Hypertension
Modification Recommendation Approximate systolic BP reduction, range Weight reduction Maintain normal body weight (BMI, 18.5–24.9 kg/m2) 5–20 mmHg per 10 kg weight loss Adopt dietary approaches to stop hypertension Consume…
Uncategorized
Noncardiac Chest Pain (Including Chest Wall Pain)
Examples of NSAIDs Aspirin Ibuprofen Naproxen Ketorolac Meloxicam Indomethacin Ketoprofen Pitfalls 1. Prescribing to patients at risk for bleeding 2. Prescribing to patients with kidney disease 3. Prescribing…
Paediatric Emergencies
(1) Royal Free NHS Foundation Trust, London, UK Assessment of child with fever Measurement of temperature: Age <4 weeks: electronic thermometer in axilla 4 weeks to 5 years: electronic…
Infectious Disease Emergencies
(1) Royal Free NHS Foundation Trust, London, UK Sepsis definitions SYSTEMIC INFLAMMATORY RESPONSE SYNDROME CRITERIA: Requires two or more of the following: Temperature >38 C or <36 degrees Centigrade…
Haematological and Oncological Emergencies
(1) Royal Free NHS Foundation Trust, London, UK Causes of neutropenia (total neutrophil count <1 × 10/L regardless of total white cell count) Infections: bacterial; viral; rickettsial; parasitic Drugs:…
Renal and Urological Emergencies
(1) Royal Free NHS Foundation Trust, London, UK Causes of red urine Macroscopic haematuria Haemoglobinuria (haemolysis) Myoglobinuria Drugs: rifampicin; metronidazole; warfarin; nitrofurantoin Menstruation Food: beetroot (anthrocyanin); red cabbage; blackberries;…
Gastrointestinal Emergencies
(1) Royal Free NHS Foundation Trust, London, UK Causes of dysphagia Oropharyngeal Neurological motility disorder: stroke; movement disorders (Parkinson’s disease, progressive supranuclear palsy); amyotrophic lateral sclerosis; multiple sclerosis; bulbar…
Emergencies in the Elderly
(1) Royal Free NHS Foundation Trust, London, UK Factors predisposing to falls General: Advancing age Female gender Environmental hazards Previous falls Living alone Physiological/functional Muscle weakness Impaired balance/gait Impaired…
Toxicological Emergencies
(1) Royal Free NHS Foundation Trust, London, UK ABCD assessment in poisoning Airway: signs of obstruction (caustic ingestion; ACE inhibitors); loss of protective airway reflexes (CNS depression; seizures); increased…
Neurological and Psychiatric Emergencies
(1) Royal Free NHS Foundation Trust, London, UK Stroke Stroke is a clinical diagnosis, associated with an acute presentation of ongoing focal neurological deficit that cannot be explained by…
