Articles & courses

Articles
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…

Peripheral venous cannula and intraosseous access

…gas and electrolytes can be interpreted, but some laboratories do not accept marrow blood in their analysers — check locally. Contraindications Peripheral venous cannula: Infection, burns…

Pleural aspiration and chest drain

…of the rib, never at the lower border where the neurovascular bundle lies, and the drainage is stopped for coughing, chest pain, or when the…

Transcutaneous and transvenous pacing

…only monitoring and preparedness. Asystole with no electrical activity at all — pacing has no documented benefit there. Transcutaneous pacing: burns or wounds in the area…

Central venous catheter

…the use of ultrasound throughout the puncture, and maintaining maximal barrier precautions without shortcuts. The most common serious error is dilating a vessel that turns…

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…

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…

Foreign body in the ear and nose

…majority of cases, and the great majority of objects can be removed in general practice or in the emergency department with simple equipment. Two principles…

Skin biopsy — punch, shave and excision

…dermatosis: the active edge , not the burnt out centre. 2. Clean the skin and infiltrate the anaesthetic intradermally and subcutaneously until a weal forms. 3…

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