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Wound suturing

…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…

Cardiac arrest due to anaphylaxis

…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…

Anaphylaxis: quick reference for emergency management

…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…

Foreign body in the ear and nose

…leakage of fluid causes a chemical burn Two or more magnets (including in different nostrils) Immediately — pressure necrosis across the septum A live insect As…

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

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

Joint aspiration

…sterile gauze, and a fenestrated drape for injection. A needle of 0.8–1.2 × 50 mm for large joints (knee, shoulder), 0.5–0…

Edrophonium test

…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…

Epistaxis — compression, cautery and anterior nasal packing

…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…

Eye examination and corneal foreign body

…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…

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