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Ankle-brachial index (ABI)

…cuff over a protective dressing, or measure at the toe instead. Marked pain that prevents the patient from tolerating compression. Preparation and equipment Equipment: a…

Leg ulcers — wound debridement and compression therapy

…vasculitis Individual assessment Repeat the ABI every three to six months during ongoing compression therapy, and always in the event of new or increasing pain…

Bone marrow aspiration and biopsy

…marrow metastasis. Assessment of treatment response and measurement of residual disease (MRD). Fever of unknown origin or suspected granulomatous disease with marrow involvement. Work up…

Wound suturing

…strips, tissue adhesive or a dressing alone. Contraindications Primary closure must be avoided or considered carefully in: Bite wounds — particularly cat and human bites, and…

Abscess incision and drainage

…a strip cut from a glove, petrolatum impregnated packing strip or a vessel loop for loop drainage. Gauze, absorbent dressing. Local anaesthesia works poorly in…

Central venous catheter

…for local anaesthesia, normal saline to flush all lumens, suture material or a securement device, transparent dressing. Monitoring throughout the procedure: ECG, pulse oximetry and…

CPAP and non-invasive ventilation (NIV)

…the unit. Preparation and equipment A device capable of both CPAP and bilevel ventilation, or alternatively flow generated CPAP with a PEEP valve. Masks in…

Eye examination and corneal foreign body

…eye shield (never a pressure dressing when perforation is suspected). A tonometer: an applanation tonometer on the slit lamp, or a hand held device (iCare…

Joint aspiration

…Preparation and equipment Chlorhexidine in alcohol 5 mg/mL: clean with 3–4 swabs in wide circles and let it dry for a couple of…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…proximal fold over the base of the plate. Preparation and equipment Chlorhexidine in alcohol or an iodine solution. Lidocaine 10 mg/mL without adrenaline for…

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