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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

…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

…one injection medial and one lateral to the base of the phalanx, 2–3 mL on each side, with the needle tip directed volarly until…

Peripheral venous cannula and intraosseous access

…many times the flow of a fine needle, and collapsed veins mean that the fine needle is in addition the only one that will go…

Epistaxis — compression, cautery and anterior nasal packing

…face and then parallel to the floor of the nose in one smooth movement — never obliquely upwards towards the eye. 3. Expand it with 5…

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

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

Opioid therapy in severe pain

…and assess the effect before the next one is given. The serious incidents almost always arise when the principle of titration is abandoned — when a…

Urinary catheterisation

…glans and meatus with the cleansing solution in circular movements from the centre outwards. Change the swab between strokes. 3. Instil 10–20 mL of…

Oesophageal ECG

…Suspected base of skull fracture or marked coagulopathy argues against the nasal route; the oral route may then be considered. Preparation and equipment A 12…

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