Procedures

Incision, irrigation and packing of a cutaneous abscess.

24-hour blood pressure and long-term ECG recording in primary care — indications, set-up, quality requirements and thresholds for interpretation.

Doppler measurement of ankle and arm pressures — technique, interpretation, toe-brachial index and the pitfalls that make the measurement falsely normal.

Insertion of an arterial catheter for invasive pressure monitoring and repeated blood gas sampling.

Transfusion routine, compatibility testing and activation of the massive transfusion protocol in large or potentially serious haemorrhage.

Posterior iliac crest: technique, specimen allocation and complications.

Choice of immobilisation, casting technique and monitoring of the circulation.

Ultrasound-guided insertion into the internal jugular, subclavian and femoral veins.

Indications, settings and monitoring in CPAP and NIV — and when the method should be abandoned in favour of intubation.

Liquid nitrogen for actinic keratoses, warts and seborrhoeic keratoses — freeze times, technique, and the lesions that must not be frozen.

The donation process after death by neurological criteria and after circulatory death — assessment, consent and the medical care of the donor.

Diagnosis and treatment of benign positional vertigo — how the test is performed, interpretation of the nystagmus, the Epley manoeuvre step by step, and the differential-diagnostic red flags.

A rapid guide to the dosing of the most important drugs in emergency and intensive care — adults and children.

Performance, safety precautions and interpretation in suspected myasthenia gravis or cholinergic crisis.

Synchronised cardioversion in atrial fibrillation, atrial flutter and unstable tachyarrhythmia.

Rapid sequence induction, laryngoscopy and confirmation of tube position.

Stepwise management of epistaxis: correct compression, silver nitrate cautery, anterior packing, and when a posterior bleed must be suspected.

Exercise protocols, termination criteria and interpretation of ST depression, blood pressure response and exercise capacity.

Visual acuity, fluorescein, eyelid eversion and tonometry — together with removal of a corneal foreign body and the findings that forbid the procedure.

Removal with forceps, hook, suction and balloon catheter — and the objects that cannot wait: button batteries and magnets.

Decontamination in acute poisoning — the indication and the risks.

Inspection, speculum examination, cervical cytology and HPV testing, and bimanual palpation — technique, approach to the patient, and sampling errors.

Choice of injection site, needle length and volume for vaccines, depot preparations and vitamin B12 — plus the Z-track technique and how to handle incorrect placement.

Aspiration of the knee, shoulder and wrist — technique, handling of the specimen, and corticosteroid injection.

Supraglottic airway devices and the structured management of a difficult airway.

Differentiating venous from arterial ulcers, ABI before compression, debridement technique, choice of dressing, and two- or four-layer bandaging.

Diagnostic and therapeutic lumbar puncture — technique, contraindications and interpretation of the opening pressure.

Digital block, incision of a paronychia, splinting and partial nail avulsion with matrix ablation, and trephination of a subungual haematoma.

Insertion, confirmation of position, and the indications in ileus and in nutrition.

Insertion of the oesophageal electrode and interpretation of atrial activity in an unclear tachyarrhythmia.

Titration, equianalgesic conversion, the breakthrough dose and monitoring during opioid treatment of severe acute pain.

Systematic otoscopy and the removal of cerumen by irrigation, curette and suction — indications, contraindications and technique.

Choosing an oxygen delivery system, the target saturation in different conditions, and the risks of both too little and too much oxygen.

Diagnostic and therapeutic paracentesis, albumin replacement and interpretation of the SAAG.

Ultrasound-guided drainage in cardiac tamponade.

Choosing vascular access in acute circulatory failure, including intraosseous access.

Diagnostic aspiration, chest drain insertion, and emergency needle decompression in tension pneumothorax.

Shoulder, elbow, hip and finger — techniques and sedation.

Performance and interpretation of the short ACTH stimulation test in suspected adrenal insufficiency.

Choice of biopsy technique according to the type of lesion, the technique of punch, shave and excisional biopsy, and the handling of the request form together with the commonest mistakes.

Subacromial, epicondylar, trochanteric and carpal tunnel injection — landmarks, doses, technique, and the tendinopathies in which a corticosteroid does harm.

Dynamic spirometry in primary care — performance, quality criteria, reversibility testing, and the interpretation of obstructive and restrictive patterns.

Targeted temperature management after the return of spontaneous circulation — the target temperature, the method, sedation and rewarming.

Emergency pacing in symptomatic bradycardia and AV block.

Indications in poisoning and rhabdomyolysis, sodium bicarbonate dosing, and monitoring of urine pH and potassium.

Urethral catheterisation in men and women, the suprapubic catheter, and the management of difficult catheterisation.

Initiation, dose adjustment according to the INR, management around surgery, and reversal in bleeding.

Wound cleaning, the choice of suture material, techniques and follow-up.