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Injection technique — intramuscular, subcutaneous and intradermal

…in itself a bar to vaccination. Relative: Lymphoedema or previous axillary clearance on the same side. A paretic limb — poorer absorption. Injection into an arm…

Soft tissue corticosteroid injection

…Suspected or known tendon rupture. No response to previous injections at the same site. More than three injections at the same site within a year…

Short Synacthen test

…treatment is given, and the test is performed later. Contraindications Known hypersensitivity to tetracosactide or ACTH. Marked atopic disease, particularly severe asthma and a history…

🟠 Phentolamine

…Time to onset of action 1 to 2 minutes Duration of action 10 to 30 minutes Delivery IV Dose Bolus injection : 5 to 15 mg…

Invasive Coronary Angiography: Indications and Vascular Access

…significant obstructive CAD or when more than one potential culprit lesion is present. Clinical Indications Suspected Chronic Coronary Syndrome The decision to perform ICA is…

Corticosteroids: quick reference for dose equivalents and stress dosing

…s sick day rules) Vomiting or diarrhoea, unable to keep tablets down Parenteral hydrocortisone. The patient must have an emergency injection at home Acute illness…

Joint aspiration

…passes through muscle without major vessels or nerves, and the landmark — the posterior corner of the acromion — is easy to palpate even in a large…

🟠 Clonidine

…induce severe hypotension. • Clonidine is not recommended in most patients with severe cardiovascular disease or in those who are otherwise haemodynamically unstable. The benefit of…

Takotsubo cardiomyopathy (broken heart syndrome, stress induced cardiomyopathy)

…to it in recent years. Most cases (70%) of takotsubo cardiomyopathy occur in situations with extreme stress, such as car accidents, gun violence, threats, or…

Edrophonium test

…effect, 40 seconds to 5–10 minutes after the injection . 7. Stop the test in the event of bradycardia, bronchospasm, marked salivation or increasing weakness…

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