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Casting and immobilisation

…closed circumferential cast , and the patient must leave with clear information about the symptoms that should make them seek help immediately. Indications An undisplaced or…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…consider referral in: Diabetes with neuropathy or peripheral arterial disease — a risk of osteomyelitis and poor healing. Check the ankle brachial index and the foot…

Foreign body in the ear and nose

…bayonet forceps, an angled hook, a cerumen loop. Suction with Frazier tips of various sizes. A balloon catheter (a 5–6 Fr Fogarty or a…

Otoscopy and ear syringing

…be open (a mastoid cavity, mastoidectomy). An only hearing ear. Relative (choose a manual technique or refer to ENT): Condition Reason : : Diabetes, immunosuppression A risk…

The QT and QTc Interval

ECG Video lecture: Assessment of the QT interval (QTc interval) Corrected QT interval (QTc) calculator Open the calculator →

Reduction of dislocations

…is often associated with fracture and requires an orthopaedic surgeon. Dislocation of a native hip (as opposed to a prosthesis) — a high risk of avascular…

Wound suturing

…hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis, often with antibiotic prophylaxis. Deep…

QT duration & corrected QT (QTc) duration: ECG features & implications

…with increased morbidity and mortality. This is presumably explained by a higher incidence of malignant ventricular arrhythmias. It has been suggested that the high risk…

Dix–Hallpike test and Epley manoeuvre

…drugs . The diagnosis rests on the history, a positive Dix–Hallpike test and the absence of other neurological findings. The treatment is a repositioning manoeuvre…

Laryngeal mask and difficult airway

…completely. Relative contraindications: A high risk of aspiration: a non fasted patient, ileus, third trimester pregnancy, marked reflux. A need for high airway pressures, for…

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