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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

…cuticle — Hutchinson's sign). An open fracture of the distal phalanx with a subungual haematoma — manage it as an open fracture. The anatomy of the…

Otoscopy and ear syringing

…patient's cheek so that the otoscope moves with the head if it moves. 4. Insert the speculum under vision, to a maximum of about…

Reduction of dislocations

…Society of Anaesthesiology and Intensive Care Medicine (SFAI), together with the antidotes. Material for immobilisation: a shoulder sling, a dorsal backslab, and a colleague to…

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

…Bazett's formula for calculating corrected QT duration (QTc). QT correction according to Bazett , Fridericia , Framingham and Hodges follow in the calculator below. Open 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

…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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