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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

…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

…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

…a change of position — turning over in bed, lying down, standing up, tilting the head backwards. A symptom free interval between attacks, with possible residual…

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

…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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