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Peripheral venous cannula and intraosseous access

…long for thick soft tissue and for the head of the humerus. A pressure bag or a 50 mL syringe with a three way tap…

Intensive care parameters

…heparin unless contraindicated Head of the bed 30–45° Stress ulcer prophylaxis During mechanical ventilation, in coagulopathy, or with a history of gastrointestinal bleeding Refeeding…

Cardiac arrest in hyperthermia and malignant hyperthermia

…Heat stroke ( 40°C) Neurological symptoms, confusion, convulsion, tachycardia, hypotension, coma. As above but with lower temperatures. Electrolyte replacement. Large infusions of fluids are typically needed…

Cardiac amyloidosis

…or those undergoing aortic valve replacement [1, 5, 10]. A history of increasing frequency of hospitalizations and visits for heart failure without disease recognition in…

Short Synacthen test

…the morning, preferably starting between 08:00 and 09:00 , with the patient fasting or having had a light breakfast according to local practice. Let…

Urinary alkalinisation

…control centre for advice on the treatment threshold and on whether haemodialysis should be considered. Rhabdomyolysis with marked elevation of CK and threatened kidney injury…

Corticosteroids: quick reference for dose equivalents and stress dosing

…afternoon and evening. See the quick reference on inpatient insulin therapy Peptic ulcer A proton pump inhibitor with concomitant NSAID use or a history of…

Adenosine for tachyarrhythmias (AVNRT, AVRT, NCT)

…Contraindications Asthma and COPD. Adenosine has caused mild to moderate exacerbation of asthma symptoms. Adenosine should be used with caution in patients with obstructive lung…

Diuretic Strategy and Decongestion in Heart Failure

…therapy Increase diuretic dose and/or combine diuretic classes Diuretic resistance or end stage renal failure Consider renal replacement therapy Hypoperfusion with persistent organ injury…

Acute kidney injury: quick reference for management

…Definition and staging according to KDIGO Acute kidney injury is present when at least one of the following criteria is met [1]: A rise in…

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