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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

…Catheter , also called Swan Ganz catheter ) has been the first choice, but today the majority of patients can only be assessed using echocardiography. A common…

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

…never happens, and to make sure the catheter does not become the patient's next focus of infection. Indications Infusion of vesicant solutions: vasopressors, concentrated…

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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