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Central venous catheter

…different position or a different vessel. Choice of site Vessel Advantages Disadvantages : : : Internal jugular vein (right) Best ultrasound conditions, a straight course to the superior…

Casting and immobilisation

…saw, protective sheeting Hot water gives faster setting and more heat production — a risk of burns Document the distal neurovascular status before casting : sensation, motor…

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

CPR It is commonly stated that approximately 80% of all cardiac arrests are caused by acute or chronic coronary artery disease, with the latter being…

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)

…level of consciousness not attributable to hypercapnia, marked swallowing difficulty, vomiting. Haemodynamic instability or a life threatening arrhythmia. Undrained pneumothorax. Facial trauma, facial burns or…

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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