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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

…vasoconstriction, arrhythmia, intra aortic balloon pump. Assessment of stroke volume variation as part of fluid management. Contraindications Infection, burn or trauma over the insertion site…

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

…important indication and an emergency procedure . An unclear arthritis, as part of the diagnostic work up. Haemarthrosis after trauma. A symptomatic effusion causing pain or…

Edrophonium test

…high grade AV block without pacemaker protection. Asthma and other marked obstructive airways disease — relative; the risk of bronchospasm is real. Hypotension and haemodynamic instability…

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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