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Central venous catheter

…and sterile gel. Chlorhexidine in alcohol 5 mg/mL for skin disinfection. Allow it to air dry completely before puncture. Maximal barrier precautions: cap, mask…

Leg ulcers — wound debridement and compression therapy

…Often painless (neuropathy) Surrounding skin Hyperpigmentation, oedema, lipodermatosclerosis, eczema Pale, hairless, atrophic, cold Dry, hyperkeratotic Pulses Palpable Weak or absent May be palpable despite ischaemia…

Skin biopsy — punch, shave and excision

…one from perilesional skin (immunofluorescence) The immunofluorescence biopsy goes into Michel's medium, not formalin Suspected vasculitis 4 mm punch from a lesion less than…

Cryotherapy of skin lesions

…Dark skin: a risk of permanent hypopigmentation. Areas with poor circulation, above all the lower leg in a patient with peripheral arterial disease or diabetes…

Anaphylaxis: quick reference for emergency management

…a known or probable allergen , even if skin symptoms are absent [1,4]. Typical warning symptoms are: hoarseness, stridor, swelling of the tongue or throat…

Casting and immobilisation

…edge or a fold presses on a bony prominence until the skin breaks down. An acute, fresh injury is therefore immobilised in a backslab or…

The ECG leads: Electrodes, limb leads, chest (precordial) leads and the 12-Lead ECG

…these measurement points are the skin electrodes. Thus, the electrical potential difference is the difference in the electrical potential detected by two (or more) electrodes…

Abscess incision and drainage

…along the skin tension lines and make it long enough — as a rule of thumb, along the whole length of the abscess or at least…

Anthropometric measurements

…and in people under 18 years of age, where iso BMI or percentile charts should be used. Waist circumference Measure the waist between the lowest…

Bone marrow aspiration and biopsy

…the periosteum that hurts, not the skin. Aspiration needle (iliac crest or sternal needle with stylet) and a Jamshidi type biopsy needle. Syringes: a small…

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