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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

…Clinical suspicion of a scaphoid fracture despite a normal radiograph. Contraindications An open fracture or a wound that needs to be inspected — use a windowed…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

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

Otoscopy and ear syringing

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

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

ECG Introduction to ECG interpretation QT duration and corrected QT (QTc) duration ECG interpretation always includes an assessment of the QT interval (QT duration). The…

Dix–Hallpike test and Epley manoeuvre

…A single central feature is enough to proceed with urgent investigation , and a normal CT of the brain does not exclude an infarction in the…

Foreign body in the ear and nose

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

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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