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Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…and this is a serious condition. The focus of infection on the flap is called vegetation. As a rule, some kind of damage to native…

Eletrical alternans: the ECG in pericardial effusion & cardiac tamponade

…small amount of serous fluid which acts as a lubricant that prevents friction during ventricular contraction and relaxation. Pericardial effusion is the presence of an…

Pericardial Effusion & Cardiac tamponade

…fluid is produced by the mesothelian cells and consists of 25 50 mL serous fluid. Function of the pericardium The pericardium is considered to have…

Blood transfusion and massive haemorrhage

Procedurer The most serious transfusion accidents rarely stem from laboratory errors but from the wrong blood being given to the wrong patient — a mislabelled tube…

Anaphylaxis: quick reference for emergency management

…Delayed administration of adrenaline is associated with more severe and more protracted reactions, biphasic courses and fatal outcome. At the same time, serious adverse effects…

Central venous catheter

…in: the choice of site, the use of ultrasound throughout the puncture, and maintaining maximal barrier precautions without shortcuts. The most common serious error is…

Drugs in the emergency setting

…and formulations differ between units, and most serious dosing errors arise at the dilution step, not in the choice of dose. Paediatric doses are calculated…

Gastric lavage and activated charcoal

…today a rare procedure reserved for very serious poisonings in which the patient reaches hospital early. The benefit of both methods falls steeply with the…

Opioid therapy in severe pain

…is given. The serious incidents almost always arise when the principle of titration is abandoned — when a fixed dose is given without assessment, when a…

Aortic stenosis

…a serious condition with poor long term outcomes. Patients with low flow low gradient aortic stenosis (discussed below) have a 3 year survival rate of…

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