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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…

Eye examination and corneal foreign body

…foreign body under the upper eyelid. 7. Seidel's sign: apply fluorescein generously and look under blue light. A dark stream of aqueous humour breaking…

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…

Peripheral venous cannula and intraosseous access

…1. Apply the tourniquet 10–15 cm proximal to the intended puncture site, let the arm hang, ask the patient to pump with the hand…

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…

Ankle-brachial index (ABI)

…signal is sought on the dorsum of the foot lateral to the extensor hallucis longus tendon. Measure in the same way as on the arm…

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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