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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

…ends of the stockinette back over the edge of the cast and smooth the edges. 7. Secure with an elastic bandage in even turns without…

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

…discharge, dizziness, tinnitus, fever in a child without an obvious focus, and before every ear syringing. Removal of cerumen: Hearing loss, a blocked sensation, itching…

Reduction of dislocations

…a high risk of avascular necrosis of the femoral head and of vascular injury; always an orthopaedic surgeon, and usually general anaesthesia. An open dislocation…

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

…in three minutes, without drugs . The diagnosis rests on the history, a positive Dix–Hallpike test and the absence of other neurological findings. The treatment…

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

…single most important tool when intubation fails, since it restores oxygenation without requiring a view down into the larynx. The difficult airway rarely kills because…

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