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Care after return of spontaneous circulation (ROSC)

…transferred to such centers. Post cardiac arrest syndrome (PCAS) Post cardiac arrest syndrome (PCAS) emerges after ROSC or initiation of ECMO. The syndrome was first…

Noradrenaline, Dobutamine and Levosimendan: Practical Infusion Use

Cardiology Critical care Pharmacology & dosing Definition and Pathophysiology In the management of acute heart failure and cardiogenic shock, intravenous vasoactive agents are categorised according to…

🟠 Management of STEMI (ST-Elevation Acute Myocardial Infarction)

…Level of evidence Urgent angiography is indicated in patients exhibiting ST segment elevation. I B TTM (targeted temperature management) is indicated after resuscitation if the…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…requires urgent surgical or transcatheter intervention, with temporary mechanical circulatory support (MCS) considered as a bridge. Clinical Presentation and Symptoms Symptoms of STEMI The usual…

Dix–Hallpike test and Epley manoeuvre

…pillow to place under the shoulders as an alternative to a hanging head. Frenzel goggles or video Frenzel if available — small beats of nystagmus can…

Acute kidney injury: quick reference for management

…unexplained AKI. 3. Assess the circulation and volume status, including signs of both hypovolaemia and venous congestion. 4. Take an urgent panel: creatinine, urea, sodium…

Pulmonary embolism: quick reference for risk stratification and treatment

…intensive care Intermediate–high Stable Yes Raised Admission with monitoring. Be prepared for rescue thrombolysis Intermediate–low Stable One of the two positive Admission Low…

Acute exacerbation of COPD: quick reference

…Document the ceiling of care and the decision on intubation early. Initial assessment Confirm that the presentation fits an exacerbation A COPD exacerbation is an…

Status epilepticus: quick reference for emergency treatment

…intensive care and neurology; intubate as needed and start anaesthetic treatment with EEG After clinical cessation of the seizure Assess the recovery of consciousness. Urgent…

Hyperkalaemia: quick reference for emergency treatment

…intensive care in circulatory compromise, serious arrhythmia, marked QRS widening, a sine wave pattern, or a need for repeated calcium treatment. Urgent investigations As a…

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