This book is written as a practical guide to procedures commonly performed by healthcare professionals. It is designed to cover all the anatomy, physiology and pharmacology needed to perform a wide range of procedures competently and confi dently. Each procedure is described in a detailed step-by-step manner, with supporting photographs to aid understanding. Uniquely, each chapter is written by those who perform the procedures on an everyday basis (mostly junior doctors), supported by those who supervise and teach them. Introductory chapters introduce the fundamentals of consent, documentation, universal precautions and infection control in the context of practical procedures, and the practice of local anaesthesia and safe sedation. The procedures themselves are divided by purpose: Sampling: obtaining samples for laboratory analysis: blood taking and cultures, arterial blood gases, lumbar puncture and pleural tap. Access: securing venous access: venous cannulation, insertion of a central venous catheter and specialist emergency access techniques.
Therapeutic: techniques to directly improve or stabilise a patient’s clinical condition: basic and advanced airway manoeuvres, draining of ascitic fluid and insertion of chest drain. Monitoring: procedures for intensive monitoring: urinary catheterisation, central line monitoring and arterial line insertion. Specials: specialist procedures within emergency medicine, paediatrics and obstetrics and gynaecology. This book is directed towards every healthcare professional who performs or assists in practical procedures throughout all healthcare environments. The syllabus for junior doctor training in the UK, including introductory specialist training, was used in the selection of the procedures. We hope this book will prove useful as a learning tool to junior healthcare staff and as an aide memoire to more senior staff to ensure the best possible training in this practical fi eld. Acknowledgements We are grateful to Anna Fergusson for compiling the Handy Hints boxes and to Simon Williams for taking many of the photographs.