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Immediate Management of Type A and Type B Aortic Dissection

…form of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer, aortic pseudoaneurysm and traumatic aortic injury. In classic dissection, an intimal tear permits…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…In the catastrophic form, an acute tear causes haemopericardium, tamponade, and sudden: Loss of pulse. Loss of blood pressure. Loss of consciousness. Electromechanical dissociation or…

Upper gastrointestinal bleeding: quick reference

…first minute. Peptic ulcer remains the commonest cause of upper gastrointestinal bleeding, but the differential diagnosis includes oesophagitis, gastritis, a Mallory Weiss tear, a Dieulafoy…

The chain of survival in sudden cardiac arrest

…to the chain of survival, the first task is to recognize cardiac arrest and alert the EMS (in OHCA) or cardiac arrest team (in IHCA…

Perioperative Management of Patients with Cardiac Implantable Electronic Devices

…the presence of CRT, the type and location of surgery, and the anticipated current pathway. In a pacing dependent patient, inhibition of pacemaker output may…

Endotracheal intubation

…Inadequate ventilation with a rising pCO₂ and respiratory acidosis, or a markedly increased work of breathing with impending exhaustion. Threatened airway obstruction: inhalation injury, anaphylaxis…

Arrhythmias before and during cardiac arrest

…In out of hospital cardiac arrest (OHCA) the initial rhythm is recorded by the EMS (emergency medical service) team upon their arrival at the scene…

Massive haemorrhage and transfusion: quick reference

…the presumed cause of bleeding, and how the products are to be delivered. 2. Designate a team leader and one person responsible for recording the…

🟠 SYNTAX Score II

…II Anatomical SYNTAX Score : Derived from the original SYNTAX Score, which evaluates the complexity of coronary lesions. Clinical Variables : Age : Older patients have a higher…

Laryngeal mask and difficult airway

…kills because the tube would not pass, but because the team keeps trying to intubate instead of changing the plan. The aim is always oxygenation…

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