…inspection of the nail bed, with suture of any nail bed laceration Contraindications There are no absolute contraindications, but be cautious and consider referral in…

…turned has not finished being titrated. Expect an opioid naive adult to need 5–15 mg of morphine in total. If more than that is…

…tone, clonus and seizures. Give glucose in hypoglycaemia and a benzodiazepine for toxicological seizures E Temperature, skin, smell, injection marks, medication patches and trauma. Remove…

…particularly over joints and in cosmetically sensitive areas. Superficial wounds with well apposed edges, abrasions and small wounds under about 5 mm often do better…

…alligator forceps, a suction catheter (Frazier or Baron, 5 Fr). Cerumenolytics (docusate sodium, sodium bicarbonate drops, olive oil, carbamide peroxide) are instilled 15–30 minutes…

…have high risk occupations or participate in competitive athletics. In the context of Brugada syndrome (BrS), pharmacologic challenge with sodium channel blockers (ajmaline or flecainide…

…6 years 0.15 mg · 6–12 years 0.3 mg · 12 years 0.5 mg (0.01 mg/kg) Adrenaline IV (only in shock…

…episodes Iatrogenic events (e.g., during central venous catheter insertion) Underlying lung pathologies In cases of benign pneumothorax, positive pressure ventilation can precipitate a tension…

…Tricyclic Antidepressants Sodium Bicarbonate Unfractionated Heparin Protamine Valproic acid L carnitine (limited evidence) Warfarin Vitamin K Fresh frozen plasma Prothrombin complex concentrate Actions in suspected…

…injection in marked coagulopathy or thrombocytopenia (< 50 ×10⁹/L) — choose the subcutaneous route if possible, otherwise give IM with a fine needle and 5…