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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…

Wound suturing

…been assessed for tendon and nerve injury will heal badly however neatly the suture is placed. The commonest cause of wound infection is retained contamination…

Cardiac arrest due to pneumothorax

…lacerations, gunshot wounds) Asthmatic episodes Iatrogenic events (e.g., during central venous catheter insertion) Underlying lung pathologies In cases of benign pneumothorax, positive pressure ventilation…

Laryngeal mask and difficult airway

…fails, since it restores oxygenation without requiring a view down into the larynx. The difficult airway rarely kills because the tube would not pass, but…

The QT and QTc Interval

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

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…it as an open fracture. The anatomy of the nail apparatus The terminology is hard to follow without a picture, and several of the steps…

Otoscopy and ear syringing

…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…

Reduction of dislocations

…a high risk of avascular necrosis of the femoral head and of vascular injury; always an orthopaedic surgeon, and usually general anaesthesia. An open dislocation…

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…

Dix–Hallpike test and Epley manoeuvre

…The patient sits upright on the couch, far enough forward that the head will extend beyond the end of the couch when laid down. 2…

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