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Foreign body in the ear and nose

…hydroxide ions are generated at the negative pole of the battery and produce a liquefactive necrosis that can reach the septal cartilage within a few…

Arterial line

…mask and cap. Lidocaine 10 mg/mL for local anaesthesia in the awake patient — the anaesthetic also improves the chance of success by counteracting vascular…

CPAP and non-invasive ventilation (NIV)

… nasal masks and total face masks are alternatives in intolerance. A hydrocolloid dressing for the bridge of the nose applied before the mask goes on…

Casting and immobilisation

…gives faster setting and more heat production — a risk of burns Document the distal neurovascular status before casting : sensation, motor function, pulses and capillary refill…

Pleural aspiration and chest drain

…arm abducted and the hand behind the head. All drains are inserted within the safe triangle (Figure 1). Outside it the risk of injuring the…

Transcutaneous and transvenous pacing

…bundle branch block in acute anterior infarction, and before drugs or procedures with a known risk of bradycardia. Transvenous pacing is chosen when the need…

Eye examination and corneal foreign body

…injury is to measure and document the visual acuity before anything else is done. The second most important is to look for signs of perforation —…

Peripheral venous cannula and intraosseous access

…in three lengths: short for children and slim limbs, medium for most adults, long for thick soft tissue and for the head of the humerus…

Skin biopsy — punch, shave and excision

…the face, 4 0 for the trunk and limbs. Haemostasis: aluminium chloride solution 20–35 %, ferric subsulfate, electrocoagulation. A pot of 4 % formalin, and for…

Congenital heart disease & GUCH (Grown Up Congenital Heart disease)

…and half of them have moderate or complicated defects; the remaining third have mild defects ( Baumgartner et al ). Approximately 40,000 children are born with…

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