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Gastric lavage and activated charcoal

…delayed — may justify charcoal later, in some cases up to 6 hours or more. Discuss this with the poison control centre. Gastric lavage is considered…

Joint aspiration

…An unclear arthritis, as part of the diagnostic work up. Haemarthrosis after trauma. A symptomatic effusion causing pain or restricted movement (therapeutic aspiration). Intra articular…

Pleural aspiration and chest drain

…to puncture (no ultrasound verified fluid) Relative Uncorrected coagulopathy or thrombocytopenia Relative Ongoing anticoagulant treatment — plan the aspiration for the trough level or pause the…

Bone marrow aspiration and biopsy

…4. Make a small skin incision with the scalpel. 5. Aspiration: advance the needle with the stylet in place perpendicular to the bone surface, angled…

Soft tissue corticosteroid injection

…to it. See the separate guide to joint aspiration and injection. Indications Condition Injection site Comment : : : Subacromial bursitis, rotator cuff syndrome The subacromial space The…

Cardiac arrest due to hypoxia and asphyxia

…hospital cardiac arrest due to external causes ( Kitamura et al). References DeBehnke DJ, Hilander SJ, Dobler DW, Wickman LL, Swart GL. The hemodynamic and arterial…

Delirium in older adults: quick reference

…deprivation, urinary retention or a new sedative drug, for example — may be enough to precipitate the condition [1,2]. Delirium is common but often missed…

Endotracheal intubation

…both are predictable. Indications Inability to protect the airway: reduced level of consciousness, loss of pharyngeal reflexes, vomiting with a risk of aspiration. Inadequate oxygenation…

Laryngeal mask and difficult airway

…cuff manometer. A videolaryngoscope with both a Macintosh like and a hyperangulated blade, and a stylet shaped to match the hyperangulated blade. A bougie, tubes…

Poisoning: quick reference for antidotes and initial management

…Assess the airway, the pharyngeal reflexes, vomiting and secretions. Suction and give oxygen as needed. Intubate for a threatened airway, a marked risk of aspiration…

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