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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…

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…

Laryngeal mask and difficult airway

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

Cardiac arrest due to pneumothorax

…Pneumothorax is characterized by the presence of free air in the thoracic cavity. While this can occasionally be benign and manifest even in healthy individuals…

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

…of osteomyelitis and poor healing. Check the ankle brachial index and the foot status before any procedure on a toe. Critical ischaemia. Immunosuppression. Suspicion of…

Otoscopy and ear syringing

…contact with water. A history of ear surgery in which the middle ear may be open (a mastoid cavity, mastoidectomy). An only hearing ear. Relative …

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

…minute or so, that are provoked by a change of position — turning over in bed, lying down, standing up, tilting the head backwards. A symptom…

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