Articles & courses

Articles
Abscess incision and drainage

…Irrigation fluid (NaCl 9 mg/mL) and a 20 mL syringe. Culture swab, microbiology request form. Drainage material: rubber dam drain, a strip cut from…

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…

Pleural aspiration and chest drain

Procedurer Almost all the complications of pleural aspiration arise from two errors: the needle is placed in the wrong site, and too much is drained…

Pericardiocentesis

…apically, and choose the site where the rim of fluid is widest and lies most superficially, where the distance from the skin is shortest, and…

Cardiac arrest due to pneumothorax

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

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…

Laryngeal mask and difficult airway

…Procedure Insertion of the laryngeal mask 1. Check the mask, remove air from the cuff so that it is flat with a slightly upturned leading…

Lumbar puncture

…Infection of the skin over the puncture site. Marked haemodynamic instability — stabilise the patient first. CT before the puncture Swedish practice differs here from several…

Paracentesis

…left side so that the fluid collects in the left flank. Have the patient empty the bladder first. Procedure Choice of insertion site The left…

Urinary catheterisation

…cleansing solution in circular movements from the centre outwards. Change the swab between strokes. 3. Instil 10–20 mL of lidocaine gel into the urethra…

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