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Injection technique — intramuscular, subcutaneous and intradermal

…lower tip of the muscle insertion. 3. Stretch the skin with the thumb and index finger, or compress the muscle in a slim patient. 4…

Joint aspiration

…the position. 4. Empty the joint as completely as possible — compress the bursa with your hand to press the remaining fluid down. 5. If a…

Skin biopsy — punch, shave and excision

…Stretch the skin perpendicular to the skin tension lines with the thumb and index finger — the biopsy defect then becomes oval when the skin is…

Abscess incision and drainage

… often antibiotics Palm, fingers, tendon sheaths Deep compartments and tendon sheaths, loss of function Orthopaedic or hand surgeon, urgently Perianal and perirectal Often larger than…

Wound suturing

…on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis, often with antibiotic…

Laryngeal mask and difficult airway

…Open the mouth, introduce the mask with the aperture facing the tongue and follow the hard palate with your index finger as a guide. 5…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…5 mL syringe. A tourniquet: a Penrose drain with artery forceps, or the cut off finger of a sterile glove rolled down. A nail splitter…

Peripheral venous cannula and intraosseous access

…is flexed. The dorsum of the hand is suitable for finer cannulae. Avoid the lower limb in adults. In shock with collapsed vessels, the antecubital…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

Cardiology Clinical medicine Definition and cardiovascular rationale Smoking cessation is the complete discontinuation of tobacco smoking, with avoidance of second hand smoke and, where possible…

The ultrasound transducer

…waves. The transducer is held with one hand and its position and angle are adjusted to send ultrasound waves through structures to be visualized. Ultrasound…

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