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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

…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 …

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

…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

…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

…open (a mastoid cavity, mastoidectomy). An only hearing ear. Relative (choose a manual technique or refer to ENT): Condition Reason : : Diabetes, immunosuppression A risk of…

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

…far enough forward that the head will extend beyond the end of the couch when laid down. 2. Turn the head 45° to the right…

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