… because the impulse is discharged in the ventricles it will spread partly or entirely outside of the conduction system and thus produce a wide QRS…

…right atrium and it typically loops around the tricuspid valve. Impulses spread rapidly through the atria from this re entry circuit. Examples of atrial flutter…

…seconds). The QRS complex is wide simply because the ectopic impulses that cause these rhythms spread partially or entirely outside of the ventricular conduction system…

…with a cobalt blue filter; alternatively a magnifying loupe and a Wood's lamp. Oxybuprocaine or tetracaine drops (topical anaesthesia). Fluorescein strips. Sterile cotton buds…

…causes sleep disturbance and more marked HPA suppression. Inhaled and topical steroids in high doses can also cause systemic suppression. Corticosteroids mask fever and peritonitis…

…for expanding the tampon. Topical tranexamic acid on a pledget or as a solution has a good effect in anterior bleeding. Raise the chair so…

…no. 15 scalpel. Topical anaesthetic cream (lidocaine–prilocaine) or infiltration anaesthesia for painful debridement. Wound bed dressing chosen by exudate volume, edge protection (zinc paste…

… stop about 6 weeks before if possible Inhaled and topical steroids Note them on the request form — they can themselves cause HPA suppression and are…

CPR Hyperthermia and malignant hyperthermia Hyperthermia is characterized by a body temperature exceeding the typical range of 36.5 37.6°C (97.7 99.7°F)…

…is an emergency. Infection can progress rapidly, while the typical local signs of inflammation may be faint or absent. Take cultures immediately, but never let…