Applied Anatomy for Clinical Procedures at a Glance At a Glance Series

Applied Anatomy for Clinical Procedures at a Glance is a concise resource combining high-quality images and step-by-step instructions to provide expert guidance on the major core training pathways in medicine, surgery and anaesthesia. Written by an experienced team of Foundation Training programme directors and clinical skills examiners, this unique revision and learning guide aligns with training pathways rather than anatomical area to support Foundation doctors and core trainees master these vital clinical procedures.

Succinct yet thorough descriptions of each procedure include photographs of surface anatomy, line diagrams of the anatomy, instructions on the procedural techniques, and practical tips for performing the procedures safely whilst minimising risks of complications. All major aspects of Foundation procedures and Core training in applied anatomy are covered, including catheterisation, ECGs, central venous cannulation, basic suturing and anastomotic techniques, endotracheal intubation, epidural injection and spinal injection, defibrillation, and many others.

• Helps Foundation doctors and Core trainees apply their medical school knowledge in clinical settings
• Explains the common anatomical pitfalls of invasive clinical procedures
• Features practice questions on anatomy and clinical aspects to aid in preparing for clinical skills examinations
• Includes sections on aftercare and on specific equipment, including manometers and underwater seals

Applied Anatomy for Clinical Procedures at a Glance is ideal for Foundation doctors and Core trainees, as well as medical students, physician?s assistants and surgical scrub practitioners.

Contributors vii

1 Scrubbing up 1
Sherif Kirollos and Ramez Kirollos

2 Setting up a sterile field and draping the patient 4
Sherif Kirollos and Ramez Kirollos

3 Three-way tap 6
Jane Sturgess

4 Common equipment for core clinical procedures 8
Jane Sturgess

5 Local anaesthetic infiltration 12
Sherif Kirollos and Ramez Kirollos

6 Obtaining consent 14
Francesca Crawley

7 Manometer for central venous pressure and lumbar puncture 16
Jane Sturgess

8 Bladder irrigation sets 18
Jane Sturgess

9 Underwater seal for chest drains 20
Jane Sturgess

10 Male catheterisation 22
Francesca Crawley

11 Female catheterisation 24
Francesca Crawley

12 Arterial blood gases 26
Francesca Crawley

13 Performing an electrocardiogram 30
Francesca Crawley

14 Oropharyngeal airway 32
Jane Sturgess

15 Nasopharyngeal airway 34
Jane Sturgess

16 Laryngeal mask airway 36
Jane Sturgess

17 Central venous cannulation (high approach internal jugular) 38
Jane Sturgess

18 Central venous cannulation (low approach internal jugular) 42
Jane Sturgess

19 Central venous cannulation (subclavian) 46
Jane Sturgess

20 Direct current cardioversion 50
Francesca Crawley

21 Intercostal drains 52
Francesca Crawley

22 Pleural tap 54
Francesca Crawley

23 Inserting a nasogastric tube 56
Francesca Crawley

24 Lumbar puncture 58
Jane Sturgess

25 Bone marrow aspirate 62
Francesca Crawley and Charles Crawley

26 Ascitic tap 64
Francesca Crawley

27 Paracentesis 66
Francesca Crawley

28 Knee aspiration 68
Sherif Kirollos and Ramez Kirollos

29 Skin biopsy 70
Sherif Kirollos and Ramez Kirollos

30 Basic suturing 72
Sherif Kirollos and Ramez Kirollos

31 Basic anastomotic techniques 76
Sherif Kirollos and Ramez Kirollos

32 Abscess drainage and debridement 78
Sherif Kirollos and Ramez Kirollos

33 Bag mask ventilation (adults) 82
Jane Sturgess

34 Endotracheal intubation (adults) 86
Jane Sturgess

35 Needle cricothryoidotomy (adults) 90
Jane Sturgess

36 Surgical cricothyroidotomy 94
Sherif Kirollos and Ramez Kirollos

37 Defibrillation 96
Francesca Crawley

38 Spinal injection 100
Jane Sturgess

39 Epidural injection 104
Jane Sturgess

40 Procedure-related safety 108
Kirsty Cattle

Index 110

Jane Sturgess, MBBS MRCP FRCA is a consultant anaesthetist and former Foundation Training Programme Director at Cambridge University Hospitals NHS foundation Trust.

Francesca Crawley, BA BCh, FRCP is a Consultant Neurologist at West Suffolk Foundation Trust and has been involved in Foundation Training in the East of England for over 10 years.

Ramez Kirollos, MD FRCS (SN) is a consultant neurosurgeon at Cambridge University Hospitals NHS foundation Trust. He is a member of the Court of Examiners of the Royal College of Surgeons of England.

Kirsty Cattle, BSc (Hons), MBChB, MRCS Ed, MD is a senior surgical trainee in the East of England.