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Nail procedures — paronychia, ingrown toenail and subungual haematoma

…from the dorsal aspect, one injection medial and one lateral to the base of the phalanx, 2–3 mL on each side, with the needle…

Cardiac arrest in intoxication (poisoning)

…with glucose IV Carbamates Atropine Pralidoxime chloride Cyanide hydroxocobalamin Cyanide antidote kit (includes amyl nitrate, sodium nitrite, and sodium thiosulfate) Dabigatran Idarucizumab Digitalis glycosides (digoxin…

Opioid therapy in severe pain

…with sodium chloride) before intravenous titration. Half of all opioid dosing errors arise at the dilution step, and an undiluted syringe of 10 mg/mL…

Poisoning: quick reference for antidotes and initial management

…sequence induction is used when intubation is required [1]. In salicylate poisoning, intubation with an inadequate minute ventilation can rapidly worsen the acidaemia and increase…

Wound suturing

…water or sodium chloride 9 mg/mL. The volume matters more than the fluid; irrigate under pressure through a 20 mL syringe and a large…

Otoscopy and ear syringing

…2. Straighten the ear canal : pull the pinna upwards and backwards in adults, downwards and backwards in small children. 3. Rest your hand against the…

Isoprenaline and Dopamine Infusions for Bradycardia

…over devices that require post completion processing. If symptoms remain elusive and extended monitoring exceeding 3 weeks is necessary, an implantable loop recorder is essential…

Drugs in the emergency setting

…auto injector and written instructions. Patients taking beta blockers may respond poorly to adrenaline. If there is no response, give glucagon 1–5 mg IV…

Cardiac arrest due to pneumothorax

…cardiac arrest and influence on outcome. Resuscitation 2012; 83:120611. Wang CH, Huang CH, Chang WT, et al. The effects of calcium and sodium bicarbonate…

Injection technique — intramuscular, subcutaneous and intradermal

…that distorts the anatomy and tempts the operator to inject too high. 2. Palpate the acromion . The injection site lies 2–3 fingerbreadths (about 5…

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