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Leg ulcers — wound debridement and compression therapy

…diagnosis Feature Venous ulcer Arterial ulcer Diabetic foot ulcer : : : : Site Gaiter area, above the medial malleolus Toes, heel, lateral malleolus, pressure points Beneath the metatarsal…

Reduction of dislocations

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

Nasogastric tube

…to return of bowel function without reducing the risk of complications. Contraindications Type Condition : : Absolute Suspected base of skull fracture or a marked midfacial fracture …

Epistaxis — compression, cautery and anterior nasal packing

…Anterior packing: Suspected base of skull fracture or a significant midfacial or nasal fracture (absolute). An unsecured airway or haemodynamic instability — stabilise the patient first…

Oesophageal ECG

…surgery of the nose, pharynx or oesophagus. Marked nausea, anxiety or communication difficulties that prevent the patient from cooperating. Suspected base of skull fracture or…

Delirium in older adults: quick reference

…often missed. On medical and geriatric wards a substantial proportion of older patients are affected, and the incidence is particularly high after hip fracture, major…

Eye examination and corneal foreign body

…The absence of a slit lamp — the cornea should not be instrumented without magnification. With a suspected chemical injury the priorities are reversed: irrigate first …

Opioid therapy in severe pain

…the possibility of monitoring. Paralytic ileus and suspected obstructive ileus (an opioid can be given for the pain, but the effect on the bowel must…

Urinary catheterisation

…impairment or a large residual volume. A need for accurate measurement of urine output in a critically ill patient. Perioperatively and postoperatively in longer procedures…

Stent Thrombosis: Timing, Causes, Diagnosis, and Prevention

…crush technique, stent fracture or collapse Lesion specific angiographic features Residual dissection at a stent margin, impaired flow into or out of the stent, stent…

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