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Casting and immobilisation

…a normal radiograph. Contraindications An open fracture or a wound that needs to be inspected — use a windowed splint or external fixation. Established or impending…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

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

Otoscopy and ear syringing

…ear discharge or pain on contact with water. A history of ear surgery in which the middle ear may be open (a mastoid cavity, mastoidectomy)…

Foreign body in the ear and nose

…otoscope specula in several sizes. Alligator forceps, bayonet forceps, an angled hook, a cerumen loop. Suction with Frazier tips of various sizes. A balloon catheter …

The QT and QTc Interval

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

Reduction of dislocations

…always an orthopaedic surgeon, and usually general anaesthesia. An open dislocation. Inadequate analgesia or sedation — the procedure must not then be started. Radiography before reduction…

Wound suturing

…and all bites on the hand. These are as a rule left open. Facial bites can be sutured after careful debridement because of the cosmesis…

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

…precisely the point. Ask the patient to keep the eyes open and look straight ahead — without open eyes there is no diagnosis. Procedure The Dix…

Laryngeal mask and difficult airway

…4. Open the mouth, introduce the mask with the aperture facing the tongue and follow the hard palate with your index finger as a guide…

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