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Chest Pain in the Emergency Department: Diagnostic Pathways

…disorders may mimic myocardial ischaemia, including severe oesophageal spasm and acid reflux. Clinical Presentation and Symptoms Characterising the presenting symptom The symptom should be classified…

Obesity and Cardiovascular Disease: Assessment and Treatment

…diabetes, dyslipidaemia and systemic inflammation. It is also associated with respiratory disorders, notably obstructive sleep apnoea (OSA) and obesity hypoventilation syndrome, which further increase cardiovascular…

Cardiac arrest due to electrolyte imbalance

…Addison's disease, renal insufficiency, therapeutic interventions with tamoxifen or lithium, thiazide administration, and over supplementation of calcium and vitamin D. ECG in hypercalcemia Typical…

Pulmonary Hypertension: Classification and Treatment Principles

…distinct and uncommon form of precapillary PH. It is defined haemodynamically by precapillary PH in the absence of CTEPH, lung disease, or another explanatory cause…

Alcohol withdrawal and delirium tremens: quick reference

…at the appropriate level of care , with readiness for respiratory support. 5. Treatment of the alcohol use disorder and planned follow up , not merely detoxification…

Blood gas interpretation: quick reference for acid-base disorders

…principle Interpret the blood gas in the same order every time. Skipping a step is a common reason why mixed acid base disorders are missed…

Hyponatraemia: quick reference for work-up and correction

…a disorder of water balance. The plasma sodium reflects the ratio between the body's exchangeable sodium and potassium and the total body water. In…

Sinus arrhythmia (respiratory sinus arrhythmia)

…is warranted. Figure 1. Sinus arrhythmia (respiratory sinus arrhythmia). Treatment of sinus arrhythmia Sinus arrhythmia is a normal finding among young and healthy individuals. It…

Capnography (end-tidal carbon dioxide measurement, ETCO2) during cardiac arrest

…end tidal carbon dioxide, ETCO2) Capnography refers to the measurement of end tidal carbon dioxide (ETCO 2 ) in the respiratory system. ETCO 2 is the…

Cardiac arrest due to hypoxia and asphyxia

…Respiratory conditions : Tension pneumothorax Drowning Airway obstruction Hanging Pneumonia High altitude sickness Aspiration Chronic obstructive pulmonary disease (COPD) Bronchospasm (asthma) Other : Coma Central hypoventilation syndromes…

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