…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…

…apart. A wound through the full thickness of the dermis, particularly over joints and in cosmetically sensitive areas. Superficial wounds with well apposed edges, abrasions…

…R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life of life hospital arrival upon arrival: a retrospective multicenter study…

…down into the larynx. The difficult airway rarely kills because the tube would not pass, but because the team keeps trying to intubate instead of…

ECG Video lecture: Assessment of the QT interval (QTc interval) Corrected QT interval (QTc) calculator Open the calculator →

…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…

…5 cm into the ear canal, not beyond the hair bearing skin. 5. Direct the jet upwards and backwards along the superior wall of the…

…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 dispersion. Increased QT dispersion is associated with increased morbidity and mortality. This is presumably explained by a higher incidence of malignant ventricular arrhythmias. It…

…3. Support the head and lay the patient quickly into the supine position with the head extended approximately 20–30° below the horizontal, maintaining the…

…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…

…in hypoxaemia. Take particular care in: A risk of hypercapnic respiratory failure — COPD, severe obesity with hypoventilation, neuromuscular disease, marked chest wall deformity, severe bronchiectasis…

…is suspicion of cervical spine injury, in which scenario head tilt chin lift should only be used if other methods fail to open the airway…

…treatment, with a very low number needed to treat (NNT), indicating high effectiveness. Although BLS is primarily developed for out of hospital cardiac arrest (OHCA)…

…al. and Safar et al. The majority of all asphytic cardiac arrests begin with PEA and progress to asystole. Shockable rhythms (ventricular fibrillation [VF], ventricular…

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

…wave reflects the recovery (repolarization) of the ventricles. Note that the ECG rarely shows atrial recovery (repolarization) since it coincides with ventricular depolarization (i.e…

…K + ) channels open which results in cell repolarization. The cycle then repeats itself ( Figure 1 ). Note that the leakage of sodium during the resting phase…

…Coimbra R. Open chest versus closed chest cardiopulmonary resuscitation in trauma patients with signs of life upon hospital arrival: a retrospective multicenter study. Crit Care…

…the less steep the slope of the EDPVR curve, and vice versa . ESPVR (End Systolic Pressure Volume Relationship) shows how maximum pressure varies with volume…

…hips stacked vertically. The back must be flexed like a bow — it is that flexion that opens the interspaces between the spinous processes. Sitting and…

…Physiology and phases of diastole Diastole is divided into the following four phases (Table 1): TABLE 1 PHASE EVENT IVRT (Isovolumetric Relaxation Time) No ventricular…