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Cardiac tamponade causing cardiac arrest

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

Sepsis and septic shock: quick reference for the first hour

…not have fever, leucocytosis or a positive culture. Older people, the immunosuppressed and patients with renal or hepatic failure can have subtle symptoms. Findings that…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…of congenital heart disease in the general population, such that most clinicians will regularly encounter patients with CHD. Approximately 95% of all incident cases of…

Paracentesis

…The patient lies supine, preferably with slight rotation towards the left side so that the fluid collects in the left flank. Have the patient empty…

Epistaxis — compression, cautery and anterior nasal packing

…the patient first. Marked septal deviation towards the bleeding side (relative). Preparation and equipment Personal protective equipment (gloves, a visor, an apron), suction with a…

Otoscopy and ear syringing

…procedure, or over a few days at home for a hard plug. Have the patient lie with the ear uppermost for 5 minutes after instillation…

Complications of Coronary Angiography and Vascular Access Management

…preferred for coronary angiography and PCI because it is associated with fewer vascular and bleeding complications than femoral access. In patients with acute coronary syndrome…

Urinary catheterisation

…Voiding problems in neurogenic bladder dysfunction, in the first instance with clean intermittent self catheterisation rather than an indwelling catheter. A catheter is not, however…

Ventricular Tachycardia

…from a predominantly pharmacological strategy to one that heavily integrates early catheter ablation and sophisticated device therapy [1] [2] . This exhaustive review provides a comprehensive…

Invasive Coronary Angiography: Indications and Vascular Access

…coronary pressure assessment is recommended in patients with a very high clinical likelihood of obstructive CAD, defined in the source material as greater than 85%…

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