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Hypertensive crisis: drugs and doses

…hypertensive encephalopathy, intracerebral haemorrhage, acute coronary syndrome, acute left ventricular failure with pulmonary oedema, acute aortic syndrome, acute kidney injury, microangiopathic haemolysis, and severe pre…

Short and long-term prognostication in cardiac arrest

…less ischemic area), which may receive oxygen from collateral vessels. In cardiac arrest, there is no cerebral perfusion, with an equal degree of hypoxia in…

Atropine: Dosing in Bradycardia and Its Limitations

…arrest and asystole represent severe manifestations of impulse generation or conduction failure. The pathophysiology of these events may stem from reversible causes, including hypovolemia, hypoxia…

Assessment of the pupillary reflex in cardiac arrest

…whereas fixed, dilated pupils can signal severe global ischemia or even herniation of the brain stem. Physiological Basis of the Pupillary Reflex in Cardiac Arrest…

Delirium in older adults: quick reference

…capillary glucose. 3. Exclude immediately treatable threats without delay: hypoxia, hypoglycaemia, circulatory failure, sepsis, stroke, intracranial haemorrhage, seizure, poisoning and severe withdrawal. 4. Establish whether…

Anaphylaxis: quick reference for emergency management

…antihistamine for symptoms Anaphylaxis Objective airway, respiratory or circulatory compromise, or a rapidly progressive multisystem reaction Intramuscular adrenaline immediately Severe anaphylaxis Hypoxia, marked bronchospasm, stridor…

Drugs in the emergency setting

…a fuller account of two of the commonest acute drug problems, see Warfarin therapy and Opioid therapy in severe pain. Cardiac arrest Drug Adult Child : : …

Isoprenaline and Dopamine Infusions for Bradycardia

…agents. In the acute setting, bradyarrhythmic cardiac arrest or asystole may result from reversible systemic insults, including hypovolemia, hypoxia, cardiac tamponade, tension pneumothorax, preexisting acidosis…

Cardiac arrest due to pneumothorax

…Clinically, patients may present with: Absent breath sounds on the affected side Crepitus Subcutaneous emphysema Hypotension Hypoxia Mediastinal shift, with potential tracheal deviation to the…

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…

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