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Emergency Department

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Oxygen flow rates and devices.

Major Haemorrhage

Burns. Chest Pain. Shortness of Breath. ECG. tLOC. Seizures. Head Injury. Overdose. Lisfranc injury - Wikipedia. Maybe later |Close Thank you! We will send you a reminder email. Dear readers in Canada, time is running out in 2016 to help Wikipedia. To protect our independence, we'll never run ads. Causes[edit] Direct Lisfranc injuries are usually caused by a crush injury, such as a heavy object falling onto the midfoot, or the foot being run over by a car or truck, or someone landing on the foot after a fall from a significant height.[5] Indirect Lisfranc injuries are caused by a sudden rotational force on a plantar flexed (downward pointing) forefoot.[4] Examples of this type of trauma include a rider falling from a horse but the foot remaining trapped in the stirrup, or a person falling forward after stepping into a storm drain.[5] Diagnosis[edit] In a high energy injury to the midfoot, such as a fall from a height or a motor vehicle accident, the diagnosis of a Lisfranc injury should, in theory at least, pose less of a challenge.

Classification[edit] Treatment[edit] History[edit] See also[edit] ECG features of TCA overdose - LITFL ECG Library. Transient loss of consciousness ('blackouts') in over 16s | 1-Guidance | Guidance and guidelines. 1.3.1 Assessment and assignment to type of syncope Carry out a specialist cardiovascular assessment as follows.

Reassess the person's: detailed history of TLoC including any previous events medical history and any family history of cardiac disease or an inherited cardiac condition drug therapy at the time of TLoC and any subsequent changes. Conduct a clinical examination, including full cardiovascular examination and, if clinically appropriate, measurement of lying and standing blood pressure. Repeat 12-lead ECG and obtain and examine previous ECG recordings.On the basis of this assessment, assign the person to one of the following suspected causes of syncope. Suspected structural heart disease. For people with suspected structural heart disease, investigate appropriately (for example, cardiac imaging). 1.3.2 Diagnostic tests for different types of syncope TLoC at least several times a week, offer Holter monitoring (up to 48 hours if necessary).

Syncope | LITFL: Life in the Fast Lane Medical Blog. Chest pain of recent onset: assessment and diagnosis | Recommendations | Guidance and guidelines. 1.1 Providing information for people with chest pain Discuss any concerns people (and where appropriate their family or carer/advocate) may have, including anxiety when the cause of the chest pain is unknown. Correct any misinformation. [2010] Offer people a clear explanation of the possible causes of their symptoms and the uncertainties. [2010] Clearly explain the options to people at every stage of investigation.

Make joint decisions with them and take account of their preferences: Encourage people to ask questions. Provide information about any proposed investigations using everyday, jargon-free language. Their purpose, benefits and any limitations of their diagnostic accuracy duration level of discomfort and invasiveness risk of adverse events. [2010] Offer information about the risks of diagnostic testing, including any radiation exposure. [2010] 1.2 People presenting with acute chest pain 1.2.1 Initial assessment and referral to hospital.