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Reduction of dislocations

…dislocation requiring operative treatment — contact an orthopaedic surgeon before attempting reduction. Posterior shoulder dislocation, which is often associated with fracture and requires an orthopaedic surgeon…

Dix–Hallpike test and Epley manoeuvre

…dysarthria, dysphagia, ataxia Posterior circulation stroke Unilateral hearing loss or tinnitus Ménière's disease, vestibular schwannoma, labyrinthitis Continuous vertigo that does not come in attacks…

Laryngeal mask and difficult airway

…4. Open the mouth, introduce the mask with the aperture facing the tongue and follow the hard palate with your index finger as a guide…

Foreign body in the ear and nose

…or inflammation around the object. A small, smooth or transparent object lying posteriorly or superiorly. Attempts already made and failed elsewhere. A child who cannot…

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

…a normal radiograph. Contraindications An open fracture or a wound that needs to be inspected — use a windowed splint or external fixation. Established or impending…

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

…ear discharge or pain on contact with water. A history of ear surgery in which the middle ear may be open (a mastoid cavity, mastoidectomy)…

Wound suturing

…and all bites on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis…

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

…Open the calculator → Normal values for QTc interval Bazett's formula is several decades old and has been questioned because it performs poorly at…

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