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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…

Otoscopy and ear syringing

…exostoses Narrow and hard to reach Ongoing otitis externa Pain, spread of infection A small or uncooperative child Movement causes injury Preparation and equipment Otoscopy…

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…

Endotracheal intubation

…in three sizes, a stylet or bougie taken out and shaped before induction , a syringe for the cuff, a cuff manometer. A laryngeal mask of…

Nasogastric tube

…passages and choose the more patent one. Ask the patient about a previous nasal fracture or unilateral nasal obstruction. 2. Measure the depth of insertion…

Neutropenic fever: quick reference for emergency management

…abdominal pain or a rapid deterioration in general condition may be the only signs of infection. Corticosteroids and other immunosuppressive treatments can blunt the febrile…

Deceased donor organ donation

…intensive care patient in whom life sustaining treatment is withdrawn and total brain infarction is not expected to occur Death is confirmed by Direct criteria:…

Contrast-Associated Acute Kidney Injury: Risk Assessment and Prevention

…In many cases, the renal injury probably represents acute tubular necrosis arising from the combined effects of contrast exposure and other ischaemic or nephrotoxic stresses…

Adenosine: Administration Technique, Dose Escalation and Precautions

…the sinus and atrioventricular (AV) nodes. In addition to these direct effects, adenosine antagonizes catecholamine stimulated adenylate cyclase. This inhibition decreases the accumulation of cyclic…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…fatal myocardial infarction in which death occurs before biomarkers can be obtained or become abnormal, in the presence of symptoms suggestive of ischaemia and presumed…

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