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Foreign body in the ear and nose

…the ear canal or the nasal cavity must be removed. The urgency varies: Object Urgency : : Button battery Immediately — leakage of fluid causes a chemical burn…

Arterial line

…aortic balloon pump. Assessment of stroke volume variation as part of fluid management. Contraindications Infection, burn or trauma over the insertion site. Insufficient collateral circulation…

Causes of sudden cardiac arrest

…The discrepancy between traditional figures and recent studies is due to the dramatic decrease in the incidence of acute coronary syndromes over the past decades…

Central venous catheter

…to make sure the catheter does not become the patient's next focus of infection. Indications Infusion of vesicant solutions: vasopressors, concentrated potassium, cytotoxic drugs…

Pleural aspiration and chest drain

…Relative Skin infection, herpes zoster or burns over the puncture site Relative Mechanical ventilation with a high PEEP (an increased risk of pneumothorax; ultrasound guidance…

Peripheral venous cannula and intraosseous access

…Infection or burns over the puncture site. Osteogenesis imperfecta and severe osteoporosis (relative). An inability to identify the landmarks. Choice of vein and cannula size…

CPAP and non-invasive ventilation (NIV)

…bridge of the nose applied before the mask goes on, not after the sore has developed. Humidification, suction and the facility to give nebulised drugs…

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)

…heart disease (CHD) has increased dramatically over the past few decades. This has resulted in an increased prevalence of congenital heart disease in the general…

Eye examination and corneal foreign body

…the visual acuity before anything else is done. The second most important is to look for signs of perforation — Seidel's sign, an irregular pupil…

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