Articles & courses

Articles
Gastric lavage and activated charcoal

…through aspiration. Contact your national or regional poison control centre before you decide, not afterwards. Indications Medicinal charcoal is given after the ingestion of a…

Wound suturing

…water or sodium chloride 9 mg/mL. The volume matters more than the fluid; irrigate under pressure through a 20 mL syringe and a large…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…with an intact nail plate and intact nail folds Trephination, whatever the size of the haematoma A subungual haematoma with a split, loosened or avulsed…

Assessment of the pupillary reflex in cardiac arrest

…of patients in cardiac arrest or after return of spontaneous circulation (ROSC). A brisk, reactive pupil generally indicates an intact brainstem and adequate cerebral perfusion…

Fascicular block (hemiblock): Left anterior & left posterior fascicular block

…In a fascicular block, the myocardium without fascicular supply will depend on impulses spreading from other parts of the ventricle (where the fascicle is intact…

Non-ST Elevation Acute Myocardial Infarction (NSTEMI) and Unstable Angina

…cascade leads to thrombin generation and fibrin deposition, culminating in a partially or fully occlusive intraluminal thrombus [5] . ACS Classification The clinical spectrum of Acute…

Antibiotic dosing in renal impairment: quick reference

…not eGFR relative to 1.73 m². Recalculate in patients who are markedly larger or smaller than average. Higher doses may be required in the…

Otoscopy and ear syringing

…tympanic membrane is intact if it can be seen at all, and ask specifically about a previous perforation or grommets. 2. Instil a cerumenolytic and…

Right ventricular strain: definition, causes, echocardiography

…right ventricle. Pulmonary vascular resistance (PVR) Vascular resistance (R) is the resistance that must be overcome to force blood through a blood vessel. Vascular resistance…

Supraventricular and intraventricular conduction defects in myocardial ischemia and infarction

…counterparts with intact bundle branches. Individuals with ischemic heart disease (or myocardial infarction) who present with right bundle branch block typically also have a fascicular…

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