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Arterial line

…under the wrist, and tape to secure the hand. Positioning: the wrist extended about 30–45 degrees over the rolled towel, the hand secured with…

Transcutaneous and transvenous pacing

…myocardial ischaemia or syncope — that has not responded to atropine: Complete heart block (third degree AV block) and second degree AV block Mobitz type 2…

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

…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…

Causes of sudden cardiac arrest

…These factors interact and vary over time. Some factors vary from second to second (e.g. degree of ischemia, parasympathetic and sympathetic tone) while others…

Central venous catheter

…dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure and central venous oxygen saturation. Repeated blood sampling during intensive care. Exhausted…

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…

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)

…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…

Skin biopsy — punch, shave and excision

…in the posterior triangle of the neck, and the superficial nerves of the forearm and the dorsum of the hand. Preparation and equipment Chlorhexidine in…

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