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Wound suturing

…through a 20 mL syringe and a large bore needle. Chlorhexidine in alcohol to the skin around the wound — not into the wound. Sterile gloves…

Pleural aspiration and chest drain

…fine needle is tolerated at considerably worse values. Follow the local protocol. Preparation and equipment Ultrasound with a curved array or linear probe. Sterile clothing…

Joint aspiration

…clean with 3–4 swabs in wide circles and let it dry for a couple of minutes before the needle is inserted. Sterile gloves, sterile…

Eye examination and corneal foreign body

…G needle on a 2 mL syringe as a handle. A low speed rust ring burr if one is available. Sterile saline with a syringe…

Nail procedures — paronychia, ingrown toenail and subungual haematoma

…27 G needle, a 5 mL syringe. A tourniquet: a Penrose drain with artery forceps, or the cut off finger of a sterile glove rolled…

Bone marrow aspiration and biopsy

…Aspiration needle (iliac crest or sternal needle with stylet) and a Jamshidi type biopsy needle. Syringes: a small 5–10 mL syringe for the first…

Paracentesis

…fluid depth with no bowel in the path of the needle and measure the skin to peritoneum distance. 2. Mark the site. Sterile preparation and…

Pericardiocentesis

…a spinal needle or the needle from a pericardiocentesis set), 10 mL and 20 mL syringes, a three way tap. A Seldinger set with a…

Injection technique — intramuscular, subcutaneous and intradermal

…give IM with a fine needle and 5 minutes of compression. Anticoagulant treatment is not in itself a bar to vaccination. Relative: Lymphoedema or previous…

Peripheral venous cannula and intraosseous access

…the head of the humerus. A pressure bag or a 50 mL syringe with a three way tap — intraosseous flow requires pressure ; gravity is not…

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