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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…

Eye examination and corneal foreign body

…the lower fornix. 5. Evert the upper eyelid. Ask the patient to look down. Grasp the eyelashes, press gently downwards on the upper border of…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…a non adherent dressing, gauze. The digital block Anaesthetise from the dorsal aspect, one injection medial and one lateral to the base of the phalanx…

Wound suturing

…on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis, often with antibiotic…

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…

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…

Abscess incision and drainage

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

Ankle-brachial index (ABI)

…the other arm. 2. Ankle pressure. Place the cuff just above the malleoli, with its lower edge about 2 cm above the tip of the…

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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