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Pulmonary embolism: quick reference for risk stratification and treatment

…embolism, a persisting risk factor, or recurrence. Special situations Situation Comment : : Pregnancy Leg ultrasound first. CT pulmonary angiography or lung scintigraphy according to local procedure…

Empirical antibiotic therapy: quick reference for common infections

…IV plus 1.5 g for the first dose, then 1 g × 1 IV Clostridioides difficile, primary infection, low risk of recurrence vancomycin 125 mg …

Poisoning: quick reference for antidotes and initial management

…for health care professionals. Contact the centre early in serious, unusual or unclear poisoning, with modified release preparations, mixed poisoning, pregnancy, children, a need for…

Ambulatory blood pressure monitoring and Holter ECG

…a month Thumb ECG or event recorder, 2–4 weeks Less often, with syncope Implantable loop recorder Contraindications None. Practical obstacles are skin disease or…

Diabetic ketoacidosis and hyperosmolar hyperglycaemic state: quick reference

…protocols. Children, pregnant women and patients with advanced renal failure, marked heart failure or circulatory shock require a specific protocol and early specialist involvement. DKA…

Blood transfusion and massive haemorrhage

…bore peripheral cannula — at least 1.3 mm (green) for rapid transfusion, preferably two lines in a bleeding patient. A transfusion set with a filter…

Warfarin therapy

…cost, adherence, pregnancy after the first trimester under specialist care). Rheumatic mitral stenosis with atrial fibrillation. In uncomplicated atrial fibrillation and in ordinary venous thromboembolism…

Hypertensive crisis: drugs and doses

…the mean arterial pressure by no more than about 20 to 25 per cent during the first hour. 2. Thereafter, if the patient is stable…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

…the specific context of perioperative care in patients with pulmonary arterial hypertension (PAH), progression of right heart failure may indicate the need for inodilator therapy…

Neutropenic fever: quick reference for emergency management

…chiefly to adults with neutropenia related to cancer treatment. Children, pregnant women, patients after allogeneic stem cell transplantation and patients treated with CAR T cells…

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