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Wound suturing

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

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

…over the edge of the cast and smooth the edges. 7. Secure with an elastic bandage in even turns without tension . 8. Check that the…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…it as an open fracture. The anatomy of the nail apparatus The terminology is hard to follow without a picture, and several of the steps…

Otoscopy and ear syringing

…the tragus and the area behind the pinna before the otoscope is inserted — mastoid erythema and a protruding ear are not part of the tympanic…

Reduction of dislocations

…the sedation and another the reduction . Check the fasting status, the ASA class and the airway beforehand. Procedure Anterior shoulder dislocation The commonest of all…

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

…the vulnerability caused by marked local differences in repolarization. This article is part of the comprehensive chapter: How to read and interpret the normal ECG

Dix–Hallpike test and Epley manoeuvre

…Sit the patient up again and observe the eyes for a further period — reversal of the nystagmus is common. 6. Repeat on the left side…

Foreign body in the ear and nose

…speculum with the handle parallel to the floor and the index finger supported against the patient's nose and cheek . Open the speculum upwards–downwards…

Laryngeal mask and difficult airway

…of the laryngeal mask 1. Check the mask, remove air from the cuff so that it is flat with a slightly upturned leading edge, and…

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