ABG – Arterial Blood Gas – taking a sample
Taking an arterial blood gas sample. Image by iem-student.org is licensed with CC BY-NC-SA 2.0.

ABG – Arterial Blood Gas – taking a sample

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Overview An arterial blood gas sample is an important investgiation in the acutely unwell patient, particularly those with respiratory distress. Venous blood gas samples are increasingly used to assess the…

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Airway Management
Left - position of the tongue n anatomical position when lying flat in an unconscious patient. Right - shows position of the tongue during head tilt / chin lift manouvre

Airway Management

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Airway management is an important skill in Emergency Medicine, Critical care (including Intensive care and High Dependency (HDU)) as well as in anaesthetics. Without a sufficient airway, a patient will…

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ALS – Advanced Life Support
CPR training

ALS – Advanced Life Support

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Introduction Advanced Life Support is an international protocol used in life-threatening situations around cardiac arrest and peri-arrest. It is a continuation and extension of Basic Life Support (BLS). It is…

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BLS – Basic Life Support
CPR training

BLS – Basic Life Support

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Introduction This really is 'basic' life support, often performed without any equipment (or an automated defibrillator if one is available). It involves pure 'CPR' as a lay person might understand…

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Cannulation
An example of a very neatly stuck down cannula! This file is taken from wikimedia commons and is licensed under the Creative Commons Attribution-Share Alike 3.0 Unported license.

Cannulation

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Procedure Find the patient. Check they are the right patient, and then tell them what you are going to do. i.e. ‘we would like to put a needle in you…

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Catheterisation
Urinary Catheter with inflated balloon

Catheterisation

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Indications Urinary retention Monitor fluid output (e.g. post-op, renal failure, trauma, sepsis, general illness) – in pretty much all seriously ill patients! – also pre-op to measure urine output during…

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Cervical Screening
Cervical screening

Cervical Screening

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Introduction Cervical screening programmes have existed in many counties since the late 1980s. They have dramatically reduced the incidence of cervical cancer. In the mid 2000's, the advent of vaccines…

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Inserting a Chest Drain

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The Safe Triangle This is a triangle created by: Mid-axillary line / boarder of latissimus dorsi Lateral boarder of pec major Imaginary horizontal line from the nipple And the drain…

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Lumbar Puncture (LP)

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Lumbar puncture is a procedure conducted to ascertain if there is an acute meningitis or sub arachnoid haemorrhage (SAH), to detect inflammation in the spinal cord (e.g. in multiple sclerosis)…

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Setting up a Drip

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Speak to the patient – do the usually introduction, consent, and explanation of the procedure. If they already have a cannula in: Check how long the cannula has been in…

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