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Casting and immobilisation

…that should make them seek help immediately. Indications An undisplaced or reduced fracture to be treated conservatively. Immobilisation after reduction of a dislocation. Immobilisation of…

Oesophageal ECG

…effect of adenosine, which can be given during the recording and unmask the atrial activity. The investigation is diagnostic, not therapeutic. An unstable patient should…

Dix–Hallpike test and Epley manoeuvre

…A single central feature is enough to proceed with urgent investigation , and a normal CT of the brain does not exclude an infarction in the…

Brugada syndrome: ECG, clinical features and management

…in the absence of right bundle branch block); virtually all patients display this. The epsilon wave, which is much less common (one third of patients)…

Opioid therapy in severe pain

…effect varies tenfold between individuals, and the only way to find the right level is to give a small dose, wait until it has worked…

Left Bundle Branch Block: ECG criteria and clinical implications

…LBBB) Electrocardiographic Criteria and Characteristics Left bundle branch block is characterized by a significant reorganization of the activation and recovery patterns within the left ventricle…

Assessment of Pacemaker Malfunction

…Two types of failure to capture should be distinguished: Genuine failure to capture occurs when a stimulus that is expected to result in activation fails…

Reduction of dislocations

…Posterior shoulder dislocation, which is often associated with fracture and requires an orthopaedic surgeon. Dislocation of a native hip (as opposed to a prosthesis) — a…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…that produces new nail. Its visible distal part is the lunula. The matrix horns are the lateral extensions of the matrix, reaching out to the…

Peripheral venous cannula and intraosseous access

…swelling. A vein suspected of thrombosis or previously thrombophlebitic. Intraosseous access (absolute, for the bone in question): A fracture of the bone to be punctured…

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