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Left Bundle Branch Block: ECG criteria and clinical implications

…is more frequently associated with anterior infarction than with inferoposterior infarction [4]. Myocardial Necrosis : The occurrence of LBBB (as a form of bifascicular block) is…

Epistaxis — compression, cautery and anterior nasal packing

…The contralateral side of the septum already cauterised — bilateral cautery carries a risk of perforation Anterior packing: Suspected base of skull fracture or a significant…

Reduction of dislocations

…status, the ASA class and the airway beforehand. Procedure Anterior shoulder dislocation The commonest of all dislocations. There is a hollow beneath the acromion, the…

Eye examination and corneal foreign body

…anterior chamber, best seen with the patient sitting up. 3. Ocular movements in all directions; pain on upward gaze may suggest an orbital floor fracture…

Assessment of Pacemaker Malfunction

…dislodgement, lead fracture or inadequate myocardial contact. It may also be due to the low amplitude (voltage) of the potentials generated by activated myocardium. Functional…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…as an open fracture. The anatomy of the nail apparatus The terminology is hard to follow without a picture, and several of the steps below…

Casting and immobilisation

…dislocation. Immobilisation of a ligament injury, a tendon injury, or after suturing over a joint. Pain relief and stabilisation for transfer in a suspected fracture…

Peripheral venous cannula and intraosseous access

…times the flow of a fine needle, and collapsed veins mean that the fine needle is in addition the only one that will go in…

Nasogastric tube

…stricture or a known diverticulum Relative Recent nasal or pharyngeal surgery Signs that should raise the suspicion of a base of skull fracture: periorbital bruising…

Massive haemorrhage and transfusion: quick reference

…major haemorrhage protocol early. Protocols improve above all the logistics, the communication and the simultaneous delivery of red cells, plasma and platelets. Observational data from…

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