Articles & courses

Articles
Bone marrow aspiration and biopsy

…abandoning the procedure. Choice of site The posterior superior iliac spine is the standard site for both aspiration and biopsy in adults. Here the posterior…

Casting and immobilisation

…Take care in impaired sensation (neuropathy, spinal cord injury) — the patient does not feel the pressure sore. Preparation and equipment Material Comment : : Stockinette Innermost against…

Dix–Hallpike test and Epley manoeuvre

…use the Semont manoeuvre or the side lying variant of the Dix–Hallpike test. Marked obesity or spinal disease that makes positioning impossible. Severe angina…

Injection technique — intramuscular, subcutaneous and intradermal

…the palm on the greater trochanter with the index finger towards the anterior superior iliac spine and the middle finger extended along the iliac crest…

Lumbar puncture

…at the L3–L4 or L4–L5 interspace; in adults the spinal cord ends at T12–L1, so these levels encounter only the roots of…

Paracentesis

…lies about 3–5 cm superior and medial to the anterior superior iliac spine and lateral to the lateral border of the rectus abdominis — this…

Pericardiocentesis

…needles. An 18 G puncture needle, 7–9 cm (a spinal needle or the needle from a pericardiocentesis set), 10 mL and 20 mL syringes…

Transcutaneous and transvenous pacing

…praecordium to the left of the sternum, the other on the back between the left scapula and the spine. The anterolateral position also works and…

Immediate Management of Type A and Type B Aortic Dissection

…Type B disease may produce rupture, renal, mesenteric or limb malperfusion, spinal cord ischaemia, paraplegia or paraparesis, rapid aortic expansion, refractory pain and hypertension despite…

Advanced cardiopulmonary resuscitation (CPR) - Advanced cardiovascular life support (ACLS)

…remains unknown ( Guildner et al ). Jaw thrust is preferred if there is suspicion of cervical spine injury, in which scenario head tilt chin lift should…

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