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Capnography (end-tidal carbon dioxide measurement, ETCO2) during cardiac arrest

…refers to the measurement of end tidal carbon dioxide (ETCO 2 ) in the respiratory system. ETCO 2 is the partial pressure of carbon dioxide (CO…

Poisoning: quick reference for antidotes and initial management

…salicylate poisoning, intubation with an inadequate minute ventilation can rapidly worsen the acidaemia and increase the entry of salicylate into the central nervous system. Discuss…

Sepsis and septic shock: quick reference for the first hour

…suggest acute organ dysfunction Organ or system Finding : : CNS New confusion, disorientation, agitation, drowsiness or a reduced GCS Respiration A respiratory rate of at least…

Management of bradycardia (bradyarrhythmia)

…Management of acute bradycardia in the emergency setting. Parameter Assessment A Airway Voice Breath sounds B Breathing Respiratory rate (12–20 / min) Chest wall movements…

Acute exacerbation of COPD: quick reference

…impaired ventilation–perfusion matching, increased physiological dead space and the Haldane effect. It is therefore misleading to explain the whole phenomenon as abolition of the…

Type 2 Myocardial Infarction: Mechanisms and Management

…myocardial perfusion include fixed coronary atherosclerosis without plaque rupture, coronary artery spasm, coronary microvascular dysfunction (encompassing endothelial dysfunction, smooth muscle cell dysfunction, and dysregulation of…

Upper gastrointestinal bleeding: quick reference

…Give small boluses, for example 250 to 500 mL, with immediate reassessment of the blood pressure, pulse, peripheral perfusion, mental state and chest findings. Avoid

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…Examples Acute coronary atherothrombosis Plaque disruption or erosion with thrombosis Reduced myocardial perfusion Coronary spasm, microvascular dysfunction, coronary embolism, coronary dissection, hypotension, shock, respiratory failure…

Pleural aspiration and chest drain

…Choose a point with at least 15 mm depth of fluid throughout the respiratory cycle and where the lung does not come up against the…

Interpretation of myocardial perfusion images (Myocardial SPECT / PET)

Cardiology Interpreting myocardial perfusion SPECT images involves a systematic comparison of rest and stress images to assess myocardial ischemia and infarction. The key steps in…

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