…but surgery is the standard. Dark skin: a risk of permanent hypopigmentation. Areas with poor circulation, above all the lower leg in a patient with…

…equipment Assess and document before the local anaesthetic : distal sensation, motor function, capillary refill and pulse, and active movement of every tendon crossing the wound…

…cap. Lidocaine 10 mg/mL for local anaesthesia in the awake patient — the anaesthetic also improves the chance of success by counteracting vascular spasm. Pressure…

…is a poor surrogate for the hemodynamic significance of a coronary lesion, with anatomic and functional assessment discordant in a substantial minority of intermediate lesions…

CPR Tamponade and cardiac arrest Cardiac arrest associated with tamponade has an exceptionally poor prognosis. In the vast majority of these cases, the tamponade develops…

…serious condition with poor long term outcomes. Patients with low flow low gradient aortic stenosis (discussed below) have a 3 year survival rate of 50%…

…off finger of a sterile glove rolled down. A nail splitter or strong pointed scissors, a Freer elevator or small artery forceps, toothed surgical forceps…

…poor healing Ear canal stenosis or exostoses Narrow and hard to reach Ongoing otitis externa Pain, spread of infection A small or uncooperative child Movement…

…at the extremes of height and weight. BMI is particularly poor a predictor in South Asians, who have substantially elevated risk of cardiovascular disease and…

…cancer, etc – are the most important risk factors for poor outcomes. The vast majority of infections with COVID 19 result in mild disease, with symptoms…