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Massive haemorrhage and transfusion: quick reference

…the following immediately: 1. Call for help using the words massive haemorrhage , and state the patient's location and identity, the presumed cause of bleeding…

Peripheral venous cannula and intraosseous access

…the bone in question): A fracture of the bone to be punctured, or a major injury proximal to the puncture site. A joint prosthesis or…

Epistaxis — compression, cautery and anterior nasal packing

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

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…

Nasogastric tube

…pass through a fracture in the cribriform plate into the cranium Absolute Corrosive injury of the oesophagus or stomach after ingestion of a caustic substance…

Assessment of Pacemaker Malfunction

ECG Pacemaker malfunction, troubleshooting and ECG Conventional surface ECG can reveal the following types of pacemaker dysfunction: Failure to capture (FTC) , which means that the…

Reduction of dislocations

…with fracture and requires an orthopaedic surgeon. Dislocation of a native hip (as opposed to a prosthesis) — a high risk of avascular necrosis of the…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…or a damaged nail fold edge Nail avulsion and inspection of the nail bed, with suture of any nail bed laceration Contraindications There are no…

Opioid therapy in severe pain

…undiluted syringe of 10 mg/mL makes small adjustments impossible. Procedure Intravenous titration in acute severe pain Practical points during titration: Give the injection slowly…

Oesophageal ECG

…range of about 15–40 Hz , and adjust the gain so that the atrial deflections are clear without clipping. 4. Estimate the depth of insertion…

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