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Wound suturing

…and all bites on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…picture, and several of the steps below refer to structures that are not visible when looking at the nail. The nail plate is the hard…

Peripheral venous cannula and intraosseous access

…but the cannula kinks when the arm is flexed. The dorsum of the hand is suitable for finer cannulae. Avoid the lower limb in adults…

Abscess incision and drainage

…wall of the cavity before irrigating. 5. Let the pus drain out. Empty it with gentle pressure around the cavity, not by pressing hard on…

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

…5 mg/mL: clean with 3–4 swabs in wide circles and let it dry for a couple of minutes before the needle is inserted…

Central venous catheter

…low risk of pneumothorax Uncomfortable for an awake patient, harder to keep the dressing clean with a tracheostomy or copious secretions Subclavian vein Most comfortable…

Ankle-brachial index (ABI)

…of the correct size (the width should correspond to about 40 % of the circumference of the limb), a manual manometer, plastic film or a dressing…

Leg ulcers — wound debridement and compression therapy

…not the choice of dressing but the ankle brachial index before the first bandage is applied . Indications Venous leg ulcer — about 70% of all leg…

CPAP and non-invasive ventilation (NIV)

…masks are alternatives in intolerance. A hydrocolloid dressing for the bridge of the nose applied before the mask goes on, not after the sore has…

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