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Lumbar puncture

…needle (Quincke) only when an atraumatic needle is unavailable or cannot be advanced. An introducer for the atraumatic needle — it is too soft to pass…

Soft tissue corticosteroid injection

Procedurer A corticosteroid injection into soft tissue gives rapid but time limited pain relief and rarely alters the natural history of the disease. In lateral…

Epistaxis — compression, cautery and anterior nasal packing

…lower third of the nose, the soft part , and held continuously for at least 10 minutes without letting go to look. Compression can be preceded…

Eye examination and corneal foreign body

…The second most important is to look for signs of perforation — Seidel's sign, an irregular pupil, a soft globe — because a perforated eye must…

Joint aspiration

Procedurer A monoarthritis is septic until proven otherwise, and the only thing that proves otherwise is the synovial fluid. The aspiration is technically simple — what…

Abscess incision and drainage

…pseudoaneurysm Surgeon, ultrasound first Other situations that argue for the operating theatre rather than the emergency room: a very large or deep abscess, a markedly…

Empirical antibiotic therapy: quick reference for common infections

…Lathundar The doses below are taken from the recommendations of Strama Stockholm for the empirical antibiotic treatment of adults in hospital and in residential care…

Foreign body in the ear and nose

…insect in the ear canal. A 30–60 mL syringe with a soft catheter and body temperature water for irrigation. Small children need help to…

Leg ulcers — wound debridement and compression therapy

…Septic phlebitis, ongoing soft tissue infection with systemic involvement. Relative: Condition Adaptation : : ABI 0.5–0.79 Reduced compression (20–30 mmHg) under vascular surgical…

Nasogastric tube

…scale that discriminates within the acidic range — ordinary litmus paper that only shows acid or alkaline is not sufficient. A fixation dressing for the nose…

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