Emergency Medicine

36 Critical Care Emergencies Drug Loading dose Paediatric infusion Dilution Adult dose (70–80 kg) range (< 30 kg) Infusion pu ...

Critical Care Emergencies 37 50 mL DW ***4 mg/min for 20 min ***2 mg/min ***12 mL/h*** for 60 min ***6 mL/h for *** 24 h Magnes ...

38 Critical Care Emergencies Drug Loading dose Paediatric infusion Dilution Adult dose (70–80 kg) range (< 30 kg) Infusion pu ...

Critical Care Emergencies 39 rt-PA (alteplase) 15-mg bolus (15 ml) — 100 mg in — 1 mg/ml (a) 15-mg bolus 100 ml water BP (b) 0.7 ...

40 Critical Care Emergencies Drug Loading dose Paediatric infusion Dilution Adult dose (70–80 kg) range (< 30 kg) Infusion pu ...

Critical Care Emergencies 41 Allergy UK. http://www.allergyuk.org/ (anaphylaxis). American Heart Association. http://circ.ahajou ...

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GENERAL MEDICAL EMERGENCIES Section II ...

44 General Medical Emergencies DIFFERENTIAL DIAGNOSIS Always consider the life-threatening diagnoses first: ● Acute coronary syn ...

CHEST PAIN General Medical Emergencies 45 4 The pain may radiate to the neck, jaw, one or both arms, the back and occasionally t ...

CHEST PAIN 46 General Medical Emergencies 2 Give aspirin 150–300 mg orally unless contraindicated by known hyper - sensitivity. ...

CHEST PAIN General Medical Emergencies 47 (iii) Administer tenecteplase (TNK) as the lytic agent of first choice: (a) give tenec ...

CHEST PAIN 48 General Medical Emergencies NON-ST ELEVATION MYOCARDIAL INFARCTION (NSTEMI) AND UNSTABLE ANGINA DIAGNOSIS 1 The pr ...

CHEST PAIN General Medical Emergencies 49 Gastrointestinal causes (see p. 59) Burning, nocturnal pain, gastrointestinal symptoms ...

CHEST PAIN 50 General Medical Emergencies (ii) Give unfractionated (UF) heparin i.v. bolus 60–70 units/kg (maximum 5000 units), ...

CHEST PAIN General Medical Emergencies 51 (a) ideally this stress test is performed as an inpatient (b) only if this stress test ...

CHEST PAIN 52 General Medical Emergencies Table 2.2 Predisposing risk factors for venous thromboembolism (VTE) Acute provoking f ...

CHEST PAIN General Medical Emergencies 53 5 Establish venous access with an i.v. cannula, send blood for FBC, coagulation profil ...

CHEST PAIN 54 General Medical Emergencies (i) A low pre-test probability on Wells’ criteria with a score of <2 has up to 3.6% ...

CHEST PAIN General Medical Emergencies 55 (ii) In addition the CXR should be normal with no history of chronic lung disease. (ii ...