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Reduction of dislocations

…documented before and after every attempt at reduction — otherwise it is impossible to determine afterwards whether a nerve injury was caused by the injury or…

Wound suturing

…nerve injury will heal badly however neatly the suture is placed. The commonest cause of wound infection is retained contamination, not poor suture technique — and…

Injection technique — intramuscular, subcutaneous and intradermal

…an arm with a dialysis fistula. Preparation and equipment Hand disinfection; gloves where there is a risk of blood contact. An alcohol or chlorhexidine swab…

Acute Limb Ischaemia: Recognition and Urgent Management

…of an upper or lower limb that causes tissue metabolic requirements to exceed available blood flow. The resulting ischaemia threatens skeletal muscle and peripheral nerves…

Acute kidney injury: quick reference for management

…Definition and staging according to KDIGO Acute kidney injury is present when at least one of the following criteria is met [1]: A rise in…

The Fourth Universal Definition of Myocardial Infarction: Types 1–5

…myocardial injury , demonstrated by a rise and/or fall in cTn with at least one value above the 99th percentile URL; and Clinical evidence of…

Complications of Coronary Angiography and Vascular Access Management

…ostia. It remains the reference standard for defining the extent of coronary artery disease because it provides anatomical information while permitting functional assessment and, when…

Immediate Management of Type A and Type B Aortic Dissection

…and Pathophysiology Aortic dissection is a major form of acute aortic syndrome (AAS), alongside intramural haematoma, penetrating atherosclerotic ulcer, aortic pseudoaneurysm and traumatic aortic injury…

Myocardial Injury Versus Infarction: Interpreting Troponin Elevation

…and release from an early cytosolic pool have all been associated with detectable troponin. High sensitivity assays may therefore identify a continuum of myocardial injury…

STEMI: Primary PCI and System-of-Care Time Targets

…The extent of myocardial injury is strongly influenced by total ischaemic time. This interval includes: The time from symptom onset to recognition and seeking medical…

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