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Wound suturing

…With a glass injury: consider radiography, since glass is usually visible on plain films. Irrigation fluid: a copious volume of drinking quality tap water or…

Abdominal Aortic Aneurysm: Screening and Surveillance

…Plain abdominal radiography has limited sensitivity. A calcified aneurysmal outline may be visible, but approximately one quarter of aneurysms are not calcified and therefore cannot…

Reduction of dislocations

…promptly, before radiography. The longer a joint remains dislocated, the harder the reduction becomes and the greater the risk of chondral and neurovascular injury. Aim…

Pleural aspiration and chest drain

…Relative Skin infection, herpes zoster or burns over the puncture site Relative Mechanical ventilation with a high PEEP (an increased risk of pneumothorax; ultrasound guidance…

Casting and immobilisation

…over a joint. Pain relief and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal radiograph. Contraindications An…

Chest Pain in the Emergency Department: Diagnostic Pathways

…and other symptoms may occur without chest pain and should be considered anginal equivalents. The emergency evaluation of non traumatic chest discomfort is structured around…

Opioid therapy in severe pain

…is pain free lying still but screams when turned has not finished being titrated. Expect an opioid naive adult to need 5–15 mg of…

Opioids in acute pain: quick reference for dosing and conversion

…in abdominal pain of unclear cause do not delay the diagnosis and should be given, but document the examination findings before the dose. A plan…

Differential Diagnosis of Chest Pain: A Clinical Overview

…of a noncardiac source [4]. 3. Pneumonia with Pleurisy Pain Characteristics: Pleuritic pain is a common presentation [2]. 4. Other Systemic/Local Causes Conditions: Intraabdominal…

Approach to patients with chest pain: differential diagnoses, management & ECG

…to these five conditions, there are numerous other causes of chest pain, but the other causes are either subacute or non acute. The history taking…

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