Articles & courses

Articles
Ankle-brachial index (ABI)

…at a comfortable temperature — a cold foot gives falsely low pressures. No smoking or coffee in the preceding hour. Remove socks and any compression stockings…

Injection technique — intramuscular, subcutaneous and intradermal

…A paretic limb — poorer absorption. Injection into an arm with a dialysis fistula. Preparation and equipment Hand disinfection; gloves where there is a risk of…

Arterial line

…blood appears in the hub: lower the angle to close to the plane of the skin and advance a further 1–2 mm so that…

Coronary Anomalies and Myocardial Bridging

…the coronary arteries. They include anomalous aortic origin of a coronary artery (AAOCA), coronary fistulae, and myocardial bridging. Although many are clinically silent, some produce…

Ambulatory blood pressure monitoring and Holter ECG

…lymphoedema or a dialysis fistula in both arms, an arm circumference too large for the available cuffs, and in a patient who does not tolerate…

Peripheral venous cannula and intraosseous access

…of a fine needle, and collapsed veins mean that the fine needle is in addition the only one that will go in. The rule that…

Upper gastrointestinal bleeding: quick reference

…a Dieulafoy lesion, angiodysplasia, malignancy and an aortoenteric fistula. Variceal bleeding generally has a higher early mortality than non variceal bleeding [1,2]. Upper gastrointestinal…

Abscess incision and drainage

… risk of fistula Surgeon, often operative management Breast Cosmesis, milk ducts, malignancy differential Surgeon or mammography Sole of the foot Deep compartments Orthopaedic surgeon Close…

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