Articles & courses

Articles
Arterial line

…to the hand. Vascular disease in the limb: marked peripheral arterial disease, Raynaud's phenomenon, thromboangiitis obliterans. An arm with an AV fistula or with…

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…

Abscess incision and drainage

…and tendon sheaths, loss of function Orthopaedic or hand surgeon, urgently Perianal and perirectal Often larger than it appears; risk of fistula Surgeon, often operative…

Peripheral venous cannula and intraosseous access

…venous cannula: Infection, burns or trauma at the puncture site. An arm with an arteriovenous fistula, previous axillary clearance or lymphoedema. A limb with paresis…

Ankle-brachial index (ABI)

…toe instead. Marked pain that prevents the patient from tolerating compression. Preparation and equipment Equipment: a handheld Doppler probe 5–10 MHz, ultrasound gel, a…

Ambulatory blood pressure monitoring and Holter ECG

…and irregular ventricular rate (oscillometric measurement becomes unreliable), lymphoedema or a dialysis fistula in both arms, an arm circumference too large for the available cuffs…

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…

Coronary Anomalies and Myocardial Bridging

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

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