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Peripheral venous cannula and intraosseous access

…a major injury proximal to the puncture site. A joint prosthesis or orthopaedic metalwork in the area. A previous intraosseous attempt in the same bone…

Joint aspiration

…needle of 0.8–1.2 × 50 mm for large joints (knee, shoulder), 0.5–0.6 × 25 mm for small joints (wrist, finger joints)…

Soft tissue corticosteroid injection

…rehabilitation possible, not an alternative to it. See the separate guide to joint aspiration and injection. Indications Condition Injection site Comment : : : Subacromial bursitis, rotator cuff…

Reduction of dislocations

…elbow, finger, patella, jaw or hip prosthesis. A dislocation with neurovascular compromise or skin tenting — reduce promptly, before radiography. The longer a joint remains dislocated…

Wound suturing

…apart. A wound through the full thickness of the dermis, particularly over joints and in cosmetically sensitive areas. Superficial wounds with well apposed edges, abrasions…

Foreign body in the ear and nose

…3. Introduce the nasal speculum with the handle parallel to the floor and the index finger supported against the patient's nose and cheek . Open…

Injection technique — intramuscular, subcutaneous and intradermal

…lower tip of the muscle insertion. 3. Stretch the skin with the thumb and index finger, or compress the muscle in a slim patient. 4…

Laryngeal mask and difficult airway

…Open the mouth, introduce the mask with the aperture facing the tongue and follow the hard palate with your index finger as a guide. 5…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…an iodine solution. Lidocaine 10 mg/mL without adrenaline for the block (adrenaline is safe in fingers and toes according to modern data, but there…

Skin biopsy — punch, shave and excision

…10 mg/mL with adrenaline 5 µg/mL (adrenaline gives a bloodless field and a longer duration; it is safe even on the fingers, toes…

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