Articles & courses

Articles
Nail procedures — paronychia, ingrown toenail and subungual haematoma

…which is the commonest cause of recurrence. Indications Condition Procedure : : Acute paronychia with fluctuance or visible pus Incision and drainage Acute paronychia without pus formation…

Lumbar puncture

…a reduced level of consciousness, focal neurological signs or seizures — because the delay costs more than the scan contributes. Only clinical signs of herniation halt…

Paracentesis

…22 G needle, 20 mL and 50 mL syringes. Therapeutic drainage: a commercial paracentesis set or a catheter over needle, 16–18 G, connected to…

Abscess incision and drainage

…appropriate specialty: Location Risk Management : : : Medial triangle of the face (nasal root, alae nasi, upper lip) Venous drainage towards the cavernous sinus Surgeon or ENT…

Pleural aspiration and chest drain

…border of the rib, never at the lower border where the neurovascular bundle lies, and the drainage is stopped for coughing, chest pain, or when…

Cardiac arrest due to pneumothorax

…animal model of haemorrhageinduced traumatic cardiac arrest. Resuscitation 2019; 140:37 42. Endo A, Kojima M, Hong ZJ, Otomo Y, Coimbra R. Open chest versus…

Cardiac tamponade causing cardiac arrest

…is because it does not ensure complete drainage of the pericardium, and needles or catheters are at risk of bending or damage during chest compressions…

Urinary catheterisation

…Instillation therapy and contrast studies of the urinary tract. Wound healing with a sacral pressure sore or extensive perineal wounds where urinary leakage prevents healing…

Laryngeal mask and difficult airway

…3. Ensure that the patient is sufficiently deeply sedated or relaxed — a half awake patient coughs, clenches the jaw and develops laryngospasm . 4. Open the…

Pericardiocentesis

…large pericardial effusion with symptoms despite medical treatment. Diagnostic drainage in suspected purulent pericarditis, tuberculosis or malignancy. Tamponade is a clinical diagnosis supported by echocardiography…

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