…human bites, and all bites on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of…

…medications and remove any remnants of allergens (e.g., insect residues). For patients on beta blocker therapy, consider administering 1 2 mg of glucagon intravenously…

…at least one of the following: airway compromise respiratory compromise circulatory compromise severe gastrointestinal symptoms, particularly after exposure to a drug, insect venom or another…

…with oxymetazoline 0.5 % on pledgets. Mineral oil or lidocaine to kill an insect in the ear canal. A 30–60 mL syringe with a…

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…

…steroid early. 7. Insert intravenous access, but do not let blood sampling or cannulation delay inhaled treatment. 8. Reassess speech, work of breathing, level of…

…an additional absolute contraindication: the slightest suspicion of septic arthritis. If the picture is unclear — aspirate, send a culture, await the result and inject later…

…the indication and contraindications, attach ECG monitoring and insert a venous cannula. 2. Document the baseline status of the chosen finding — measurement, photograph or video…

…compression. The reason compression nevertheless so often fails is that it is done wrongly: the patient pinches the nasal bone instead of the soft part…

…the visual acuity before anything else is done. The second most important is to look for signs of perforation — Seidel's sign, an irregular pupil…

…continuous ECG monitoring and early assessment of the need for dialysis ECG changes or serious neuromuscular symptoms mean a high risk even if the plasma…

…circulation and level of consciousness. 2. Attach ECG, pulse oximetry and repeated blood pressure measurement when a hypertensive emergency is suspected. 3. Insert a peripheral…

…operator to inject too high. 2. Palpate the acromion . The injection site lies 2–3 fingerbreadths (about 5 cm) below the lower border of the…

…Measure the depth of insertion by laying the tube from the tip of the nose to the earlobe and from there to the xiphoid process…

…Insert the speculum under vision, to a maximum of about 8 mm. 5. Follow a systematic order: the skin of the ear canal → the…

…is taken before the injection and handled chilled. 4. Inject 0.25 mg of tetracosactide intravenously , slowly. Intramuscular administration is an equivalent alternative where there…

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…

…Drugs for sedation, analgesia and control of shivering. Procedure 1. Start temperature management early — within the first hour after ROSC, in parallel with coronary angiography…

…Insert a urinary catheter and start hourly urine output measurement. 5. Give a bolus of sodium bicarbonate 1–2 mmol/kg intravenously in symptomatic salicylate…

…shows another example of early repolarization. Readers interested in ST segment elevation differential diagnoses may read our own article. Take home message: Inspect the J…