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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

…in the following circumstances: During sleep . Well trained individuals display SB at rest due to high vagal tone. These individuals have developed a highly efficient…

Ankle-brachial index (ABI)

…5. Repeat on the other leg. If the signal is uncertain or borderline, the fibular artery can also be sought anterior to the lateral malleolus…

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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