Articles & courses

Articles
Injection technique — intramuscular, subcutaneous and intradermal

…on the same side. A paretic limb — poorer absorption. Injection into an arm with a dialysis fistula. Preparation and equipment Hand disinfection; gloves where there…

Coronary Anomalies and Myocardial Bridging

…acute angle take off, and an intramural course. An anomalous left coronary artery is less common but more malignant than an anomalous right coronary artery…

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…

Arterial line

…s phenomenon, thromboangiitis obliterans. An arm with an AV fistula or with planned vascular access for dialysis. Previous vascular surgery in the area. Coagulopathy and…

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…

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

…function Orthopaedic or hand surgeon, urgently Perianal and perirectal Often larger than it appears; risk of fistula Surgeon, often operative management Breast Cosmesis, milk ducts…

Ankle-brachial index (ABI)

Procedurer The ankle brachial index is the cheapest and most accessible method of objectively demonstrating peripheral arterial disease, and it is needed more often than…

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