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Leg ulcers — wound debridement and compression therapy

…Septic phlebitis, ongoing soft tissue infection with systemic involvement. Relative: Condition Adaptation : : ABI 0.5–0.79 Reduced compression (20–30 mmHg) under vascular surgical…

Injection technique — intramuscular, subcutaneous and intradermal

…with a high BMI, and that the deltoid injection is placed too high — which causes the shoulder injury known as SIRVA. Both are avoided with…

Opioid therapy in severe pain

…during titration: Give the injection slowly over at least a minute; a rapid injection causes nausea and a fall in blood pressure without better analgesia…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…with several simultaneous renal insults. Infection, hypovolaemia, cardiac dysfunction, haemodynamic instability, anaemia and other nephrotoxic exposures may contribute to tubular injury, making attribution to contrast…

Eye examination and corneal foreign body

Procedurer The single most important step in any eye injury is to measure and document the visual acuity before anything else is done. The second…

Wound suturing

…of wound infection is retained contamination, not poor suture technique — and the commonest cause of permanent loss of function is a tendon injury that was…

Peripheral venous cannula and intraosseous access

…blood gas and electrolytes can be interpreted, but some laboratories do not accept marrow blood in their analysers — check locally. Contraindications Peripheral venous cannula: Infection…

Endotracheal intubation

…respiratory acidosis, or a markedly increased work of breathing with impending exhaustion. Threatened airway obstruction: inhalation injury, anaphylaxis, deep neck infection, an expanding haematoma, facial…

Statin Intolerance and Statin-Associated Muscle Symptoms

…and elevated CK. Rhabdomyolysis is a rare, severe form of muscle injury. The biological basis of many reported muscle symptoms remains uncertain. Randomized trials have…

Cardiac arrest due to pneumothorax

…episodes Iatrogenic events (e.g., during central venous catheter insertion) Underlying lung pathologies In cases of benign pneumothorax, positive pressure ventilation can precipitate a tension…

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