Ear Foreign Body Removal
Removal of foreign matter lodged within the external auditory canal (FIGURE 86.1) General Basic Steps Preparation Irrigation Removal TECHNIQUE Patient Preparation Place patient in a supine position Restrain patient and…
Methylene Blue Injection/Open Joint Evaluation
Methylene Blue Injection/Open Joint Evaluation Felipe Teran INDICATIONS When there is clinical suspicion of communication between a traumatic wound and joint space When intra-articular air within the joint space is…
9: Musculoskeletal
Methylene Blue Injection/Open Joint Evaluation Felipe Teran INDICATIONS When there is clinical suspicion of communication between a traumatic wound and joint space When intra-articular air within the joint space is…
Emergency Pericardiocentesis
Pericardial tamponade with hemodynamic decompensation Pulseless electrical activity with clinical suspicion of tamponade or with ultrasonographic evidence of pericardial effusion CONTRAINDICATIONS None for the unstable patient Coagulopathy is a relative…
Reduction of Nursemaid’s Elbow (Radial Head Subluxation)
Radial head subluxation is frequently referred to as “nursemaid’s elbow” The annular ligament of the radius displaces into the radiocapitellar articulation (FIGURE 92.1A) A common injury in children between the…
Retrograde Urethrography
Retrograde urethrography (RUG) is generally and commonly done in male patients as they have a longer and more complex urethral pathway The genitourinary system is divided into the upper urinary…
Hernia Reduction
Incarcerated hernias should have attempted manual reduction Techniques for reduction are applicable to both the adult and pediatric patient CONTRAINDICATIONS Strangulated Hernia Recognize signs and symptoms, including extreme tenderness, skin…
Felon: Incision and Drainage
An infection or abscess of the fingertip pulp INDICATIONS Fluctuance of the distal pulp with pain worsened by pressure Failure of resolution of infection after conservative therapy CONTRAINDICATIONS Herpetic whitlow…
Bedside Obstetric/Gynecologic Ultrasonography
Is an intrauterine pregnancy (IUP) (defined as yolk sac or fetal pole) present? Abdominal or pelvic pain Suspected ectopic pregnancy or risk factors for ectopic pregnancy Vaginal bleeding Unexplained syncope,…
Radial Arterial Cannulation
Direct arterial blood sampling Continuous arterial blood pressure monitoring CONTRAINDICATIONS Absolute: None Relative Contraindications Coagulopathy or recent thrombolysis Overlying infection, burn, or skin damage Severe peripheral atherosclerosis RISKS/CONSENT ISSUES Thrombosis…
