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Laryngeal mask and difficult airway

…out and opened in a known or suspected difficult airway: a size 10 scalpel, a bougie and a cuffed size 6.0 tube. Capnography, suction…

Transcutaneous and transvenous pacing

…only monitoring and preparedness. Asystole with no electrical activity at all — pacing has no documented benefit there. Transcutaneous pacing: burns or wounds in the area…

Wound suturing

…or a dressing alone. Contraindications Primary closure must be avoided or considered carefully in: Bite wounds — particularly cat and human bites, and all bites on…

Leg ulcers — wound debridement and compression therapy

…of infection — all chronic wounds are colonised, and a culture taken without clinical suspicion leads only to unnecessary antibiotics. 5. Biopsy any ulcer that has…

Casting and immobilisation

… wound on without tension Tepid water, plastic gloves, plaster scissors, cast saw, protective sheeting Hot water gives faster setting and more heat production — a risk…

Injection technique — intramuscular, subcutaneous and intradermal

Procedurer Injection technique is treated as self evident and is therefore often done wrongly. The two commonest errors are that an intramuscular injection in fact…

Soft tissue corticosteroid injection

…relief and rarely alters the natural history of the disease. In lateral epicondylitis the effect is in fact worse than no treatment at all at…

Urinary catheterisation

…saline — the salt can crystallise and block the valve. The material determines how long the catheter may stay: all silicone and latex with a hydrogel…

Cryotherapy of skin lesions

…all that remains. 3. Pare down any hyperkeratosis with a scalpel; nitrogen does not penetrate thick keratin. 4. Protect the surroundings with petroleum jelly and…

Empirical antibiotic therapy: quick reference for common infections

…then 100 mg × 1 5–7 days Epiglottitis and other severe upper airway infection cefotaxime 1–2 g × 3 IV Depends on the diagnosis Always…

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