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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

…group is associated with high mortality when malperfusion or rupture develops; surgery or endovascular treatment is therefore generally favoured within 14 days of symptom onset…

Intensive care parameters

…light sedation with a daily wake up trial shortens the time on the ventilator. See the article on confusion for the management of delirium in…

Massive haemorrhage and transfusion: quick reference

…treatment and the expected continued bleeding matters more than an exact estimate of blood loss [1]. Strong indications for activation Ongoing bleeding with haemodynamic instability…

Wound suturing

…diabetes with neuropathy, immunosuppression, and high dose corticosteroids. The time limit and the choice of closure strategy The classical limit of 6–8 hours for…

Chest Pain in the Emergency Department: Diagnostic Pathways

…5% of presentations in some populations. Despite this relatively low prevalence, missed myocardial infarction remains consequential, and historically 2–6% of patients discharged with presumed…

Post-Infarction Pericarditis and Dressler Syndrome

…two temporally and clinically distinct complications of acute myocardial infarction (AMI): Early infarct associated pericarditis , which develops from several hours to approximately 4 days after…

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

…most important dangerous differential diagnosis. Clear focal neurological findings are absent in roughly half of patients with a central cause. A normal routine neurological examination…

Pericardiocentesis

…and traumatic haemopericardium — these require surgery; pericardiocentesis is at best a bridge to it. A small (under 10 mm), loculated or purely posterior effusion with…

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