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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…

Joint aspiration

…joints (wrist, finger joints). A 20–50 mL syringe for a knee with a large effusion, 5–10 mL for smaller joints. Local anaesthesia of…

Soft tissue corticosteroid injection

…injection; 25–27 G, 25 mm for the carpal tunnel, de Quervain's and trigger finger. Syringes of 3, 5 and 10 mL, artery forceps…

Reduction of dislocations

…before radiography. The longer a joint remains dislocated, the harder the reduction becomes and the greater the risk of chondral and neurovascular injury. Aim for…

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…

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

…Preparation and equipment Hand disinfection; gloves where there is a risk of blood contact. An alcohol or chlorhexidine swab. Let the skin dry completely before…

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

…tourniquet: a Penrose drain with artery forceps, or the cut off finger of a sterile glove rolled down. A nail splitter or strong pointed scissors…

Skin biopsy — punch, shave and excision

…duration; it is safe even on the fingers, toes, nose and ears), a 27 G needle, a 2–5 mL syringe. Punches of 2, 3…

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