Articles & courses

Articles
Gynaecological examination and cervical smear

…Vaginismus or marked anxiety — plan for extra time, a smaller speculum, possibly a local anaesthetic gel, or examination under general anaesthesia. Placenta praevia or ruptured…

Ankle-brachial index (ABI)

…lying down for at least 10 minutes in a room at a comfortable temperature — a cold foot gives falsely low pressures. No smoking or coffee…

Ambulatory blood pressure monitoring and Holter ECG

…with syncope Implantable loop recorder Contraindications None. Practical obstacles are skin disease or allergy to the electrode gel, and marked body hair that cannot be…

Central venous catheter

…parenteral nutrition. The need for several simultaneous, incompatible infusions. Haemodialysis, plasmapheresis or other extracorporeal therapy (requires a large bore dialysis catheter, not an ordinary triple…

Laryngeal mask and difficult airway

…conduit for fibreoptically assisted intubation in a known difficult airway. The difficult airway algorithm is activated in unexpectedly difficult laryngoscopy, difficult bag mask ventilation or…

Oesophageal ECG

…Rostock filter or an equivalent amplifier unit between the electrode and the ECG machine. Lidocaine spray for the pharynx and lidocaine gel for the electrode…

Targeted temperature management after cardiac arrest

…miss the fever. Equipment for temperature control: automated surface cooling with gel pads or a blanket, or alternatively an intravascular cooling catheter . Both are controlled…

Urinary catheterisation

…all silicone and latex with a hydrogel or silicone elastomer coating may remain for up to twelve weeks, latex with a PTFE coating for a…

Performing Echocardiographic Examinations

…common cause of pain and sickness absence for ultrasound practitioners (Harrison et al). When performing emergency echocardiography, or any examination without a proper examination table…

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