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Transcutaneous and transvenous pacing

…Do not clip the hair — small cuts cause burning pain. 2. Position the pads, preferably anteroposteriorly : one anteriorly over the praecordium to the left of…

Arterial line

…3. Puncture 1–2 cm proximal to the wrist crease at an angle of 30–45 degrees , directed proximally along the course of the artery…

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…

Foreign body in the ear and nose

…urgency varies: Object Urgency : : Button battery Immediately — leakage of fluid causes a chemical burn Two or more magnets (including in different nostrils) Immediately — pressure necrosis…

Causes of sudden cardiac arrest

…Some factors vary from second to second (e.g. degree of ischemia, parasympathetic and sympathetic tone) while others take months or years to develop (e…

Central venous catheter

…Highest risk of pneumothorax, the vessel cannot be compressed after arterial puncture, technically more difficult with ultrasound Femoral vein Fastest, and does not interfere with…

Pleural aspiration and chest drain

…is reached. Indications Diagnostic aspiration: a new pleural effusion of unclear cause. An effusion not confidently explained by heart failure must be aspirated. Suspected empyema…

Peripheral venous cannula and intraosseous access

…a patient at risk of rapid deterioration. Intraosseous access: Cardiac arrest where venous access is not immediately available. Shock, severe trauma, burns or status epilepticus…

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

…Mark the biopsy site. In an inflammatory dermatosis: the active edge , not the burnt out centre. 2. Clean the skin and infiltrate the anaesthetic intradermally…

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