…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…

…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…

…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…

…Immediately — pressure necrosis across the septum A live insect As soon as possible — kill it first; the patient is in great distress Organic material (peas…

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…

…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…

…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…

…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…

…visible source, no cautery. 2. Insert 2–3 pledgets with lidocaine and a vasoconstrictor vertically into the nose. Wait 10–15 minutes. 3. Apply the…

…glasses and then through a pinhole. This is done before any drops. 2. Inspect the eyelids, conjunctiva, cornea and anterior chamber. Note the pupil size…

…indicated. Record a 12 lead ECG. Insert at least one functioning intravenous cannula. Stop potassium infusions and temporarily withdraw drugs that can raise the potassium…

…blood pressure measurement when a hypertensive emergency is suspected. 3. Insert a peripheral venous cannula. 4. Measure the blood pressure in both arms at the…

…1. Expose the whole shoulder; rolling up a sleeve creates a constriction that distorts the anatomy and tempts the operator to inject too high. 2…

…larynx. Procedure 1. Inspect both nasal passages and choose the more patent one. Ask the patient about a previous nasal fracture or unilateral nasal obstruction…

…Procedure Otoscopy 1. Inspect the outer ear, the tragus and the area behind the pinna before the otoscope is inserted — mastoid erythema and a protruding…

…at least 15 minutes. 2. Insert a venous cannula. Wait a few minutes — the venepuncture itself can cause a stress related rise in cortisol. 3…

…the same site within a year. The Achilles tendon and the patellar tendon — do not inject into or beside them. Anticoagulant treatment is not a…

…2. Insert the core temperature probe and connect it to the feedback loop of the cooling device. Without continuous measurement the whole treatment is blin

…urine pH to be able to rise. 4. Insert a urinary catheter and start hourly urine output measurement. 5. Give a bolus of sodium bicarbonate…

…12 lead electrocardiogram in the athlete , which is a great paper written by a dozen of merited scholars. In this paper the authors discuss normal…