Articles & courses

Articles
Pleural aspiration and chest drain

…is inserted close to the upper border of the rib, never at the lower border where the neurovascular bundle lies, and the drainage is stopped…

Abscess incision and drainage

…for an incompletely performed drainage. Procedure 1. Locate the centre of the fluctuance, preferably with ultrasound if available. Mark the direction of the incision. 2…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…from the dorsal aspect, one injection medial and one lateral to the base of the phalanx, 2–3 mL on each side, with the needle…

Pericardiocentesis

…liver, lung or vessel lies in the path of the needle. Access Puncture site Direction Comment : : : : Subxiphoid 1–2 cm below and to the left

Laryngeal mask and difficult airway

…designated to keep time and read out the number of attempts. Laryngeal mask sizes Size Patient weight Maximum cuff volume (air filled mask) : : : 1 under…

Lumbar puncture

…when the opening pressure is to be measured. Four numbered sample tubes, and a light protected tube if spectrophotometry is to be performed. Procedure 1…

Paracentesis

…Diagnostic paracentesis 1. Scan the left lower quadrant. Confirm at least 2–3 cm of free fluid depth with no bowel in the path of…

Urinary catheterisation

…on call for urethrography and suprapubic drainage. Preparation and equipment A sterile catheterisation pack, sterile gloves, chlorhexidine solution 0.2 mg/mL or an equivalent…

Cardiac tamponade causing cardiac arrest

…DW, Wickman LL, Swart GL. The hemodynamic and arterial blood gas response to asphyxiation: a canine model of pulseless electrical activity. Resuscitation 1995; 30:16975…

Cardiac arrest due to pneumothorax

…than using a needle due to reduced risk of injury. Thoracostomy should be performed promptly following needle decompression. Thoracostomy with drainage typically serves as a…

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