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Reduction of dislocations

…always an orthopaedic surgeon, and usually general anaesthesia. An open dislocation. Inadequate analgesia or sedation — the procedure must not then be started. Radiography before reduction…

Cardiac arrest due to pneumothorax

…should be utilized. The cannula is inserted into the 4th or 5th intercostal space along the anterior axillary line. Thoracostomy This method is generally deemed…

The QT and QTc Interval

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

Casting and immobilisation

…a normal radiograph. Contraindications An open fracture or a wound that needs to be inspected — use a windowed splint or external fixation. Established or impending…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…cuticle — Hutchinson's sign). An open fracture of the distal phalanx with a subungual haematoma — manage it as an open fracture. The anatomy of the…

Otoscopy and ear syringing

…ear discharge or pain on contact with water. A history of ear surgery in which the middle ear may be open (a mastoid cavity, mastoidectomy)…

Wound suturing

…and all bites on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis…

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

…Open the calculator → Normal values for QTc interval Bazett's formula is several decades old and has been questioned because it performs poorly at…

Dix–Hallpike test and Epley manoeuvre

…precisely the point. Ask the patient to keep the eyes open and look straight ahead — without open eyes there is no diagnosis. Procedure The Dix…

Foreign body in the ear and nose

…parallel to the floor and the index finger supported against the patient's nose and cheek . Open the speculum upwards–downwards, never sideways without support…

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