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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

…nothing else. The two ways in which casting harms the patient are that it is too tight — the swelling comes after the injury, not before…

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

…6. Repeat on the left side. A positive test in the posterior canal is characterised by: A latency of 1–5 seconds before the nystagmus…

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…

Laryngeal mask and difficult airway

…4. Open the mouth, introduce the mask with the aperture facing the tongue and follow the hard palate with your index finger as a guide…

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