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Arterial line

…still used in many units to assess the collateral circulation, but the test does not reliably predict ischaemic complications and should not decide the matter…

Post-Infarction Mechanical Complications: Ventricular Septal, Free-Wall, and Papillary Muscle Rupture

…a new cardiac murmur, or jugular venous distension in the days after MI should prompt immediate consideration of a mechanical complication. Clinical deterioration may be…

Cardiac tamponade causing cardiac arrest

…in the presence of a tamponade, chest compressions have limited efficacy. Furthermore, administering large tidal volumes might inadvertently elevate intrathoracic pressures, additionally compromising venous return…

Cardiac thromboembolism: cardiac sources of embolism

Echocardiography Cardiac thromboembolism Thromboembolism is a leading cause of death worldwide (1). Emboli originating in the atria, left atrial appendage (LAA), ventricles, valves, and proximal…

Status epilepticus: quick reference for emergency treatment

…epilepticus in adults is present with: an ongoing generalised tonic clonic seizure lasting at least 5 minutes, or repeated generalised tonic clonic seizures without the…

Indications, Contraindications, and Preparations for Exercise Stress Testing

…of complications calls for careful consideration of contraindications. Contraindications may be absolute or relative. Briefly, exercise stress testing must not be performed in the presence…

ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock

…prolonged, produces multiorgan dysfunction and death. In the setting of ST elevation myocardial infarction (STEMI), cardiogenic shock most commonly reflects severe left ventricular (LV) dysfunction…

Obesity and Cardiovascular Disease: Assessment and Treatment

…In particular, it cannot distinguish adipose tissue from lean mass. Waist circumference and the waist to hip ratio provide additional information about visceral adiposity and…

Central venous catheter

…venous oxygen saturation. Repeated blood sampling during intensive care. Exhausted peripheral venous access during prolonged intravenous therapy. The need for central access is not in…

Peripheral venous cannula and intraosseous access

…the only one that will go in. The rule that saves time is simple: two attempts or 90 seconds — then go intraosseous. Indications Peripheral venous…

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