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ArticleCardiology
Myocardial Perfusion Imaging With SPECT and PET

…Myocardial ischemia and infarction Definition and Clinical Purpose Myocardial perfusion imaging (MPI) with single photon emission computed tomography (SPECT) or positron emission tomography (PET) is…

ArticleProcedurer
Nasogastric tube

…direct instillation into the lung. No tube may be used before its position has been verified by an approved method, and auscultation is not such…

ArticleEchocardiography
The ultrasound transducer

…principle of ultrasound imaging and echocardiography. Piezoelectric crystals The ultrasound waves are generated by ceramic crystals exhibiting piezoelectric properties (i.e piezoelectric crystals ). Thousands of…

ArticleProcedurer
Endotracheal intubation

…non invasive ventilation. Inadequate ventilation with a rising pCO₂ and respiratory acidosis, or a markedly increased work of breathing with impending exhaustion. Threatened airway obstruction…

ArticleEchocardiography
Performing Echocardiographic Examinations

…tip, using the thumb and the forefinger, while remaining fingers stabilize the grip. The transducer tends to glide out of position due to the gel…

ArticleProcedurer
Dix–Hallpike test and Epley manoeuvre

…The test presupposes that the patient has spontaneous nystagmus at the time of examination and that the examiner is experienced with the head impulse test…

ArticleCPR
Cardiac arrest during pregnancy and childbirth

CPR Cardiac arrest during pregnancy and childbirth All healthcare units capable of managing pregnant women in cardiac arrest should engage in specialized clinical training to…

ArticleProcedurer
Bone marrow aspiration and biopsy

…be small — a few tenths of a millilitre, at most about 0.5 mL. A larger volume draws in peripheral blood and dilutes the specimen…

ArticleProcedurer
Casting and immobilisation

…1. Place the joint at the angle the treatment requires before the cast is applied, and hold that position until the cast has set. 2…

ArticleProcedurer
Central venous catheter

…dialysis catheter, not an ordinary triple lumen catheter). Measurement of central venous pressure and central venous oxygen saturation. Repeated blood sampling during intensive care. Exhausted…

ArticleProcedurer
Gastric lavage and activated charcoal

…reaches hospital early. The benefit of both methods falls steeply with the time since ingestion, and both can harm the patient through aspiration. Contact your…

ArticleProcedurer
Gynaecological examination and cervical smear

…not digital examination until the position of the placenta is known. Recent gynaecological surgery. Preparation and equipment An examination couch with leg supports, and good…

ArticleProcedurer
Joint aspiration

…arthritis must be distinguished from crystal arthritis — the most important indication and an emergency procedure . An unclear arthritis, as part of the diagnostic work up…

ArticleProcedurer
Laryngeal mask and difficult airway

…team keeps trying to intubate instead of changing the plan. The aim is always oxygenation, never intubation in itself — and every difficult airway algorithm is…

ArticleProcedurer
Lumbar puncture

…whether to perform it now or after imaging, how the patient is positioned, which needle is chosen, and that the tubes go to the right…

ArticleProcedurer
Pleural aspiration and chest drain

…Scan in the position in which the patient is to be punctured. Identify the diaphragm, the liver or spleen, the lung and the fluid level…

ArticleProcedurer
Reduction of dislocations

…longer a joint remains dislocated, the harder the reduction becomes and the greater the risk of chondral and neurovascular injury. Aim for reduction within a…

ArticleProcedurer
Transcutaneous and transvenous pacing

…to the left of the sternum, the other on the back between the left scapula and the spine. The anterolateral position also works and is

ArticleEchocardiography
Pericardial Effusion & Cardiac tamponade

…blood tests and other radiological examinations are most often required, in particular computed tomography (DT) and/or magnetic resonance imaging (MRI). Anatomy of the pericardium…

ArticleMyocardial ischemia and infarction
Posterior acute myocardial infarction (STEMI)

…the left in the thorax. This positions the basal portion of the left lateral wall posteriorly in thorax (Figure 1). This area is most frequently…