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Peripheral venous cannula and intraosseous access

…hand is suitable for finer cannulae. Avoid the lower limb in adults. In shock with collapsed vessels, the antecubital fossa or the external jugular vein…

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

…skin weal and a 21 G needle for the deeper layers. Diagnostic aspiration: a 21 G (green) or 22 G needle, a 50 mL syringe…

Injection technique — intramuscular, subcutaneous and intradermal

…carried in with the needle stings. Needles of the correct length (see the table), a syringe of the correct size, a sharps bin. For vaccination…

Eye examination and corneal foreign body

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

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…

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…

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…

Skin biopsy — punch, shave and excision

…toes, nose and ears), a 27 G needle, a 2–5 mL syringe. Punches of 2, 3, 4 and 6 mm. A size 15 scalpel…

Paracentesis

…with no bowel in the path of the needle and measure the skin to peritoneum distance. 2. Mark the site. Sterile preparation and draping. 3…

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