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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

…miss a posterior dislocation. The exceptions are an obvious recurrent dislocation in a patient with known instability and a low energy mechanism, and a neurovascularly…

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

…into the supine position with the head extended approximately 20–30° below the horizontal, maintaining the 45° rotation. 4. Observe the eyes for 30–60…

Laryngeal mask and difficult airway

…ventilating is not experienced in intubation. Planned anaesthesia for short procedures in a fasted patient at low risk of aspiration. A conduit for fibreoptically assisted…

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