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Casting and immobilisation

Procedurer A cast should hold the fracture still and do nothing else. The two ways in which casting harms the patient are that it is…

Oesophageal ECG

…placed in the oesophagus at the right level therefore records atrial depolarisation with an amplitude the surface ECG can never achieve, and makes it visible…

Delirium in older adults: quick reference

…8. Document the diagnosis and communicate it at every handover. Recognise it Core criteria Core criterion Meaning : : Acute onset The change has developed over hours…

Reduction of dislocations

…The neurovascular status must be documented before and after every attempt at reduction — otherwise it is impossible to determine afterwards whether a nerve injury was…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…stent or at its margins after percutaneous coronary intervention (PCI). It is a PCI related myocardial infarction when angiography or autopsy documents thrombosis and the…

Massive haemorrhage and transfusion: quick reference

…Beta blockade, a pacemaker and autonomic neuropathy can at the same time mask the expected tachycardia. Aids to assessment The shock index is calculated as…

Opioid therapy in severe pain

…titration. Half of all opioid dosing errors arise at the dilution step, and an undiluted syringe of 10 mg/mL makes small adjustments impossible. Procedure…

Peripheral venous cannula and intraosseous access

…the tourniquet 10–15 cm proximal to the intended puncture site, let the arm hang, ask the patient to pump with the hand, and pa

Urinary catheterisation

…workload is heavy, or as a substitute for mobilisation and bladder training. Contraindications Type Condition : : Absolute Suspected urethral injury — blood at the meatus, a perineal…

Epistaxis — compression, cautery and anterior nasal packing

…bleeding. Raise the chair so that the patient's nose is at your eye level. The patient sits upright and tilts the head forwards , not…

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