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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

…about 7.20. Different targets apply when the intracranial pressure is raised: normocapnia (PaCO₂ 4.5–5.0 kPa) and avoidance of hypoxia, since hypercapnia…

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…

Wound suturing

…and site of the wound, and how well the wound can be cleaned . Practice differs between units; follow the local care programme where one exists…

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

…illness and, in some series, is reported in up to approximately one third of patients. Its absence therefore does not exclude the diagnosis. Findings suggesting…

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

… one of the most useful signs Low voltage on the ECG, electrical alternans Supportive; it does not exclude Diastolic collapse of the right atrium and…

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