In a hemodynamically stable patient
, without severe abdominal pain and in the presence of only a small amount of pelvic fluid found on ultrasound, observation is a sufficient treatment.
In a haemodynamically stable patient
with suggestive symptoms, ultrasound and/or a computed tomography scan can be used to confirm the diagnosis.
A patient needing intubation to establish an airway, for example, will be always be attended to immediately versus a more stable patient
with minor cuts and bruises, even if the latter came first.
In the absence of sepsis of a hemodynamically stable patient
with an isolated pyogenic liver abscess, percutaneous drainage with intravenous antibiotic treatment is usually sufficient.
In the stable patient
, the gold standard for diagnosing a splenic injury is a contrast-enhanced CT scan.
If the rhythm control strategy is selected and the AF/AFL duration of hemodynamically stable patient
is >48 h or unknown, an optimal rate control should be provided first.
"But if you put a stent in a stable patient
, who just has chest pain when exercising, this is the time to put a patient on DAPT for six to 12 months," Dr.
Barbieri: There is virtually no role to administer methotrexate based on a single hCG determination in a hemodynamically stable patient
Investigations are reserved for the stable patient
without overt signs of peritonitis.
Results from the demonstration project included stable patient
outcomes; patients found DNSs extremely knowledgeable and confident in their prescribing decisions; diabetes team members supported DNS prescribing and team relationships in diabetes centres had grown in collegiality; and DNSs were very satisfied with their extended roles and responsibilities.
While hepatic contrast extravasation in a stable patient
is typically treated with angioembolization, proximity to the gallbladder was concerning for gallbladder injury.
Complicated patients are not advised to fast but a stable patient
may easily fast if he/she maintains the dosage.