…most of the evidence was observational and the results must not be taken to mean that an electronic alert replaces clinical judgement [5]. Recognising sepsis…

…DW, Wickman LL, Swart GL. The hemodynamic and arterial blood gas response to asphyxiation: a canine model of pulseless electrical activity. Resuscitation 1995; 30:16975…

…necrosis advances from the subendocardium towards the subepicardium over several hours. The extent and tempo of injury are influenced by collateral flow, myocardial oxygen consumption…

…if feasible, be transferred to such centers. Post cardiac arrest syndrome (PCAS) Post cardiac arrest syndrome (PCAS) emerges after ROSC or initiation of ECMO. The…

…of filtration. Oliguria may be due to hypovolaemia, shock, obstruction or advanced renal injury. Conversely, significant AKI may be non oliguric, particularly after nephrotoxins, sepsis…

…studies of neutropenic patients. In septic shock, or where sepsis is highly likely, antibiotics must be given immediately [3]. This quick reference applies chiefly to…

…shock, sepsis, major trauma, unconsciousness — until the saturation can be measured reliably. Conditions in which oxygen is given irrespective of the saturation (see below). Oxygen…

…to the neck, jaw, shoulders, back, or one or both arms. Indigestion or heartburn, particularly when associated with nausea or vomiting. Persistent shortness of breath…

…plasma concentrations of the two peptides are not interchangeable. Natriuretic peptide concentrations reflect haemodynamic stress, but their release is not specific to left ventricular systolic…

…is characterised by myocyte necrosis and troponin elevation due to mechanisms other than myocardial ischaemia. Acute myocardial injury may arise from conditions such as sepsis…

…minority of cases Hypoactive Lethargy, slow responses, reduced speech, immobility, poor food intake, reduced eye contact Common and particularly easy to miss. May be misinterpreted…

…of the acromion — is easy to palpate even in a large patient. The anterior approach, just lateral to the coracoid process, is an alternative but…

…for the following reasons: Indicator of Organ Perfusion : MAP is a more reliable indicator of blood flow to vital organs than systolic blood pressure alone…

…per hour for a total of 4 6 mEq/L in 24 hours may be targeted. Chronic Hyponatremia ( 48 hours duration): Due to cellular adaptations…

…small bowel syndrome, parathyroid gland surgery, use of bisphosphonates, excess calcitonin, use of phenytoin, use of phosphate substitution, use of foscarnet. ECG changes due to…

…practice the cooling device is set to a target of around 37.0–37.5 °C , that is, with a margin below the fever threshold…

…course (no more than 7 days) may be given to selected patients with an eGFR of 30 40 mL/min for lower urinary tract infection…