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

…provided in the source material. Delayed help seeking is associated with older age, female sex, Black race, lower socioeconomic or uninsured status, a history of…

Delirium in older adults: quick reference

…the same time, and use drugs only in severe agitation or marked distress. Delirium is an acute neuropsychiatric syndrome and a clinical diagnosis, often described…

STEMI (ST Elevation Myocardial Infarction): Diagnosis, ECG, Criteria, and Management

…chain of care in acute STEMI Optimal care for patients with STEMI requires a well coordinated system involving both prehospital and hospital based services. In…

Acute coronary syndrome: quick reference for loading doses and time targets

…serious arrhythmia or acute heart failure. Routine opening of a persistently occluded infarct related artery in a stable and asymptomatic patient is by contrast not…

Deceased donor organ donation

…transplant service. Contraindications An expressed refusal by the deceased — in the donation register, on a donor card, or through statements made to the next of…

Anticoagulants: quick reference for dosing, renal adjustment and reversal

…the local protocol or the on call coagulation service. Bridging with low molecular weight heparin is rarely needed with DOACs. Reversal in major bleeding Drug…

The chain of survival in sudden cardiac arrest

CPR Time is the most critical factor for survival in cardiac arrest. Life saving interventions must be initiated momentarily to maximize the probability of survival…

Complications of Coronary Angiography and Vascular Access Management

…axillary or subclavian arteries may increase the risk of embolization. Risk assessment should be individualized. There are no absolute contraindications to coronary angiography in the…

Pericardial Effusion & Cardiac tamponade

…clinical examination, blood tests and other radiological examinations are most often required, in particular computed tomography (DT) and/or magnetic resonance imaging (MRI). Anatomy of…

Myocardial Infarction with Non-Obstructive Coronary Arteries: Causes, Work-up and Management

…stenosis in a major epicardial coronary artery. Non obstructive disease is generally defined as the absence of a stenosis of 50% or more in any…

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