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Abdominal Aortic Aneurysm: Screening and Surveillance

…complications and rupture. Aneurysmal sacs may contain mural thrombus, which can contribute to peripheral embolization and may reduce the apparent luminal diameter on contrast aortography…

Exercise stress test (exercise ECG): protocols, evaluation & termination

…min according to the equations above, it may actually be anywhere between 140 and 180 beats per minute. Patients with significant heart disease (known or…

Isoprenaline and Dopamine Infusions for Bradycardia

…and hyperkalemia. When bradycardia occurs in the context of inflammatory heart disease, it often reflects myocardial pathology that may also reduce myocardial contractility and cause…

Causes of sudden cardiac arrest

…Table 1. Classification of causes of cardiac arrest according to the Utstein protocol. Figure 1. Data from the Swedish Cardiopulmonary Resuscitation Registry (SCRR), showing presumed…

Principles and Preparations for Echocardiographic Examinations

…propelled by breakthroughs in engineering, software development, and progress in our understanding of the pathophysiology of cardiac disease. Ultrasound systems have become cheaper, more portable…

Central venous catheter

…differ between regions and departments — follow local protocol. Severe lung disease or a contralateral pneumothorax: avoid the subclavian and jugular routes on the healthy side…

Alcohol withdrawal and delirium tremens: quick reference

…circulation and underlying disease are monitored [3]. The management of complicated withdrawal varies between regions and units. Follow the local protocol for choice of drug…

Atrial fibrillation: quick reference for emergency management

…ischaemia with chest pain and ECG changes. Acute pulmonary oedema. Impaired consciousness. Synchronised cardioversion under sedation, at an energy level according to the local protocol…

Blood transfusion and massive haemorrhage

…and the serological crossmatch have a limited period of validity — usually about five days — because new antibodies can form after transfusion or pregnancy. Check the…

Corticosteroids: quick reference for dose equivalents and stress dosing

…long period, according to the local protocol Psychiatric symptoms Sleep disturbance, hypomania, confusion. Commonest early on and at high doses Muscle weakness Steroid myopathy, with…

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