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Cryotherapy of skin lesions

…lesion of uncertain diagnosis. A lesion in which histology is needed for management. Cryoglobulinaemia, cold agglutinin disease, cold urticaria. Relative: Basal cell carcinoma and squamous…

Cardiac arrest due to pneumothorax

…Clarke RC, Mertes PM, et al. Molecular mechanisms and pathophysiology of perioperative hypersensitivity and anaphylaxis: a narrative review. Br J Anaesth 2019; 123:e3849. Wallmuller…

Transcutaneous and transvenous pacing

…channel blocker or digitalis, while awaiting the antidote and specific treatment. Bradyasystole during and after cardiac arrest with persisting electrical activity. Overdrive pacing in bradycardia…

Early repolarization pattern on ECG (early repolarization syndrome)

…pattern and syndrome: from ECG criteria to management Although the early repolarization pattern has been recognized for almost 50 years, it is still one of…

CME: How dietary fat affects coronary arteries, LDL cholesterol and body weight

…in the management of coronary artery disease, as demonstrated in the figure below (from Nabel et al, NEJM, 2014). In this post I would like…

Exercise Electrocardiographic Testing: Indications, Limitations and Interpretation

…diagnostic strategy or management. Appropriate objectives include: Measuring exercise tolerance Determining whether symptoms are reproduced by exertion Assessing the relationship between symptoms and ECG changes…

Central venous catheter

…Femoral vein Fastest, and does not interfere with ongoing CPR or airway management, no risk of pneumothorax Highest risk of thrombosis and contamination, immobilises the…

Strain, strain rate and speckle tracking: Myocardial deformation

…wall motion abnormality and it may evidence of myocardial infarction, which would have implications for the management of this patient, regardless of the ejection fraction…

Wound suturing

…limit is not the clock but the degree of contamination, the depth and site of the wound, and how well the wound can be cleaned …

Leg ulcers — wound debridement and compression therapy

…ulcer that has not healed within three months despite adequate treatment — malignancy (Marjolin's ulcer, basal cell carcinoma) and vasculitis do occur. Wound debridement 1…

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