By Naomi Meardon, Shireen Siddiqui, Elena Del Vescovo, Lucy C Peart, Sherif Hemaya
The Medicine at the Move sequence offers fully-flexible entry to matters around the curriculum, as a consequence emergency and acute medication, in a special blend of print and cellular codecs. The books are perfect for the busy clinical scholar and junior health practitioner, regardless of person studying sort and whether or not they are learning a topic for the 1st time or revisiting it in the course of examination education, offering the suitable info at any time when and at any place it really is wanted. Readers can choose between the ebook and the book to fit diverse events, permitting them to learn from studying drugs at the move.
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Additional resources for Emergency and Acute Medicine on the Move
Sample text
Capillary refill (>2 seconds abnormal). • Signs of AAA and DVT. Emergency and acute medicine Management: • Secure IV access. • Take bloods including FBC, G+S or X-match, full profile, clotting screen, cardiac markers if applicable. • Consider IV fluid challenge if shocked. Monitor: • Cardiac monitor. • Attach and monitor via defibrillator if peri-arrest. • HR, NIBP/IBP monitoring/urine output monitoring via urinary catheter. • 12 lead ECG. Disability Assessment: • AVPU/GCS. • Pupillary/plantar reflexes/CNS and PNS examination.
An ECG is recorded showing some ischaemic changes but no ST elevation.
G. 25 mg Perform 12-hour troponin Yes Rise in troponin? NSTEMI Refer • ECG changes: refer to medicine/cardiology according to local policy • No ECG changes, but suspected cardiac pathology: utilize clinical decisions unit (CDU) while awaiting troponin result Fig. 2 Management of acute coronary syndromes. g. g. g. 1 Chest pain 35 Aetiology •• Idiopathic •• Secondary to infection: •• Viral: −− Influenzae −− Coxsackie −− Parvovirus −− Epstein-Barr −− HIV •• Bacterial: −− Streptococcus pneumoniae −− Rheumatic fever −− TB −− Staphylococcus aureus •• Fungal MICRO-facts Pericarditis commonly presents following a viral illness.