…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 Anaphylaxis can develop without dermatological or upper airway manifestations. Anaphylactic cardiac arrest should be suspected among younger patients, in case of known allergy…

…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…

…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…

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…

…slightly caudally, parallel to the posterior surface of the patella. The shoulder The patient sits with the arm hanging relaxed and slightly internally rotated. The…

…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…

…foreign body under the upper eyelid. 7. Seidel's sign: apply fluorescein generously and look under blue light. A dark stream of aqueous humour breaking…

…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…

…is suspected. 3. Insert a peripheral venous cannula. 4. Measure the blood pressure in both arms at the first assessment, particularly in chest pain, back…

…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…

…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…

…injection has gone to the right place — immediate pain relief is a diagnostic finding — and appears to reduce the risk of a post injection flare…

…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…