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Casting and immobilisation

…or after suturing over a joint. Pain relief and stabilisation for transfer in a suspected fracture. Clinical suspicion of a scaphoid fracture despite a normal…

Cardiac arrest due to hypoxia and asphyxia

…Respiratory conditions : Tension pneumothorax Drowning Airway obstruction Hanging Pneumonia High altitude sickness Aspiration Chronic obstructive pulmonary disease (COPD) Bronchospasm (asthma) Other : Coma Central hypoventilation syndromes…

Cardiac arrest due to pneumothorax

…in healthy individuals, a tension pneumothorax arises when the volume of air is substantial enough to compress the superior and inferior vena cava, impeding or…

Pleural aspiration and chest drain

…Contraindications In tension pneumothorax and in empyema there are no absolute contraindications — the procedure is life saving and necessary respectively. Otherwise: Type Contraindication : : Absolute No…

Atropine: Dosing in Bradycardia and Its Limitations

…as hypovolemia, hypoxia, tamponade, tension pneumothorax, acidosis, drug overdose, hypothermia, and hyperkalemia. For recurrent symptomatic bradycardia, temporary or permanent pacing may be required. However, transcutaneous…

Isoprenaline and Dopamine Infusions for Bradycardia

…bradyarrhythmic cardiac arrest or asystole may result from reversible systemic insults, including hypovolemia, hypoxia, cardiac tamponade, tension pneumothorax, preexisting acidosis, drug overdose, hypothermia, and hyperkalemia…

Traumatic cardiac arrest

…concealed internally, account for approximately half of all traumatic cardiac arrests. In the absence of evident hemorrhage, potential etiologies to consider include tension pneumothorax, traumatic…

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…

Drugs in the emergency setting

…not a treatment review. For a fuller account of two of the commonest acute drug problems, see Warfarin therapy and Opioid therapy in severe pain…

Skin biopsy — punch, shave and excision

…melanoma. An unclear inflammatory dermatosis in which the histology governs treatment. Suspected bullous dermatosis (which also requires a biopsy for direct immunofluorescence). Suspected cutaneous vasculitis…

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