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ACE Inhibitor Cough and Angioedema: Practical Management

…and upper airway. Due to the risk of airway compromise, it represents a medical emergency. Evaluation and Physical Examination The evaluation of chronic cough in…

Upper gastrointestinal bleeding: quick reference

…peripheral cannulae. Consider an arterial line if the patient is unstable or frequent blood gases are needed 3 Blood grouping and cross matching. Order red…

Pulmonary Hypertension: Classification and Treatment Principles

…to left heart disease Group 3: PH due to chronic lung disease, hypoxia, or sleep disordered breathing Group 4: Chronic thromboembolic pulmonary hypertension (CTEPH) and…

Empirical antibiotic therapy: quick reference for common infections

…then 100 mg × 1 5–7 days Epiglottitis and other severe upper airway infection cefotaxime 1–2 g × 3 IV Depends on the diagnosis Always…

Endotracheal intubation

…oxygenation despite maximal oxygen or non invasive ventilation. Inadequate ventilation with a rising pCO₂ and respiratory acidosis, or a markedly increased work of breathing with…

Spirometry

…former smokers over 40 with respiratory symptoms, and occupational exposure to dust, gas or fumes. Preoperative assessment before thoracic or upper abdominal surgery in a…

Chest Pain in the Emergency Department: Diagnostic Pathways

…pain and respiratory distress. Aortic dissection may cause sudden severe pain, often radiating to the back. Pericarditis may produce pleuritic or positional pain. Myocarditis and…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…troponin value above the assay specific 99th percentile upper reference limit. It is classified as acute when serial measurements demonstrate a rise and/or fall…

Cardiac arrest due to anaphylaxis

…1 2 mg of glucagon intravenously. Currently, there is insufficient evidence to support the use of steroids and antihistamines during cardiac arrest due to anaphylaxis.

CPAP and non-invasive ventilation (NIV)

…and the facility to give nebulised drugs within the circuit. Monitoring: continuous pulse oximetry, ECG, blood pressure, respiratory rate. A blood gas before starting and…

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