Articles & courses

Articles
Pleural aspiration and chest drain

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

Paracentesis

…first. Procedure Choice of insertion site The left lower quadrant is the first choice : the abdominal wall is thinner there than on the right, and…

Lumbar puncture

…cord ends at T12–L1, so these levels encounter only the roots of the cauda equina. If in doubt: choose a level lower, never higher…

Abscess incision and drainage

…lip) Venous drainage towards the cavernous sinus Surgeon or ENT; often antibiotics Palm, fingers, tendon sheaths Deep compartments and tendon sheaths, loss of function Orthopaedic…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

Procedurer Three of the commonest minor procedures in general practice concern the nails, and all three rest on the same foundation: an effective digital block…

Pericardiocentesis

…rim of fluid looks. With ultrasound guidance, the point at which the fluid lies most superficially is chosen and the needle is followed all the…

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

…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…

Laryngeal mask and difficult airway

…masks with a separate drainage channel (i gel, LMA Supreme, LMA ProSeal) are the first choice in emergencies, since they allow the stomach to be…

Urinary catheterisation

…impairment or a large residual volume. A need for accurate measurement of urine output in a critically ill patient. Perioperatively and postoperatively in longer procedures…

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