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Leg ulcers — wound debridement and compression therapy

…ongoing soft tissue infection with systemic involvement. Relative: Condition Adaptation : : ABI 0.5–0.79 Reduced compression (20–30 mmHg) under vascular surgical supervision Diabetes…

Skin biopsy — punch, shave and excision

…no absolute contraindications. Take care in: Anticoagulant therapy — this rarely needs to be stopped for small biopsies, but have diathermy or aluminium chloride available. Infection…

Endotracheal intubation

…shaped before induction , a syringe for the cuff, a cuff manometer. A laryngeal mask of the correct size as a rescue airway, and surgical airway…

Abscess incision and drainage

…severe, a rapid course, skin discolouration, systemic upset — is an acute surgical emergency, not an abscess. Preparation and equipment No. 11 scalpel, curved haemostat, scissors…

Complications of Coronary Angiography and Vascular Access Management

…access. In patients with acute coronary syndrome, randomized evidence has demonstrated lower rates of access site bleeding, surgical repair, and blood transfusion with radial access…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…strong pointed scissors, a Freer elevator or small artery forceps, toothed surgical forceps. A size 11 scalpel. A chemical cautery agent: phenol 88 %, sodium hydroxide…

Pericardiocentesis

…it. A small (under 10 mm), loculated or purely posterior effusion with no safe route for puncture — surgical drainage or pericardiotomy instead. Relative: uncorrected coagulopathy…

ST-Elevation Myocardial Infarction: Diagnosis and Electrocardiographic Criteria

Myocardial ischemia and infarction ECG Definition and Pathophysiology Acute coronary syndromes (ACS) encompass a spectrum of clinical conditions characterized by a recent change in symptoms…

Nasogastric tube

Procedurer The insertion itself is rarely the difficult part — it is the confirmation of the position that determines whether the tube is safe. A misplaced…

Ankle-brachial index (ABI)

…No smoking or coffee in the preceding hour. Remove socks and any compression stockings. Avoid measuring the arm pressure on the side with a dialysis…

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