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Injection technique — intramuscular, subcutaneous and intradermal

…For vaccination: adrenaline 1 mg/mL, an antihistamine, oxygen, and the ability to lay the patient down. Injection Needle Angle Maximum volume per site : : : : Deltoid…

Invasive Coronary Angiography: Indications and Vascular Access

…that visualizes the coronary arterial tree after selective intracoronary contrast injection under fluoroscopy. The procedure is performed by advancing guidewires and diagnostic catheters from a…

Short Synacthen test

…given dexamethasone. That is the practical key: the patient does not have to be left unprotected for the test to be interpretable. Procedure 1. Schedule…

Joint aspiration

…A joint prosthesis: the aspiration must be performed by an orthopaedic surgeon under strictly sterile conditions. For corticosteroid injection there is an additional absolute contraindication…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…over the volar nerve. Wait 10 minutes — insufficient waiting time is the commonest reason for the patient finding the procedure painful. Test with a needle…

Opioid therapy in severe pain

…Procedure Intravenous titration in acute severe pain Practical points during titration: Give the injection slowly over at least a minute; a rapid injection causes nausea…

Edrophonium test

…after the injection . 7. Stop the test in the event of bradycardia, bronchospasm, marked salivation or increasing weakness, and give atropine. 8. Monitor for at…

Soft tissue corticosteroid injection

Procedurer A corticosteroid injection into soft tissue gives rapid but time limited pain relief and rarely alters the natural history of the disease. In lateral…

Empirical antibiotic therapy: quick reference for common infections

…or cefotaxime plus metronidazole 1 g × 3 IV plus 1.5 g for the first dose, then 1 g × 1 IV Clostridioides difficile, primary infection…

Pulmonary embolism: quick reference for risk stratification and treatment

…Clinical probability in the stable patient The Wells criteria for pulmonary embolism: Criterion Points : : Clinical signs of deep vein thrombosis 3 Pulmonary embolism is the…

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