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Massive haemorrhage and transfusion: quick reference

…uncontrolled source of bleeding. Minimise the time to surgery, endoscopy, an obstetric procedure or angiographic intervention. Summon anaesthesia, the operating specialty, the blood bank and…

Eye examination and corneal foreign body

…sensation of something in the eye, watering, photophobia and redness after working with a grinder, a drill, a lawnmower, or in the wind. Suspected corneal…

Laryngeal mask and difficult airway

…ventilating is not experienced in intubation. Planned anaesthesia for short procedures in a fasted patient at low risk of aspiration. A conduit for fibreoptically assisted…

Epistaxis — compression, cautery and anterior nasal packing

…tongue depressor, a vomit bowl. Local anaesthesia and vasoconstriction: lidocaine 4 % with oxymetazoline 0.5 % (or xylometazoline) on cotton pledgets. Cautery: silver nitrate sticks; electrocautery…

Acute Limb Ischaemia: Recognition and Urgent Management

…occlusion and on the adequacy of collateral blood flow. Ischaemia initially produces pain and sensory disturbance. With progression, motor dysfunction develops, followed by profound anaesthesia…

Abscess incision and drainage

…anaesthetic. Place a field block in healthy skin around the abscess instead of injecting into it, and expect the procedure to hurt even so. Offer…

Gynaecological examination and cervical smear

Procedurer For many patients a gynaecological examination is associated with a sense of exposure, and technically correct performance is only half the task. The examination…

Pleural aspiration and chest drain

…and the drainage is stopped for coughing, chest pain, or when the volume limit is reached. Indications Diagnostic aspiration: a new pleural effusion of unclear…

Poisoning: quick reference for antidotes and initial management

…acidaemia and increase the entry of salicylate into the central nervous system. Discuss the case early with the poison control centre and with anaesthesia or…

Leg ulcers — wound debridement and compression therapy

…arterial insufficiency can cause necrosis and, in the worst case, amputation. The decisive step is therefore not the choice of dressing but the ankle brachial…

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