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Wound suturing

…loss of function is a tendon injury that was sutured over without being found. Indications A traumatic wound that gapes and cannot be expected to…

Urinary alkalinisation

…to local protocol. Potassium chloride for infusion. Urine dipstick with a pH scale, or urine pH measurement on a blood gas analyser. Blood gas equipment…

Nasogastric tube

…the bridge of the nose. The resistance at the posterior pharyngeal wall after about 10–15 cm is expected. 5. Ask the patient to flex…

Opioid therapy in severe pain

…due to histamine release, not allergy. Concurrent MAO inhibitor, particularly with pethidine. Caution: untreated sleep apnoea, a concurrent benzodiazepine or gabapentinoid, marked hypovolaemia, head injury…

Inpatient insulin therapy: quick reference

…a high risk of hypoglycaemia 8–12 mmol/L The critically ill patient in intensive care According to the local protocol Avoid tight targets in…

Acute kidney injury: quick reference for management

…output can change before creatinine but is not a pure marker of filtration. Oliguria may be due to hypovolaemia, shock, obstruction or advanced renal injury…

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

…laboratory medicine Myocardial ischemia and infarction Definition and pathophysiology Myocardial infarction (MI) is a clinical diagnosis that integrates myocardial injury, evidence of acute myocardial ischaemia…

Reduction of dislocations

…to detect fractures that have occurred or been unmasked. Preparation and equipment An examination couch that can be lowered, preferably allowing the prone position. Monitoring…

Complications of Coronary Angiography and Vascular Access Management

…from a peripheral artery to the aortic root and coronary ostia. It remains the reference standard for defining the extent of coronary artery disease because…

Immediate Management of Type A and Type B Aortic Dissection

…of aorta involved, although the source material does not provide a detailed symptom to anatomy correlation. Pain may be absent, particularly in iatrogenic aortic injury…

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