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Traumatic cardiac arrest

…a traumatic hemorrhage can deplete intravascular volume to such an extent that chest compressions fail to generate stroke volumes. Consequently, addressing reversible causes of cardiac…

Immediate Management of Type A and Type B Aortic Dissection

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

Intensive care parameters

…of delirium in intensive care. Renal replacement therapy Absolute indications: refractory hyperkalaemia, refractory acidosis, refractory fluid overload, uraemic symptoms (pericarditis, encephalopathy) and certain poisonings. Early…

Massive haemorrhage and transfusion: quick reference

…1]. Activate the local major haemorrhage protocol early. Protocols improve above all the logistics, the communication and the simultaneous delivery of red cells, plasma and…

Wound suturing

…the commonest cause of permanent loss of function is a tendon injury that was sutured over without being found. Indications A traumatic wound that gapes…

Chest Pain in the Emergency Department: Diagnostic Pathways

…be considered anginal equivalents. The emergency evaluation of non traumatic chest discomfort is structured around three principal diagnostic categories: Myocardial ischaemia , particularly acute coronary syndrome…

Post-Infarction Pericarditis and Dressler Syndrome

…ischemia and infarction Definition and pathophysiology Post infarction pericarditis encompasses two temporally and clinically distinct complications of acute myocardial infarction (AMI): Early infarct associated pericarditis …

Cardiac arrest due to pneumothorax

…JE, Gwyther R, Kirkman E. Closed chest compressions reduce survival in an animal model of haemorrhageinduced traumatic cardiac arrest. Resuscitation 2019; 140:37 42. Endo…

Acute vertigo: quick reference for HINTS and differential diagnosis

…but only if the examiner is trained. Brief attacks triggered by the position of the head relative to gravity: perform Dix Hallpike and, if needed…

Pericardiocentesis

…pressure Marked respiratory variation in mitral and tricuspid inflow The echocardiographic counterpart of pulsus paradoxus Contraindications In overt tamponade with shock there are no absolute…

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