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The ECG leads: Electrodes, limb leads, chest (precordial) leads and the 12-Lead ECG

…On the other hand, for the purpose of diagnosing morphological changes (e.g. myocardial ischemia, ventricular hypertrophy), the ability to do so increases as the…

Bone marrow aspiration and biopsy

…4. Make a small skin incision with the scalpel. 5. Aspiration: advance the needle with the stylet in place perpendicular to the bone surface, angled…

Acute Limb Ischaemia: Recognition and Urgent Management

…pathophysiology Acute limb ischaemia (ALI) is an abrupt reduction in arterial perfusion of an upper or lower limb that causes tissue metabolic requirements to exceed…

🟠 Aspirin (Acetylsalicylic acid)

Indications Acute myocardial infarction. Unstable coronary artery disease. Stable angina pectoris. Secondary prophylaxis to prevent recurrence of cerebrovascular diseases, such as: Transient ischemic attacks (TIA…

Transcutaneous and transvenous pacing

…preferably anteroposteriorly : one anteriorly over the praecordium to the left of the sternum, the other on the back between the left scapula and the spine…

Lumbar puncture

…puncture, and antibiotics and a corticosteroid are then given immediately after blood cultures. For questions other than acute meningitis — an insidious onset, known malignancy, immunosuppression…

Abscess incision and drainage

…fasciitis — pain that is disproportionately severe, a rapid course, skin discolouration, systemic upset — is an acute surgical emergency, not an abscess. Preparation and equipment No…

Ankle-brachial index (ABI)

…the antecubital fossa with the Doppler probe at 45–60° to the skin. Inflate to 20 mmHg above the point at which the signal disappears…

Leg ulcers — wound debridement and compression therapy

…of other cause As above Severe pain Titrate the pressure up gradually Rheumatoid arthritis with vasculitis Individual assessment Repeat the ABI every three to six…

Acute exacerbation of COPD: quick reference

…Key messages Two things set the COPD exacerbation apart from many other causes of acute dyspnoea: oxygen must be titrated cautiously and the blood gas…

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