
Pulmonary embolism: shock before hypotension
A maintained blood pressure may conceal deteriorating right ventricular function and organ perfusion in pulmonary embolism.
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A maintained blood pressure may conceal deteriorating right ventricular function and organ perfusion in pulmonary embolism.
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Late alteplase improves one recovery measure but raises bleeding risk and leaves important timing questions unresolved.
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Tachycardia, hypotension and tachypnoea deserve reassessment even when the patient appears comfortable.
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Classic ST elevation may be absent despite an occluded coronary artery requiring urgent reperfusion.
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Building emergency services in Uganda means connecting immediate treatment, referral and continuing local training.
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Assess deficits, shock and mechanism before deciding how much fluid a patient with crush injury needs.
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A functioning short peripheral IV can start vasopressors promptly, provided the site is closely monitored.
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Atypical symptoms and absent risk factors do not reliably exclude myocardial infarction.
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CRP, dipsticks and cultures need clinical context before they change antibiotic treatment.
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Minimal tenderness is less reassuring in older adults, so CT should remain readily considered.
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Inotrope choice starts with perfusion, heart rate and afterload, not blood pressure alone.
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Wound location and ECG rhythm can sharpen thoracotomy decisions in traumatic cardiac arrest.
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