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Wound suturing

…are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis, often with antibiotic prophylaxis. Deep puncture wounds …

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…

Cardiac arrest due to pneumothorax

…than using a needle due to reduced risk of injury. Thoracostomy should be performed promptly following needle decompression. Thoracostomy with drainage typically serves as a…

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…

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 the distal phalanx with a subungual haematoma — manage it as an open fracture. The anatomy of the nail apparatus The terminology is hard to…

Otoscopy and ear syringing

…cheek so that the otoscope moves with the head if it moves. 4. Insert the speculum under vision, to a maximum of about 8 mm…

Reduction of dislocations

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

ECG Introduction to ECG interpretation QT duration and corrected QT (QTc) duration ECG interpretation always includes an assessment of the QT interval (QT duration). The…

Dix–Hallpike test and Epley manoeuvre

…A single central feature is enough to proceed with urgent investigation , and a normal CT of the brain does not exclude an infarction in the…

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