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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

…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

…that produces new nail. Its visible distal part is the lunula. The matrix horns are the lateral extensions of the matrix, reaching out to the…

Otoscopy and ear syringing

…tragus and the area behind the pinna before the otoscope is inserted — mastoid erythema and a protruding ear are not part of the tympanic membrane…

Reduction of dislocations

…patient resists internal rotation. Check the axillary nerve: sensation over the lateral part of the deltoid before and after the reduction , together with the distal…

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

…the high risk of ventricular arrhythmias is due to the vulnerability caused by marked local differences in repolarization. This article is part of the comprehensive…

Dix–Hallpike test and Epley manoeuvre

…rheumatoid arthritis of the neck. Symptomatic carotid stenosis, recent stroke or TIA in the vertebrobasilar territory. Retinal detachment. Relative: Marked cervical restriction of movement or…

Foreign body in the ear and nose

…The urgency varies: Object Urgency : : Button battery Immediately — leakage of fluid causes a chemical burn Two or more magnets (including in different nostrils) Immediately — pressure…

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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