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Targeted temperature management after cardiac arrest

…has therefore not been abandoned, only redefined: continuous core temperature measurement and a target value that must never be exceeded, during the first 72 hours…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

Critical care Myocardial ischemia and infarction Definition and Pathophysiology Cardiogenic shock is a state of inadequate tissue and end organ perfusion caused by cardiac insufficiency…

Abscess incision and drainage

…involve a surgeon The following locations must not be handled routinely in primary care or in the emergency department without contacting the appropriate specialty: Location…

Endotracheal intubation

…upper airway obstruction where laryngoscopy will not succeed; plan for a surgical airway or awake fibreoptic intubation. A difficult airway is anticipated in a stable…

Pulmonary embolism: quick reference for risk stratification and treatment

… An unstable pulmonary embolism is a reperfusion problem; a stable pulmonary embolism is a diagnostic pathway. The unstable patient Hypotension (systolic < 90 mmHg for…

Cardiac tamponade causing cardiac arrest

…J Trauma Acute Care Surg 2016; 81:27 33 . Watts S, Smith JE, Gwyther R, Kirkman E. Closed chest compressions reduce survival in an animal…

Skin biopsy — punch, shave and excision

…thickness unmeasurable and staging therefore impossible; a superficial punch in a case of bullous dermatosis misses the subepidermal split. Choose the technique according to the…

🟠 Calculating Shunt Fraction (Qp/Qs) Using Echocardiography

…defects from incidental findings. Guidance for Intervention : A Qp/Qs 1.5 often warrants surgical or percutaneous closure in ASD/VSD. Serial measurements track shunt…

Leg ulcers — wound debridement and compression therapy

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

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

…coronary occlusion. Plaque rupture typically involves a thin, collagen poor fibrous cap overlying a large lipid core with many macrophages, resulting in a red, fibrin…

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