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Wound suturing

…in: Bite wounds — particularly cat and human bites, and all bites on the hand. These are as a rule left open. Facial bites can be…

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

…a bloodless field one works by feel, and by feel nail spicules are left behind — which is the commonest cause of recurrence. Indications Condition Procedure : …

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)…

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…

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

…with a soft catheter and body temperature water for irrigation. Small children need help to keep still. Sedation is usually better than physical restraint — ketamine…

Laryngeal mask and difficult airway

…kills because the tube would not pass, but because the team keeps trying to intubate instead of changing the plan. The aim is always oxygenation…

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