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Transcutaneous and transvenous pacing

…when every pacing spike is followed by a wide QRS complex and a pulse that can be felt. The other predictable error is forgetting that…

Gastric lavage and activated charcoal

…serious poisonings in which the patient reaches hospital early. The benefit of both methods falls steeply with the time since ingestion, and both can harm…

Urinary alkalinisation

…is disputed and practice differs between units. Poisoning with other weak acids where the poison control centre recommends it, for example certain phenoxy acid herbicides…

Liver parameters

…upper limit of normal: paracetamol poisoning, ischaemic hepatitis ("shock liver") or acute viral hepatitis. The three are distinguished by the history and the speed of…

Delirium in older adults: quick reference

…syndrome and a clinical diagnosis, often described as acute brain failure. It is precipitated by somatic illness, drugs, poisoning, withdrawal, surgery or several concurrent factors…

Hyponatraemia: quick reference for work-up and correction

…breathing and circulation. 2. Assess the neurological symptoms and at the same time exclude other acute causes, for example hypoglycaemia, poisoning, stroke, meningitis and a…

Oxygen therapy

…resorption. Other conditions in which high flow oxygen is given irrespective of the saturation according to international guidelines are decompression sickness and sickle cell crisis…

Poisoning: quick reference for antidotes and initial management

…International guidelines must be adapted to the antidotes, analytical methods and treatment protocols that are available where you practise. Initial management of all poisonings ABCDE…

Cardiac arrest in intoxication (poisoning)

CPR Poisoning and drug toxicity In adolescents and young adults, intoxication events leading to cardiac arrest are notably prevalent, primarily due to the misuse of…

Nasogastric tube

…direct instillation into the lung. No tube may be used before its position has been verified by an approved method, and auscultation is not such…

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