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STEMI: Primary PCI and System-of-Care Time Targets

…medical assistance rather than self presenting to an emergency department or contacting primary care first. If ischaemic discomfort persists, emergency medical services should be called…

Injection technique — intramuscular, subcutaneous and intradermal

Procedurer Injection technique is treated as self evident and is therefore often done wrongly. The two commonest errors are that an intramuscular injection in fact…

Sudden cardiac arrest: Case 7

…4 . Recurrence and spontaneous termination of ventricular tachycardia. ECG 5 . Polymorphic ventricular tachycardia, self terminating. ECG 6 . Repeated runs of ventricular tachycardia. ECG 7 . Continued…

Gynaecological examination and cervical smear

…Sampling for a suspected sexually transmitted infection — although chlamydia and gonorrhoea can be tested on urine or a self taken vaginal sample without a speculum…

Urinary catheterisation

…healing. Voiding problems in neurogenic bladder dysfunction, in the first instance with clean intermittent self catheterisation rather than an indwelling catheter. A catheter is not…

Arterial Hypertension: Definition, Diagnosis and Out-of-Office Measurement

…setting, manually or with an automated device. Home blood pressure monitoring (HBPM): self measurement at home, generally with a validated upper arm oscillometric device. Ambulatory…

Cardiac Rehabilitation After Myocardial Infarction

…improve functional capacity Reduce disability and rehospitalization Improve quality of life and self efficacy Address modifiable cardiovascular risk factors Support smoking cessation Improve management of…

Metabolic Syndrome: Definition and Clinical Significance

…with progression, hyperglycaemia and pancreatic β cell dysfunction. These abnormalities initiate self perpetuating metabolic and inflammatory pathways that injure the vasculature, heart and kidneys. Advanced…

Atrial flutter: classification, causes, ECG criteria and management

…caused by a macro re entry circuit (a large re entry circuit) and re entry circuits are vulnerable processes that usually self terminate within minutes…

Ectopic atrial rhythm (EAT), atrial tachycardia (AT) & multifocal atrial tachycardia (MAT)

…characterized by short, rapid bursts of atrial activity. In the majority of cases, the arrhythmia is self limiting; however, it may recur and, in some…

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