The medicine, taught once.

Acute coronary syndrome

Treat ongoing ischemic pain with ST elevation as a reperfusion emergency, and keep the drug dose and the minute-limit local.

2 sourced local notes

Heart failure

Separate congestion from a weak ventricle, and do not treat a diuretic as if it were the whole plan.

Shared principle

Atrial fibrillation

Split an unstable rhythm from a stable one, and keep stroke prevention as its own decision.

Shared principle

Hypertension and hypertensive emergency

Decide whether a high reading is an emergency, and treat the stage numbers as local labels.

2 sourced local notes

Pulmonary embolism

Match the next test and treatment to probability and to whether the circulation is failing.

Shared principle

Acute asthma

Read a silent chest with exhaustion as life-threatening asthma, not as recovery.

Shared principle

Community-acquired pneumonia

Use severity to choose the place of care, and do not copy an antibiotic list from another country.

Shared principle

COPD exacerbation and oxygen

Treat an exacerbation, and do not chase a normal saturation with unrestricted oxygen.

Shared principle

Sepsis and septic shock

Recognize septic shock and start resuscitation before a complete culture result.

Shared principle

Diabetic ketoacidosis

Order fluid, potassium, and insulin so that insulin is not given into dangerous hypokalemia.

Shared principle

Hyperglycemia without ketoacidosis

Tell marked hyperglycemia without ketoacidosis apart from diabetic ketoacidosis.

Shared principle

Stroke and TIA

Exclude hemorrhage and hypoglycemia before any treatment that affects clotting.

Shared principle

Severe hyperkalemia

Protect a toxic myocardium first, and do not confuse that step with lowering the potassium.

Shared principle

Upper gastrointestinal bleeding

Resuscitate a bleeding patient before arranging a non-urgent endoscopy.

Shared principle

Anaphylaxis

Give intramuscular adrenaline (epinephrine) first, and keep the microgram dose on the local label.

2 sourced local notes

Depression and suicidal risk

Ask about a plan and means, and do not discharge an unsafe person with a leaflet alone.

Shared principle

Consent and capacity

Honor a capable refusal, and do not borrow another country's statute.

1 sourced local note