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Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…high risk of infection. Approximately 20% of all endocarditis affect people with valve prostheses and among other cases 18% show significant valvular disease. Table 1…

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

…Cellulitis, a skin wound or other infection over the injection site. Bacteraemia or suspected septic bursitis or arthritis. A joint prosthesis in the adjacent joint…

Urinary catheterisation

…or as a substitute for mobilisation and bladder training. Contraindications Type Condition : : Absolute Suspected urethral injury — blood at the meatus, a perineal or scrotal haematoma…

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

…in a mechanical valve prosthesis and in moderate to severe mitral stenosis, where warfarin applies. Apixaban is often preferred, among other reasons because it has…

Transcutaneous and transvenous pacing

…a pulse that can be felt. The other predictable error is forgetting that pacing hurts a great deal in a conscious patient. Indications Immediate (transcutaneous)…

Cardiac thromboembolism: cardiac sources of embolism

…further divided into the following categories: Lacunar stroke or lacunar infarct (occlusion of small penetrating arteries) : This is the most common type of ischaemic stroke…

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