Articles & courses

Articles
Central venous catheter

…low risk of pneumothorax Uncomfortable for an awake patient, harder to keep the dressing clean with a tracheostomy or copious secretions Subclavian vein Most comfortable…

CPAP and non-invasive ventilation (NIV)

…Increase in steps of 2.5 to 10–12.5 cmH₂O according to tolerance and effect SpO₂ 94–98% COPD exacerbation with pH < 7…

Peripheral venous cannula and intraosseous access

…for thick soft tissue and for the head of the humerus. A pressure bag or a 50 mL syringe with a three way tap — intraosseous…

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…

Causes of sudden cardiac arrest

…from the Swedish Cardiac Arrest Registry, which has recorded causes of cardiac arrest with a separate category for cardiac etiologies. Cause Definition Medical cause Includes…

Casting and immobilisation

…that it extends a few centimetres beyond the planned ends of the cast. 3. Pad evenly , 2–3 layers with about 50 per cent overlap…

Transcutaneous and transvenous pacing

…pain of transcutaneous pacing. It is a bridge to a permanent pacemaker or to resolution of the underlying cause. Contraindications Hypothermia with a body temperature…

Arterial line

…Choice of vessel The radial artery is the first choice : superficial, easy to compress, with a dual collateral supply to the hand through the palmar…

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…

Skin biopsy — punch, shave and excision

…without a definite diagnosis. Choice of technique Diagnostic question Method Comment : : : Pigmented lesion, suspected melanoma Excision with a 1–3 mm margin, down into the…

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