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Joint aspiration

…aspiration. Press the fluid from the medial towards the lateral side with your free hand. The needle is inserted directed medially and slightly caudally, parallel…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…one injection medial and one lateral to the base of the phalanx, 2–3 mL on each side, with the needle tip directed volarly until…

Cardiac arrest due to pneumothorax

CPR Pneumothorax Pneumothorax is characterized by the presence of free air in the thoracic cavity. While this can occasionally be benign and manifest even in…

Paracentesis

…Confirm at least 2–3 cm of free fluid depth with no bowel in the path of the needle and measure the skin to peritoneum…

Cardiac tamponade causing cardiac arrest

…result in hemorrhage within the pericardium. Ventricular rupture : A transmural infarction can cause a rupture in the left ventricular free wall. Mediastinal trauma : Penetrating injuries…

Lumbar puncture

…Suspected subarachnoid haemorrhage with a normal or non diagnostic CT. Suspected neuroborreliosis, neurosyphilis or another CNS infection. Suspected inflammatory disease: multiple sclerosis, Guillain–Barré syndrome…

Wound suturing

Procedurer The result of a repair is determined before the first needle goes in. A wound that has not been irrigated clean, has not been…

Central venous catheter

Procedurer What determines the outcome of a central venous catheter insertion is decided before the needle goes in: the choice of site, the use of…

Pleural aspiration and chest drain

…5 and a platelet count below 50 × 10⁹/L before drain insertion, while diagnostic aspiration with a fine needle is tolerated at considerably worse values…

Injection technique — intramuscular, subcutaneous and intradermal

…oxygen, and the ability to lay the patient down. Injection Needle Angle Maximum volume per site : : : : Deltoid, adult 23–25 G, 25 mm 90° 1…

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