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Peripheral venous cannula and intraosseous access

…of the hand is suitable for finer cannulae. Avoid the lower limb in adults. In shock with collapsed vessels, the antecubital fossa or the external…

Arterial line

…as part of fluid management. Contraindications Infection, burn or trauma over the insertion site. Insufficient collateral circulation to the hand. Vascular disease in the limb:…

Injection technique — intramuscular, subcutaneous and intradermal

…paretic limb — poorer absorption. Injection into an arm with a dialysis fistula. Preparation and equipment Hand disinfection; gloves where there is a risk of blood…

The Cabrera format of the 12-lead ECG and inverted lead aVR

…from right anterior (V1) to left lateral (V6), but regrettably, the limb leads are not. Instead, the limb leads are displayed in two groups of…

The T-wave: physiology, variants and ECG features

…T wave represents a difficult but fundamental part of ECG interpretation. The normal T wave in adults is positive in most precordial and limb leads…

Principles and Preparations for Echocardiographic Examinations

…External resources Guidelines from ASE (American Society of Echocardiography) Guidelines from ESC (European Society for Cardiology) Preparations for the examination Patients referred for echocardiography should…

Leg ulcers — wound debridement and compression therapy

…4. Culture only in the presence of clinical signs of infection — all chronic wounds are colonised, and a culture taken without clinical suspicion leads only…

Smoking Cessation: Pharmacotherapy and Cardiovascular Benefit

…coronary syndrome Reinfarction reduced by approximately 30–40%; death reduced by approximately 35–45% Peripheral artery disease Lower risk of progression to chronic limb threat

T-waves in ischemia: hyperacute, inverted (negative), Wellen's sign & de Winter's sign

…to T wave should be smooth. The amplitude of the T wave is rarely 6 mm in the limb leads. In the chest leads the…

Arrhythmogenic Right Ventricular Cardiomyopathy / Dysplasia (ARVC, ARVD)

…gradual loss of myocardium leads to ventricular dilation and right heart failure. Biventricular heart failure is less common. ECG in ARVC T wave inversion in…

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