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Joint aspiration

…always weighs more heavily). A joint prosthesis: the aspiration must be performed by an orthopaedic surgeon under strictly sterile conditions. For corticosteroid injection there is…

Peripheral venous cannula and intraosseous access

…a major injury proximal to the puncture site. A joint prosthesis or orthopaedic metalwork in the area. A previous intraosseous attempt in the same bone…

Reduction of dislocations

…elbow, finger, patella, jaw or hip prosthesis. A dislocation with neurovascular compromise or skin tenting — reduce promptly, before radiography. The longer a joint remains dislocated…

Soft tissue corticosteroid injection

…over the injection site. Bacteraemia or suspected septic bursitis or arthritis. A joint prosthesis in the adjacent joint. Known hypersensitivity to the preparations. Relative: Poorly…

Warfarin therapy

…whoever starts the drug is responsible for the first week. Indications A mechanical valve prosthesis — warfarin is mandatory, and direct oral anticoagulants (DOACs) are contraindicated…

Atrial fibrillation: quick reference for emergency management

…2 An oral anticoagulant is recommended A DOAC is preferred to warfarin except in a mechanical valve prosthesis and in moderate to severe mitral stenosis…

Transcutaneous and transvenous pacing

…known thrombosis in the target vein. With a mechanical tricuspid prosthesis the lead must not be passed through the valve. The order of management in…

Cardiac thromboembolism: cardiac sources of embolism

…heart disease (including complications) can cause embolisms. Left ventricular aneurysm with thrombus Cardiomyopathies Valve prosthesis Devices (pacemaker, ICD CRT) Endocarditis Cardiac tumors Atherosclerosis of the…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…auerus . This usually affects drug users (intravenous addiction), elderly patients with altered valves, patients with valve prostheses or other cardiac devices (pacemaker, CRT, ICD). In…

Tricuspid stenosis

…disease (e.g mitral stenosis) requires intervention. Valve replacement can be performed with biological or mechanical prostheses. The former is preferred due to the lower…

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