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Assessment of Pacemaker Malfunction

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

Reduction of dislocations

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

Nail procedures — paronychia, ingrown toenail and subungual haematoma

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

Casting and immobilisation

…patient must leave with clear information about the symptoms that should make them seek help immediately. Indications An undisplaced or reduced fracture to be treated…

Peripheral venous cannula and intraosseous access

…limb with paresis or marked swelling. A vein suspected of thrombosis or previously thrombophlebitic. Intraosseous access (absolute, for the bone in question): A fracture of…

Nasogastric tube

…nose, a vomit bowl, tissues, and a glass of water with a straw if the patient is awake and can swallow. Gloves, an apron, a…

Massive haemorrhage and transfusion: quick reference

…and contact with the blood bank. 3. Secure large bore access, or rapid central access, but do not delay transfusion or control of the bleeding…

Epistaxis — compression, cautery and anterior nasal packing

…with correctly performed compression. The reason compression nevertheless so often fails is that it is done wrongly: the patient pinches the nasal bone instead of…

Opioid therapy in severe pain

…10 mL with sodium chloride) before intravenous titration. Half of all opioid dosing errors arise at the dilution step, and an undiluted syringe of 10…

Oesophageal ECG

…the middle of the sternum. The depth is usually around 30–40 cm. Mark the measurement on the electrode. 5. Anaesthetise the pharynx with lidocaine…

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