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Pericardiocentesis

…Tamponade is a clinical diagnosis supported by echocardiography: Finding Comment : : Hypotension, distended neck veins, muffled heart sounds Beck's triad; complete in a minority Tachycardia…

Abscess incision and drainage

…Management : : : Medial triangle of the face (nasal root, alae nasi, upper lip) Venous drainage towards the cavernous sinus Surgeon or ENT; often antibiotics Palm, fingers…

Right ventricular strain: definition, causes, echocardiography

…for assessing the right side of the heart, despite difficulties in visualizing it. Previously, the PA catheter ( Pulmonary Artery Catheter , also called Swan Ganz catheter…

Hemodynamic principles and calculations

…exceptions. Prior to the Doppler era, hemodynamic assessments were performed by means of right heart catheterization (with Swan Ganz catheter [ pulmonary artery catheter ]). However, hemodynamic…

Coronary Artery Calcium Scoring: Prognostic Use in Practice

…It is performed using a non contrast, electrocardiographically gated computed tomography (CT) scan. Image acquisition generally requires a single breath hold and does not require…

Acute kidney injury: quick reference for management

…Perform a bladder scan in oliguria, anuria or unexplained AKI. 3. Assess the circulation and volume status, including signs of both hypovolaemia and venous congestion…

Injection technique — intramuscular, subcutaneous and intradermal

…alcohol or chlorhexidine swab. Let the skin dry completely before inserting the needle — alcohol carried in with the needle stings. Needles of the correct length…

Central venous catheter

…different position or a different vessel. Choice of site Vessel Advantages Disadvantages : : : Internal jugular vein (right) Best ultrasound conditions, a straight course to the superior…

Lumbar puncture

…a reduced level of consciousness, focal neurological signs or seizures — because the delay costs more than the scan contributes. Only clinical signs of herniation halt…

Massive haemorrhage and transfusion: quick reference

…help using the words massive haemorrhage , and state the patient's location and identity, the presumed cause of bleeding, and how the products are to…

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