Facial Nerve Blocks
To anesthetize portions of the face and ears Areas of distributions: Supraorbital and supratrochlear: Forehead Infraorbital: Upper lip, upper cheek, lateral portion of the nose, and anterior maxillary teeth Inferior…
Induction of Therapeutic Hypothermia
Comatose patients resuscitated from cardiac arrest with restoration of spontaneous circulation (ROSC) INCLUSION CRITERIA Post–cardiac arrest ROSC < 30 minutes from the time of EMS arrival Time < 6 hours…
Wrist Nerve Blocks
Used to provide anesthesia in distribution of median, ulnar, and/or radial nerves for the treatment of complex soft-tissue or bony injuries of the hand Irrigation of deep abrasions with embedded…
Foreign Body Removal: Ticks, Rings, and Fish Hooks
Indicated only if location of foreign body (FB) is certain Removal may be done in 30 minutes or less RELATIVE CONTRAINDICATIONS Involvement of joint—orthopedic consultation may be required Coagulopathies or…
Priapism: Intracavernous Aspiration
To alleviate compartment syndrome in ischemic low-flow (veno-occlusive) priapism May be caused by: Trauma (genital, pelvic, perineal) Thromboembolism (sickle cell disease, leukemia) Medications (cyclic guanosine monophosphate [cGMP] inhibitors, neuroleptics, erectile-dysfunction…
Nasal Foreign Body Removal
Presence of foreign material within the nostril CONTRAINDICATIONS If the foreign body entered the nose traumatically and there is concern it has penetrated the cranial cavity If there is danger…
Nasogastric Tube Placement
Aspiration of gastric fluid, air, or blood Evaluation of upper gastrointestinal (GI) bleed (volume and/or presence of blood) Decompression of obstructed GI tract (i.e., small bowel obstruction) Prevention of aspiration…
Ankle Arthrocentesis
Diagnostic Evacuate abnormal collections of fluid from the joint space for synovial fluid analysis of the following suspected conditions: Septic arthritis Crystal arthropathy Hemarthrosis Inflammatory process Diagnose occult fracture or…
Thoracentesis
Diagnostic: Acquisition of pleural fluid for analysis Therapeutic: Relief of respiratory distress caused by pleural fluid CONTRAINDICATIONS Absolute Traumatic hemo- or pneumothorax (tube thoracostomy is more appropriate) Relative Platelet count…
Anorectal Foreign Body Removal
Anorectal foreign body (FB) in a stable, cooperative patient, which is: Palpable by rectal approach Absence of a sharp edge CONTRAINDICATIONS Obtain surgical consult immediately in following instances: Signs of…
