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Leg ulcers — wound debridement and compression therapy

Procedurer Compression is the treatment that heals venous leg ulcers; everything else is supportive. But the same compression applied to a limb with arterial insufficiency…

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…

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…

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…

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…

Abscess incision and drainage

…be incised — there, antibiotics are the treatment. Ultrasound shows the abscess as a hypoechoic or heterogeneous area whose contents move under pressure; cellulitis instead gives…

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…

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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