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Assessment of Pacemaker Malfunction

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

Reduction of dislocations

…becomes and the greater the risk of chondral and neurovascular injury. Aim for reduction within a few hours. Contraindications A fracture dislocation requiring operative treatment …

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…of the distal phalanx with a subungual haematoma — manage it as an open fracture. The anatomy of the nail apparatus The terminology is hard to…

Casting and immobilisation

…immediately. Indications An undisplaced or reduced fracture to be treated conservatively. Immobilisation after reduction of a dislocation. Immobilisation of a ligament injury, a tendon injury…

Peripheral venous cannula and intraosseous access

…access (absolute, for the bone in question): A fracture of the bone to be punctured, or a major injury proximal to the puncture site. A…

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…

Massive haemorrhage and transfusion: quick reference

…The combination of physiology, rate of bleeding, the pattern of injury or disease, the response to initial treatment and the expected continued bleeding matters more…

Epistaxis — compression, cautery and anterior nasal packing

…Expand it with 5–10 mL of saline through an intravenous cannula. 4. Tape the drawstring to a gauze pad against the cheek so that…

Opioid therapy in severe pain

…due to histamine release, not allergy. Concurrent MAO inhibitor, particularly with pethidine. Caution: untreated sleep apnoea, a concurrent benzodiazepine or gabapentinoid, marked hypovolaemia, head injury…

Oesophageal ECG

…A glass of water with a straw, a vomit bowl, tissues, suction. Monitoring with ECG, blood pressure and saturation throughout the investigation. Explain to the…

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