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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…

Cardiac arrest due to pneumothorax

…Thoracostomy This method is generally deemed safer than using a needle due to reduced risk of injury. Thoracostomy should be performed promptly following needle decompression…

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 …

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

…afterwards whether a nerve injury was caused by the injury or by the treatment. Indications A clinically or radiologically confirmed dislocation of the shoulder, elbow…

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

…to place under the shoulders as an alternative to a hanging head. Frenzel goggles or video Frenzel if available — small beats of nystagmus can otherwise…

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