Cardiovascular Neuromuscular Electrolyte disturbance Other ECG changes Muscle weakness and fatigue Hypokalaemia Nausea and vomiting Cardiac arrhythmias Hyperreflexia Hypocalcaemia Migraine Heightened digitalis toxicity Tremors Anorexia Positive Chvostek’s and Trousseau’s signs …
I Slow mental function II Inappropriate behaviour III Daytime somnolence IV Coma The differentiation between hepatic encephalopathy and other causes of altered mental state whilst difficult has to be made….
Need for intubation and/or mechanical ventilation due to Decreased conscious level (Glasgow coma scale [GCS] of 8 or less) or evidence of brain stem dysfunction or any other cause of…
Appearance Interaction with the learner Educational context Part-task trainer Realistic, but of a single body part Feels realistic, but limited or no response Repetitive practice of isolated skill Fully…
Fig. 14.1 North West Thames Critical Care Network Adult Critical Care Record of Transfer (Reproduced with kind permission of the North West London Critical Care Network) All transfer equipment should…
Decreased ability to direct, focus, sustain of shift attention and reduced awareness Develops over hours or a few days and usually fluctuates in severity within hours Disturbance in cognition–memory, disorientation,…
LMWH NOAC VKA Advantages Rapid onset and offset Oral agent Oral agent Extensive clinical experience Rapid onset and offset Extensive clinical experience Reliable laboratory measure of anticoagulant activity (i.e….
Aspect of care Acute management Ongoing management Airway Assess airway involvement Intubate with ≥size 8 mm, uncut ETT if necessary Upright positioning Escharotomy of neck burns to prevent external airway…
Regional anaesthesia technique Indications Superficial cervical plexus block Central line insertion Analgesia for tracheostomy (bilateral blocks needed) Analgesia for superficial procedures on the anterior neck to the clavicle Infiltration below…
On intensive care Transitional care Following discharge from hospital Adherence to PAD guidelines [19] ‘Liaison/Outreach’ nurse [39] Patient diaries [45] Use of the ‘ABCDE’ bundle [30] ‘Self-help’ manual [41] Follow-up…
