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Short Synacthen test

…In a suspected Addisonian crisis, hydrocortisone must be given immediately — the test must never delay treatment. Indications Suspected primary adrenal insufficiency (Addison's disease): fatigue…

Cardiac arrest in hyperthermia and malignant hyperthermia

CPR Hyperthermia and malignant hyperthermia Hyperthermia is characterized by a body temperature exceeding the typical range of 36.5 37.6°C (97.7 99.7°F)…

Anaphylaxis: quick reference for emergency management

…be serious [1]. Intramuscular adrenaline (epinephrine) is the first line treatment and must be given early when anaphylaxis is suspected. Do not wait for a…

Cardiac arrest due to electrolyte imbalance

…tamoxifen or lithium, thiazide administration, and over supplementation of calcium and vitamin D. ECG in hypercalcemia Typical ECG changes: Shortened QT interval. Attenuated T wave…

Eye examination and corneal foreign body

…with a cobalt blue filter; alternatively a magnifying loupe and a Wood's lamp. Oxybuprocaine or tetracaine drops (topical anaesthesia). Fluorescein strips. Sterile cotton buds…

Corticosteroids: quick reference for dose equivalents and stress dosing

…confused: replacement therapy in adrenal insufficiency (which must be increased under stress) and pharmacological anti inflammatory treatment (which must be tapered in a controlled fashion)…

Epistaxis — compression, cautery and anterior nasal packing

…for expanding the tampon. Topical tranexamic acid on a pledget or as a solution has a good effect in anterior bleeding. Raise the chair so…

Leg ulcers — wound debridement and compression therapy

Procedurer Compression is the treatment that heals venous leg ulcers; everything else is supportive. But the same compression applied to a limb with arterial insufficiency…

Neutropenic fever: quick reference for emergency management

…is an emergency. Infection can progress rapidly, while the typical local signs of inflammation may be faint or absent. Take cultures immediately, but never let…

ECG in myocardial ischemia: ischemic changes in the ST segment & T-wave

…myocardial ischemia: ischemic ST segment & T wave changes This chapter discusses typical and atypical changes in the ST segment and the T wave during myocardial…

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