Interphalangeal Arthrocentesis

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

 Evacuation of abnormal collections of fluid from the joint space for synovial fluid analysis     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory process  Diagnose occult fracture or ligamentous injury  Decrease/relieve pressure in…

read more

Wrist (Radiocarpal) Arthrocentesis

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Wrist (Radiocarpal) Arthrocentesis

 Provide evacuation of abnormal collections of fluid from the joint space for synovial fluid analysis     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory process  Diagnose occult fracture or ligamentous injury  Decrease/relieve pressure…

read more

Gastroesophageal Balloon Tamponade and the Sengstaken–Blakemore Tube

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Gastroesophageal Balloon Tamponade and the Sengstaken–Blakemore Tube

 Unstable patients with gastroesophageal varices receiving maximal medical therapy  Endoscopy is unavailable or unsuccessful CONTRAINDICATIONS  Esophageal strictures or recent gastroesophageal surgery  Relative:     No active bleeding     Incomplete equipment     Source of bleeding…

read more

Eye Foreign Body Removal

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Eye Foreign Body Removal

 To remove external foreign bodies (FBs) in the eye  Symptoms include pain, redness, increased tearing, or FB sensation CONTRAINDICATIONS  Caution and care must be taken if globe rupture is suspected…

read more

Peripheral Venous Cutdown—Saphenous Vein at Ankle

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Peripheral Venous Cutdown—Saphenous Vein at Ankle

 Emergent venous access for fluid resuscitation or drug infusion if alternative peripheral or central access is either unattainable or contraindicated CONTRAINDICATIONS  Absolute Contraindications     Major blunt, long-bone fracture or penetrating trauma…

read more

Shoulder Arthrocentesis

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

 To evacuate abnormal collections of fluid from the joint space for synovial fluid analysis, especially in the investigation of the following conditions:     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory processes  To…

read more

Intercostal Nerve Block

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Intercostal Nerve Block

 Used to provide analgesia for acute and chronic pain conditions affecting the thorax including the following:     Significant rib fractures causing hypoventilation, splinting respirations, or atelectasis     Chest wall/upper abdominal surgery: Thoracotomy,…

read more

Bedside Efast Ultrasonography: Extended Focused Assessment With Sonography For Trauma

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Bedside Efast Ultrasonography: Extended Focused Assessment With Sonography For Trauma

 To assess for the absence of lung sliding, suggestive of a pneumothorax, in the following conditions:     Blunt thoracoabdominal trauma     Penetrating thoracoabdominal trauma     Unexplained hypotension  To assess for the presence of…

read more

Paraphimosis Reduction

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

 Paraphimosis (foreskin trapped proximal to coronal sulcus) is a urologic emergency, and reduction is always indicated when the condition is present CONTRAINDICATIONS  None RISKS/CONSENT ISSUES  Pain (local anesthesia will be…

read more

Video Laryngoscopy

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Video Laryngoscopy

 Routine intubation  Rescue for failed direct laryngoscopy  Anticipated difficult intubation (abnormal anatomy, reduced mouth opening, history of difficult intubations, cervical spine precautions, obesity)  Intubation with desire for teaching or supervision…

read more
Get Clinical Tree app for offline access