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Delirium in older adults: quick reference

…several non pharmacological measures at the same time, and use drugs only in severe agitation or marked distress. Delirium is an acute neuropsychiatric syndrome and…

🟠 Clonidine

…Simultaneous use of tricyclic antidepressants reduces the effect of clonidine. • Clonidine increases the CNS depressive effects of alcohol and sedatives. Clonidine doses and administration in…

Acute vertigo: quick reference for HINTS and differential diagnosis

…antiepileptic drugs, alcohol or sedatives Trauma and medication directed workup This corresponds to the principles of TiTrATE, in which Timing, Triggers And Targeted Examination guide…

Atrial fibrillation: quick reference for emergency management

…under sedation, at an energy level according to the local protocol. An anticoagulant is given as soon as possible, but must not delay cardioversion in…

Bone marrow aspiration and biopsy

…into the mediastinum. The anterior superior iliac spine is a second line alternative in marked obesity or when the supine position is necessary. After previous…

Electrical cardioversion

…patient Awake or sedated — requires sedation Unconscious In polymorphic VT, sync must be switched off. The defibrillator finds no stable R wave, and in sync…

Endotracheal intubation

…up, always with the light checked. Tubes in three sizes, a stylet or bougie taken out and shaped before induction , a syringe for the cuff…

Foreign body in the ear and nose

…or superiorly. Attempts already made and failed elsewhere. A child who cannot be kept still without sedation. Suspected tympanic membrane perforation. Irrigation is contraindicated in…

Intensive care parameters

…Comment : : : MAP ≥ 65 mmHg 80–85 mmHg in chronic hypertension or when there are signs of inadequate perfusion Urine output 0.5 mL/kg/h…

Reduction of dislocations

…Inadequate analgesia or sedation — the procedure must not then be started. Radiography before reduction A radiograph is taken before reduction in a first time dislocation…

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