…is an emergency. Infection can progress rapidly, while the typical local signs of inflammation may be faint or absent. Take cultures immediately, but never let…

…minute At least 110 per minute Bradycardia or arrhythmia PEF Over 50 percent of personal best or predicted 33 to 50 percent Under 33 percent…

…showing severe hypercholesterolaemia. A personal history of premature CAD, cerebral vascular disease or peripheral vascular disease. A family history of premature myocardial infarction, vascular disease…

…body mass index Asian ancestry Previous muscle disease or a personal or family history of muscle disorders Acute infection Renal or hepatic impairment Hypothyroidism Vitamin…

…It requires a fasting history, two people, full monitoring and airway preparedness With procedural sedation, one person must manage the sedation and another the reduction…

…possible donor and the deceased person's own wishes are properly established. Two things determine the outcome — that the confirmation of death is carried out…

…population screening test. It may also be considered in selected lower risk individuals with a family history of premature coronary artery disease. CAC findings incidentally…

…compression. The reason compression nevertheless so often fails is that it is done wrongly: the patient pinches the nasal bone instead of the soft part…

…of hemodynamic parameters. Hence, heart rate and blood pressure must also be noted. In summary, the following variables should be included in the survey: personal…

…SYNTAX Score is a semi quantitative scoring system designed to assess the complexity of coronary artery disease (CAD) and guide the choice between percutaneous coronary…

…and tendon sheaths, loss of function Orthopaedic or hand surgeon, urgently Perianal and perirectal Often larger than it appears; risk of fistula Surgeon, often operative…

…a large change in TSH. During acute illness the TSH can be falsely low or high in the absence of thyroid disease; repeat it once…

…SCORE2 and SCORE2 Older Persons (SCORE2 OP) are European risk prediction models designed to estimate 10 year risk of both fatal and non fatal CVD…

…Approximately 10% of individuals aged 80 years and above have atrial fibrillation, whereas the arrhythmia is unusual among persons younger than 50 years of age…

…common pathological tachyarrhythmia. Only atrial fibrillation is more common. Atrial flutter occurs almost exclusively among persons with significant heart disease, predominantly ischemic heart disease. However…

Arrhythmias and arrhythmology ECG Chronotropic incompetence: inability to adequately increase heart rate Chronotropic incompetence is an independent predictor of overall and cardiovascular mortality. The condition…

…of Care in Diabetes: diabetes care in the hospital. Endocrine Society clinical practice guideline on the management of hyperglycaemia in hospitalised adults. The summary of…

…cardiac arrest when the person ventilating is not experienced in intubation. Planned anaesthesia for short procedures in a fasted patient at low risk of aspiration…

…pressure. A value of around 0.9 to 1.0 or higher in an adult trauma patient suggests significant hypovolaemia and an increased transfusion requirement…

…If a person with ECG signs of SND is symptomatic, the condition is classified as sick sinus syndrome (SSS) . Causes of tachycardia (tachyarrhythmia) with narrow…

…Fewer than half of patients with PAD have typical symptoms. Many have impaired walking or a slow gait without describing classic claudication. In older adults…

…For adults, the principal preventive target is: 150–300 minutes per week of moderate intensity aerobic activity; or 75–150 minutes per week of vigorous…

…Intervention BLS or ACLS NNT to save 1 person Reference Early detection of cardiac arrest BLS 11 Berdowski et al Bystander CPR BLS 15 Hasselqvist…

…Intervention Included in BLS NNT to save 1 person Reference Early detection of cardiac arrest Yes 11 Berdowski et al Bystander CPR Yes 15 Hasselqvist…

…al ). The incidence of treated cardiac arrests outside hospitals (OHCA) is about 70 cases per 100,000 person years in Europe ( EuReCA One, Benjamin et…

…If a person with ECG signs of SND is symptomatic, the condition is classified as sick sinus syndrome (SSS) . Causes of tachycardia (tachyarrhythmia) with narrow…

…have been discussed in the chapter The ECG Leads. Acquisition of ECGs in pediatric patients is slightly different from adults, due to obvious anatomical differences…

…ventricular filling). Persons with premature beats might perceive this as palpitations, because of the stronger ventricular contractions caused by the increased filling. Frequent premature beats…

…ventricular filling). The person with premature beats might perceive this as palpitations, because of the stronger ventricular contractions caused by the increased filling. Ventricular premature…

…The person may have some circulation despite circulatory collapse (e.g., with sustained ventricular tachycardia). Experimental and clinical understanding of hypoxic neuronal cell death stems…

Arrhythmias and arrhythmology ECG Definition of sinus arrhythmia (respiratory sinus arrhythmia) Sinus arrhythmia and respiratory sinus arrhythmia both refer to the same phenomenon. Sinus arrhythmia…

…aphasia, hemianopia or hand paresis in a person of working age Blood pressure Measure initially in both arms if this does not delay reperfusion treatment…

…Resolution of the symptoms when the glucose is normalised [3]. A healthy person without diabetes therefore does not normally need investigation on the basis of…

…performed, fibrinolytic therapy is recommended within 12 h of symptom onset in patients without contraindications. I A In the absence of ST segment elevation, primary…

…Loss of confidence in resuming normal activity Difficulty returning to work or recreational exercise Frailty or loss of muscle mass, particularly in older adults Patients…

…However, left bundle branch block morphology is more common (regardless of heart rate) among persons with heart disease. Alternating block (right and left bundle branch…

…referred to as high sensitive cardiac troponin, may actually detect the presence of troponins in most normal persons. In 2017 it was possible to detect…

…RATING LEVEL OF EXERTION COMMENT 6 No exertion at all 7 7.5 Extremely light exertion 8 9 Very light exertion For a healthy person…

…rS complexes. Causes of left anterior fascicular block (LAFB) LAFB may occur in persons who are otherwise healthy. The majority of those with LAFB, however…

…and ECG changes. Although the risk of cardiac arrest is very small, personnel must be well trained in resuscitation. Subject preparations The procedure must be…

…the wall of the artery. Such atherosclerotic plaques start building up early in childhood and by middle age, most persons have some degree of atherosclerosis…

…form of ischemia located in the subendocardium during exercise; this manifests with ST segment depressions with upsloping ST segment during exercise but the person is…

…for adequate (high) dosing of rate controlling drugs (e.g beta blockers) without the risk of worsening the bradycardia. Persons with sick sinus syndrome should…

…STEMI The diagnosis is straightforward using the electrocardiogram (ECG). Prehospital personnel have proven to be capable of recognizing STEMI using 12 lead ECG. The sensitivity…

…1. Thus, the greatest opportunities exist in the first few minutes, which is within the reach of bystanders, first responders and the EMS. Unfortunately, several…

…an unexpected death due to cardiac causes that occur within 1 hour of symptom onset. The person may or may not have known cardiac disease…