…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…

…the ear canal or the nasal cavity must be removed. The urgency varies: Object Urgency : : Button battery Immediately — leakage of fluid causes a chemical burn…

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…

…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…

…still, change the syringe and inject. The injection should go in easily. Resistance means the tip is in tissue, not in the joint cavity. 6…

…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…

…it to the length of the nasal cavity. 2. Introduce it perpendicular to the face and then parallel to the floor of the nose in…

…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…

…or a very strong clinical suspicion. 3. Give intravenous calcium in the presence of hyperkalaemic ECG changes or arrhythmia. 4. Shift potassium into the cells…

…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…

Procedurer The insertion itself is rarely the difficult part — it is the confirmation of the position that determines whether the tube is safe. A misplaced…

…ear discharge or pain on contact with water. A history of ear surgery in which the middle ear may be open (a mastoid cavity, mastoidectomy)…

…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…

…cause and the rest of the intensive care. 2. Insert the core temperature probe and connect it to the feedback loop of the cooling device…

…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…