Suprapubic Catheterization

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Suprapubic Catheterization

 Urethral trauma (e.g., partial or full transection)  Urethral stricture  Chronic urethral infection  Urinary retention in which a urethral catheter cannot be passed (e.g., prostate obstruction, gynecologic malignancy or other pelvic…

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Laryngeal Mask Airway

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Laryngeal Mask Airway

 Rescue airway when unable to intubate or difficult ventilation via bag-valve mask (BVM)  Facilitate endotracheal intubation CONTRAINDICATIONS  Absolute (When Used as an Airway Rescue Device): Ability to establish definitive airway…

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Umbilical Vein Catheterization

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Umbilical Vein Catheterization

 To provide rapid vascular access in neonates up to 2 weeks of age for resuscitation in which all other access attempts have failed  To provide rapid administration of intravenous fluids,…

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Ankle and Foot Nerve Blocks

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Ankle and Foot Nerve Blocks

 Used to provide regional anesthesia to the foot in order to facilitate the following:     Primary closure/exploration of foot wounds     Incision and drainage     Removal of foreign bodies     Operative intervention  Preferred technique…

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Sedation and Analgesia for the Pediatric Patient

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Sedation and Analgesia for the Pediatric Patient

 To provide anxiolysis, analgesia, sedation, and motor control during unpleasant diagnostic or therapeutic procedures. Decisions regarding appropriate sedation practices depend on:     Type of procedure or treatment     Age and medical condition…

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Shoulder Dystocia

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Shoulder Dystocia

 Impaction of the infant shoulders in the pelvic outlet occurring after delivery of the head during a vertex vaginal delivery PROCEDURAL DEFINITION  Maneuvers intended to disimpact the shoulders by adducting…

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Phimosis Reduction

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Phimosis Reduction

 Relief of urinary retention CONTRAINDICATIONS  No true emergency exists  Successful, blind insertion of Foley catheter     Physiologic (i.e., normal) phimosis especially in younger boys (<3 years old)     Preferred treatment may be…

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Knee Arthrocentesis

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Knee Arthrocentesis

Knee Arthrocentesis Alicia Blazejewski INDICATIONS  Used to evacuate abnormal fluid collections from the joint space for synovial fluid analysis     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory process  Used to diagnose occult…

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B: Arthrocentesis

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on B: Arthrocentesis

Knee Arthrocentesis Alicia Blazejewski INDICATIONS  Used to evacuate abnormal fluid collections from the joint space for synovial fluid analysis     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory process  Used to diagnose occult…

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Fasciotomy

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Fasciotomy

 For acute compartment syndrome treatment (TABLE 53.1)     Common locations for compartment syndrome include the calf, the anterior thigh, and the forearm     Once the diagnosis is made, early fasciotomy is advocated…

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