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Nasogastric tube

…stricture or a known diverticulum Relative Recent nasal or pharyngeal surgery Signs that should raise the suspicion of a base of skull fracture: periorbital bruising…

Oesophageal ECG

…surgery of the nose, pharynx or oesophagus. Marked nausea, anxiety or communication difficulties that prevent the patient from cooperating. Suspected base of skull fracture or…

Assessment of Pacemaker Malfunction

…misplaced stimulation artifacts, irregular pacing, etc. Most cases of malfunction are associated with the electronics in the pulse generator or dislodgement or fracture of the…

The ST segment: physiology, normal appearance, ST depression & ST elevation

…may be displaced upwards (ST segment elevation) or downwards (ST segment depression). The term ST segment deviation refers to elevation and depression of the ST…

Tricuspid regurgitation (TR/TI)

…Left to right shunt. Right ventricular dysfunction due to pressure/volume overload is the most common cause. Ebstein's anomaly The prevalence of Ebstein's…

Injection technique — intramuscular, subcutaneous and intradermal

… gloves where there is a risk of blood contact. An alcohol or chlorhexidine swab. Let the skin dry completely before inserting the needle — alcohol carried…

Cardiac arrest during pregnancy and childbirth

…the uterus should be manually displaced to the woman's left side (Figure 1). Additional offloading of the vena cava can be accomplished using a…

Continuous Wave Doppler (CW Doppler)

…the left ventricle, the opening of the mitral valve and the left atrium. Recall that velocities (flows) directed away from the transducer are displayed below…

The Cabrera format of the 12-lead ECG and inverted lead aVR

…anterior (V1) to left lateral (V6), but regrettably, the limb leads are not. Instead, the limb leads are displayed in two groups of three: leads…

Aortic stenosis

…the early stages of aortic stenosis, stroke volume becomes smaller. Reduced stroke volumes and increased resistance in the valve result in compensatory left ventricular hypertrophy…

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