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Otoscopy and ear syringing

…the pinna upwards and backwards in adults, downwards and backwards in small children. 3. Rest your hand against the patient's cheek so that the…

Foreign body in the ear and nose

…3. Introduce the nasal speculum with the handle parallel to the floor and the index finger supported against the patient's nose and cheek . Open…

Epistaxis — compression, cautery and anterior nasal packing

…6. Observe for 10 minutes and check the pharynx — blood running down into the pharynx means that the bleeding is not controlled. Petroleum jelly gauze…

Blood transfusion and massive haemorrhage

…it is used : : : Blood grouping ABO and RhD typing. Requires two samples drawn on two separate occasions with a separate identity check each time Always…

Casting and immobilisation

…edge of the cast and smooth the edges. 7. Secure with an elastic bandage in even turns without tension . 8. Check that the slab ends…

Sepsis and septic shock: quick reference for the first hour

… check previous culture results, antibiotics, allergies, renal function, health care exposure and the risk of resistant organisms 0 to 60 min Empirical intravenous antibiotics in…

Laryngeal mask and difficult airway

…1. Check the mask, remove air from the cuff so that it is flat with a slightly upturned leading edge, and lubricate the dorsal surface…

Ambulatory blood pressure monitoring and Holter ECG

…equal. Check against a manual measurement and document the difference. Programme measurements every 20 minutes during the day and every 30 minutes at night , or…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…cautious and consider referral in: Diabetes with neuropathy or peripheral arterial disease — a risk of osteomyelitis and poor healing. Check the ankle brachial index and…

Peripheral venous cannula and intraosseous access

…at insertion; a blood gas and electrolytes can be interpreted, but some laboratories do not accept marrow blood in their analysers — check locally. Contraindications Peripheral…

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