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Endotracheal intubation

…anaphylaxis, deep neck infection, an expanding haematoma, facial trauma. An anticipated course requiring a secured airway — transfer, heavy sedation, surgery — and cardiac arrest. Contraindications There…

CPAP and non-invasive ventilation (NIV)

…Undrained pneumothorax. Facial trauma, facial burns or recent facial surgery that make a seal impossible. Recent surgery on the oesophagus or upper gastrointestinal tract, ileus…

Upper gastrointestinal bleeding: quick reference

…a Dieulafoy lesion, angiodysplasia, malignancy and an aortoenteric fistula. Variceal bleeding generally has a higher early mortality than non variceal bleeding [1,2]. Upper gastrointestinal…

🟠 QTc Interval Calculator (Bazett’s, Fridericia’s, Hodge's and Framingham Formulas)

…RR interval) Hodges’ formula This method corrects the QT interval by adding a factor based on the difference between the heart rate and 60 beats…

Acute Limb Ischaemia: Recognition and Urgent Management

…For example, a patient with acute graft occlusion may report an abrupt reduction in walking distance before claudication, accompanied by moderate pain or paresthesia, while…

🟠 Reference values for pediatric and neonatal ECG

…presented in the parenthesis). Values without confidence interval are simply the 98 th percentile (i.e the upper reference limit). Age <1 day 1–3…

Chest Pain in the Emergency Department: Diagnostic Pathways

…May be accompanied by diaphoresis, dyspnoea, nausea, vomiting, fatigue, faintness, or belching. Radiation to both arms or shoulders has a particularly strong association with myocardial…

Differential Diagnosis of Chest Pain: A Clinical Overview

…jaw, upper back, and abdomen, as well as dyspnea and nausea (anginal equivalents) [7]. Clinicians must consider both cardiac and non cardiac etiologies [1]. Cardiac…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…myocardial injury, demonstrated by a rise and/or fall in cardiac troponin with at least one value above the 99th percentile upper reference limit; and…

Clinical application of ECG in chest pain & acute myocardial infarction

…uncommon to have a non ischemic ECG (absence of ST T changes) during chest pain caused by myocardial ischemia. This is corroborated by millions of…

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