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A 78yo male woke up in the morning feeling dizzy. The patient was well when lying down, but became light headed every time he got up. He waited, but symptoms did not improve, so later in the...
Hypertensive emergencies are defined as sudden and prolonged increases in the arterial blood pressure, with associated organ damage. The degree of increase above that which the patient normally...
The CASE
A 7 yo child is brought in by ambulance after having tonic clonic seizures that morning. The whole family had been travelling for a holiday. Her mother tried to wake her in the...
Bell's Palsy is an ipsilateral Cranial Nerve VII (lower motor neurone) palsy. There is usually a sudden onset of facial weakness, that progressively worsens over 48 hours. The diagnosis...
The Case
A 35 year old woman, who is a known intravenous drug user, is admitted with septic shock secondary to bacterial endocarditis. She is acidotic and hypotensive. Her ECG is shown. Here...
The CASE
52 yo with chest pain and hypotension
It’s a busy afternoon in a rural emergency department and the ambulance bring in a 52 yo with central chest pain and a blood pressure of...
In this Papercut review we look at some major studies and what they tell us about the use of Adrenaline in cardiac arrest. Adrenaline is the most used drug in cardiac arrest. However we...