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Traumatic cardiac arrest

…of cases. Potentially reversible causes of traumatic cardiac arrest ( Salomone et al ): Hypovolemia : Hypovolemic shock is common in both penetrating and blunt force trauma. Loss…

Immediate Management of Type A and Type B Aortic Dissection

…Definition and Pathophysiology Aortic dissection is a major form of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer, aortic pseudoaneurysm and traumatic aortic…

Intensive care parameters

…prone positioning at a P/F ratio < 20 kPa (150 mmHg), and permissive hypercapnia as long as the pH stays above about 7.20…

Massive haemorrhage and transfusion: quick reference

…Beta blockade, a pacemaker and autonomic neuropathy can at the same time mask the expected tachycardia. Aids to assessment The shock index is calculated as…

Wound suturing

…without being found. Indications A traumatic wound that gapes and cannot be expected to heal with good function or cosmesis without apposition. A wound that…

Chest Pain in the Emergency Department: Diagnostic Pathways

…and other symptoms may occur without chest pain and should be considered anginal equivalents. The emergency evaluation of non traumatic chest discomfort is structured around…

Post-Infarction Pericarditis and Dressler Syndrome

…produced by contact between inflamed pericardial layers. It may have up to three components per cardiac cycle and is often best heard at end expiration…

Cardiac arrest due to pneumothorax

…can shift the entire mediastinum, manifesting externally as a laryngeal displacement. Etiologies of tension pneumothorax include: Traumatic injuries (blunt force, lacerations, gunshot wounds) Asthmatic episodes…

Acute vertigo: quick reference for HINTS and differential diagnosis

…or merely aggravation? Distinguish between a movement that triggers a new attack and a movement that merely worsens dizziness that is already ongoing . A patient…

Pericardiocentesis

…surgeon. Myocardial rupture after myocardial infarction, and traumatic haemopericardium — these require surgery; pericardiocentesis is at best a bridge to it. A small (under 10 mm)…

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