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Urinary catheterisation

…drainage bag and a catheter valve, and lubricant containing a local anaesthetic (lidocaine gel) in a pre filled syringe. Catheter size is given in Charrière…

Laryngeal mask and difficult airway

…requiring a view down into the larynx. The difficult airway rarely kills because the tube would not pass, but because the team keeps trying to…

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…

Wound suturing

…the fluid; irrigate under pressure through a 20 mL syringe and a large bore needle. Chlorhexidine in alcohol to the skin around the wound — not…

Leg ulcers — wound debridement and compression therapy

…scalpel. Topical anaesthetic cream (lidocaine–prilocaine) or infiltration anaesthesia for painful debridement. Wound bed dressing chosen by exudate volume, edge protection (zinc paste, barrier film)…

Casting and immobilisation

…comes after the injury, not before — and that an edge or a fold presses on a bony prominence until the skin breaks down. An acute…

Injection technique — intramuscular, subcutaneous and intradermal

…rate, about 1 mL per 3–5 seconds. 7. Withdraw the needle at the same angle and press with a dry swab. Do not massage…

Soft tissue corticosteroid injection

…an NSAID, an orthosis — has not given a sufficient effect. Contraindications Absolute: Cellulitis, a skin wound or other infection over the injection site. Bacteraemia or…

Cryotherapy of skin lesions

…with poor circulation, above all the lower leg in a patient with peripheral arterial disease or diabetes — the wound may not heal. Over superficial nerves…

Empirical antibiotic therapy: quick reference for common infections

…5–7 mg/kg IV as a single dose Urosepsis with shock and suspected ESBL meropenem 1 g × 3 IV Do not treat asymptomatic bacteriuria…

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