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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

…as part of fluid management. Contraindications Infection, burn or trauma over the insertion site. Insufficient collateral circulation to the hand. Vascular disease in the limb:…

CPAP and non-invasive ventilation (NIV)

…facial burns or recent facial surgery that make a seal impossible. Recent surgery on the oesophagus or upper gastrointestinal tract, ileus and ongoing upper gastrointestinal…

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

…inserted close to the upper border of the rib, never at the lower border where the neurovascular bundle lies, and the drainage is stopped for…

Transcutaneous and transvenous pacing

…or to resolution of the underlying cause. Contraindications Hypothermia with a body temperature below about 30 °C — the hypothermic myocardium is irritable and pacing can…

Eye examination and corneal foreign body

…pressure measured, or be palpated. Indications A sensation of something in the eye, watering, photophobia and redness after working with a grinder, a drill, a…

Peripheral venous cannula and intraosseous access

…when the arm is flexed. The dorsum of the hand is suitable for finer cannulae. Avoid the lower limb in adults. In shock with collapsed…

Skin biopsy — punch, shave and excision

…report. A shave biopsy of a pigmented lesion that turns out to be a melanoma can make the Breslow thickness unmeasurable and staging therefore impossible…

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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