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Performing Echocardiographic Examinations

…have an elbow rest, and also avoid bending the back during the examination. Work related musculoskeletal disorders are a common cause of pain and sickness…

Casting and immobilisation

…or after suturing over a joint. Pain relief and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal…

Reduction of dislocations

…is held adducted against the trunk and the elbow is flexed to 90 degrees. The forearm is moved very slowly outwards in the horizontal plane …

Joint aspiration

…after trauma. A symptomatic effusion causing pain or restricted movement (therapeutic aspiration). Intra articular corticosteroid injection in verified inflammatory or osteoarthritis related joint disease. Contraindications…

Opioids in acute pain: quick reference for dosing and conversion

…opioid at the same time. Opioids in abdominal pain of unclear cause do not delay the diagnosis and should be given, but document the examination…

Chest Pain in the Emergency Department: Diagnostic Pathways

…with presumed non ischaemic chest pain were subsequently found to have had an infarction. Pathophysiological Considerations The central pathophysiological concern in the emergency department is…

Opioid therapy in severe pain

…small adjustments impossible. Procedure Intravenous titration in acute severe pain Practical points during titration: Give the injection slowly over at least a minute; a rapid…

Clinical application of ECG in chest pain & acute myocardial infarction

ECG Myocardial ischemia and infarction Use of ECG in acute coronary syndromes & chest pain patients An ECG must be performed on all patients seeking medical…

Drugs in the emergency setting

…therapy and Opioid therapy in severe pain. Cardiac arrest Drug Adult Child : : : Adrenaline 1 mg IV/IO every 3–5 min. In asystole and PEA…

Differential Diagnosis of Chest Pain: A Clinical Overview

…diagnosis, as the syndrome associated with ischemic heart disease is broader than chest pain itself, encompassing symptoms like tightness, pressure, and discomfort in the chest…

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