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Wound suturing

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

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

…that it extends a few centimetres beyond the planned ends of the cast. 3. Pad evenly , 2–3 layers with about 50 per cent overlap…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…An open fracture of the distal phalanx with a subungual haematoma — manage it as an open fracture. The anatomy of the nail apparatus The terminology…

Otoscopy and ear syringing

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

Reduction of dislocations

…Indications A clinically or radiologically confirmed dislocation of the shoulder, elbow, finger, patella, jaw or hip prosthesis. A dislocation with neurovascular compromise or skin tenting …

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

…QT dispersion. Increased QT dispersion is associated with increased morbidity and mortality. This is presumably explained by a higher incidence of malignant ventricular arrhythmias. It…

Dix–Hallpike test and Epley manoeuvre

…3. Support the head and lay the patient quickly into the supine position with the head extended approximately 20–30° below the horizontal, maintaining the…

Foreign body in the ear and nose

…the ear canal or the nasal cavity must be removed. The urgency varies: Object Urgency : : Button battery Immediately — leakage of fluid causes a chemical burn…

Laryngeal mask and difficult airway

…the dorsal surface of the mask, a syringe for the cuff in the models that have one, a cuff manometer. A videolaryngoscope with both a…

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