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Leg ulcers — wound debridement and compression therapy

…ulcer, basal cell carcinoma) and vasculitis do occur. Wound debridement 1. Cleanse with lukewarm tap water or saline; showering the leg is a good option…

Wound suturing

…clock but the degree of contamination, the depth and site of the wound, and how well the wound can be cleaned . Practice differs between units…

Casting and immobilisation

…a normal radiograph. Contraindications An open fracture or a wound that needs to be inspected — use a windowed splint or external fixation. Established or impending…

Injection technique — intramuscular, subcutaneous and intradermal

…Slow, local effect Contraindications Absolute: Infection, a wound, scar tissue, a tattoo or skin disease at the injection site. Known hypersensitivity to the preparation. Intramuscular…

Soft tissue corticosteroid injection

…a sufficient effect. Contraindications Absolute: Cellulitis, a skin wound or other infection over the injection site. Bacteraemia or suspected septic bursitis or arthritis. A joint…

Urinary catheterisation

…or as a substitute for mobilisation and bladder training. Contraindications Type Condition : : Absolute Suspected urethral injury — blood at the meatus, a perineal or scrotal haematoma…

Cryotherapy of skin lesions

…margin must be included in the freeze. Contraindications Absolute: Suspected melanoma or any other pigmented lesion of uncertain diagnosis. A lesion in which histology is…

Empirical antibiotic therapy: quick reference for common infections

…g × 3 IV Extensive furunculosis flucloxacillin 1 g × 3 10 days Wound infection flucloxacillin 1 g × 3 7 days Cat bite within 2 days phenoxymethylpenicillin…

Laryngeal mask and difficult airway

…of the i gel type have no cuff to inflate and are chosen on weight alone. When in doubt between two sizes in an adult…

Spirometry

…aside time, coach actively, and do not accept a trace you would not be prepared to show a colleague. Indications Investigation of chronic cough, dyspnoea…

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