recommended goal is: LDL C <1.4 mmol/L (<55 mg/dL); and A reduction of at least 50% from baseline. In patients who…

Digoxin - ECG changes, arrhythmias, conduction defects & treatment

…digoxin has been ousted repeatedly from the standard of care for these conditions. However, digoxin is still used in patients who do not achieve satisfactory…

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