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Soft tissue corticosteroid injection

…to surgery De Quervain's tenosynovitis The first dorsal compartment A good effect Trigger finger The tendon sheath at the A1 pulley A good effect…

Endocarditis: definitions, causes, diagnosis, echocardiography & treatment

…of endocarditis. Endocarditis gives three typical findings on echocardiography: Vegetations. Abscesses. Prosthetic detachment. These three findings constitute the main criteria for diagnosing endocarditis. Traditionally, it…

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…

Urinary catheterisation

…a straddle injury Relative Recent urethral or prostatic surgery — contact a urologist before attempting Relative A known urethral stricture Relative Acute prostatitis or urethritis Relative…

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 renal failure and in old age Amiodarone In severe haemodynamic compromise where the above cannot be used It also has a rhythm control effect…

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…

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