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Acute Limb Ischaemia: Recognition and Urgent Management

…dysfunction ranges from weakness to paralysis and is a particularly important marker of threatened limb viability. Paralysis generally indicates severe and persistent ischaemia. The limb…

The ECG leads: Electrodes, limb leads, chest (precordial) leads and the 12-Lead ECG

…12 leads consist of two sets of ECG leads: limb leads and chest leads. The chest leads may also be referred to as precordial leads …

Leg ulcers — wound debridement and compression therapy

…ulcers; everything else is supportive. But the same compression applied to a limb with arterial insufficiency can cause necrosis and, in the worst case, amputation…

The T-wave: physiology, variants and ECG features

…versa ( Figure 17 ). Otherwise there is discordance (opposite directions of QRS and T) which might be due to pathology. A negative T wave is also…

Sinus bradycardia: definitions, ECG, causes and management

…node dysfunction implies that the cells of the sinoatrial node are defective and fail to generate electrical impulses. Side effects of drugs (notably beta blockers…

Ankle-brachial index (ABI)

…the width should correspond to about 40 % of the circumference of the limb), a manual manometer, plastic film or a dressing to protect an ulcer…

Arterial line

…burn or trauma over the insertion site. Insufficient collateral circulation to the hand. Vascular disease in the limb: marked peripheral arterial disease, Raynaud's phenomenon…

ECG parameters

Referensvärden The normal values below apply to adults in sinus rhythm, recorded at a paper speed of 50 mm/s with 1 mV = 10…

Injection technique — intramuscular, subcutaneous and intradermal

…Anticoagulant treatment is not in itself a bar to vaccination. Relative: Lymphoedema or previous axillary clearance on the same side. A paretic limb — poorer absorption…

Peripheral venous cannula and intraosseous access

…an arteriovenous fistula, previous axillary clearance or lymphoedema. A limb with paresis or marked swelling. A vein suspected of thrombosis or previously thrombophlebitic. Intraosseous access…

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