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Cryotherapy of skin lesions

…in the freeze. Contraindications Absolute: Suspected melanoma or any other pigmented lesion of uncertain diagnosis. A lesion in which histology is needed for management. Cryoglobulinaemia…

Cardiac arrest due to pneumothorax

…98:10511. Saarinen S, Nurmi J, Toivio T, et al. Does appropriate treatment of the primary underlying cause of PEA during resuscitation improve patients' su

Transcutaneous and transvenous pacing

…passed through the valve. The order of management in acute bradycardia Atropine is given in doses of 0.5–1 mg intravenously, repeated every three…

Early repolarization pattern on ECG (early repolarization syndrome)

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

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

…define the structure or composition of coronary atherosclerotic plaque, identify plaques at high risk of rupture, or determine whether ischaemia would occur at workloads greater…

Central venous catheter

…there would be poorly tolerated. A patient who cannot lie flat or cannot cooperate — consider sedation, a different position or a different vessel. Choice of…

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

…capillary refill and pulse, and active movement of every tendon crossing the wound. A tendon injury can be painless and gives normal passive movement — test…

Leg ulcers — wound debridement and compression therapy

…4. Culture only in the presence of clinical signs of infection — all chronic wounds are colonised, and a culture taken without clinical suspicion leads only…

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