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Nail procedures — paronychia, ingrown toenail and subungual haematoma

…of osteomyelitis and poor healing. Check the ankle brachial index and the foot status before any procedure on a toe. Critical ischaemia. Immunosuppression. Suspicion of…

Leg ulcers — wound debridement and compression therapy

…boot), or a class 2–3 compression stocking. Tape measure for ankle circumference — this governs the choice of material and bandaging technique. Procedure Assessment 1…

Delirium in older adults: quick reference

…accounts for a minority of cases Hypoactive Lethargy, slow responses, reduced speech, immobility, poor food intake, reduced eye contact Common and particularly easy to miss…

Assessment of Pacemaker Malfunction

…cases of malfunction are associated with the electronics in the pulse generator or dislodgement or fracture of the leads. External causes are less common and…

Reduction of dislocations

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

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

…cannula in a large vein gives many times the flow of a fine needle, and collapsed veins mean that the fine needle is in addition…

Nasogastric tube

…passages and choose the more patent one. Ask the patient about a previous nasal fracture or unilateral nasal obstruction. 2. Measure the depth of insertion…

Massive haemorrhage and transfusion: quick reference

…uncontrolled source of bleeding. Minimise the time to surgery, endoscopy, an obstetric procedure or angiographic intervention. Summon anaesthesia, the operating specialty, the blood bank and…

Epistaxis — compression, cautery and anterior nasal packing

…The pinch is applied to the lower third of the nose, the soft part , and held continuously for at least 10 minutes without letting go…

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