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Traumatic cardiac arrest

…Chest compressions in traumatic cardiac arrest In the context of cardiac tamponade, increased pressure within the pericardial sac impedes venous return to the right atrium…

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

…contraindicated Head of the bed 30–45° Stress ulcer prophylaxis During mechanical ventilation, in coagulopathy, or with a history of gastrointestinal bleeding Refeeding syndrome There…

Massive haemorrhage and transfusion: quick reference

…major haemorrhage protocol early. Protocols improve above all the logistics, the communication and the simultaneous delivery of red cells, plasma and platelets. Observational data from…

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

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

Post-Infarction Pericarditis and Dressler Syndrome

…includes post pericardiotomy syndrome and post traumatic pericarditis, including cases related to cardiovascular interventions. Dressler syndrome now occurs in fewer than 1% of AMI cases…

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

…hearing, cardiac examination, ECG, selective vascular imaging Traumatic or toxic syndrome Onset after trauma, a change in medication or an exposure Concussion, temporal bone injury…

Pericardiocentesis

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

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