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Wound suturing

…loss of function is a tendon injury that was sutured over without being found. Indications A traumatic wound that gapes and cannot be expected to…

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

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

Otoscopy and ear syringing

…in which the middle ear may be open (a mastoid cavity, mastoidectomy). An only hearing ear. Relative (choose a manual technique or refer to ENT)…

Reduction of dislocations

…a nerve injury was caused by the injury or by the treatment. Indications A clinically or radiologically confirmed dislocation of the shoulder, elbow, finger, patella…

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

…far enough forward that the head will extend beyond the end of the couch when laid down. 2. Turn the head 45° to the right…

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

…kills because the tube would not pass, but because the team keeps trying to intubate instead of changing the plan. The aim is always oxygenation…

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