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Cardiac thromboembolism: cardiac sources of embolism

Echocardiography Cardiac thromboembolism Thromboembolism is a leading cause of death worldwide (1). Emboli originating in the atria, left atrial appendage (LAA), ventricles, valves, and proximal…

Circulatory and haemodynamic parameters

…resistance and oxygen transport Formulas Mean arterial pressure (MAP) = diastolic + (systolic − diastolic)/3 Cardiac output = stroke volume × heart rate SVR = 80 × (MAP…

Leg ulcers — wound debridement and compression therapy

…ulcers; everything else is supportive. But the same compression applied to a limb with arterial insufficiency can cause necrosis and, in the worst case, amputation…

Cardiac arrest during sepsis

…following recommendations: Administer 100% oxygen at the maximum flow rate . Hypoxia can precipitate cardiac arrest in septic patients; timely oxygenation can potentially prevent circulatory collapse…

Targeted temperature management after cardiac arrest

…hypothermia , caution applies in: Ongoing uncontrolled bleeding or marked coagulopathy. Severe sepsis and septic shock. Already marked hypothermia from another cause — warm the patient instead…

Sepsis and septic shock: quick reference for the first hour

…corresponds to an acute increase in the SOFA score of at least 2 points. Septic shock is the subgroup that, despite the treatment of hypovolaemia…

Joint aspiration

Procedurer A monoarthritis is septic until proven otherwise, and the only thing that proves otherwise is the synovial fluid. The aspiration is technically simple — what…

Intensive care parameters

…target ScvO₂ 70–80 % A low value suggests inadequate oxygen delivery Capillary refill < 3 s Equivalent to lactate guided resuscitation in septic shock Haemoglobin…

Neutropenic fever: quick reference for emergency management

…antibiotics are associated with a worse outcome in sepsis and in several studies of neutropenic patients. In septic shock, or where sepsis is highly likely…

Soft tissue corticosteroid injection

… use sparingly Prepatellar and olecranon bursitis The bursa Exclude septic bursitis first Injection is considered when 4–6 weeks of adequate conservative treatment — modification of…

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