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Wound suturing

…a bloodless field and a longer duration. The old rule that adrenaline is forbidden on fingers, toes, nose, ears and penis has been abandoned in…

Cardiac arrest due to anaphylaxis

…intravenous administration of 1 mg epinephrine. Predominant causes of anaphylactic cardiac arrest include food allergies, insect stings, and drug induced reactions. Approximately 90% of anaphylactic…

Anaphylaxis: quick reference for emergency management

…circulatory compromise severe gastrointestinal symptoms, particularly after exposure to a drug, insect venom or another non food allergen 2. Acute airway, respiratory or circulatory compromise…

Foreign body in the ear and nose

…burn Two or more magnets (including in different nostrils) Immediately — pressure necrosis across the septum A live insect As soon as possible — kill it first…

Arterial line

Procedurer An arterial line is easy to insert and easy to trust too much. Two errors make the reading useless without anyone noticing: the transducer…

Acute severe asthma in adults: quick reference

…attack. 6. Give a systemic steroid early. 7. Insert intravenous access, but do not let blood sampling or cannulation delay inhaled treatment. 8. Reassess speech…

Joint aspiration

…send a culture, await the result and inject later. Preparation and equipment Chlorhexidine in alcohol 5 mg/mL: clean with 3–4 swabs in wide…

Edrophonium test

…Procedure 1. Check the indication and contraindications, attach ECG monitoring and insert a venous cannula. 2. Document the baseline status of the chosen finding — measurement…

Epistaxis — compression, cautery and anterior nasal packing

Procedurer Almost all nosebleeds arise from Kiesselbach's plexus on the anterior septum and stop with correctly performed compression. The reason compression nevertheless so often…

Eye examination and corneal foreign body

…each eye separately , with the patient's usual glasses and then through a pinhole. This is done before any drops. 2. Inspect the eyelids, conjunctiva…

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