Suspected compartment syndrome Rising creatine phosphokinase (CPK) level without a source in the setting of trauma CONTRAINDICATIONS Relative Contraindications Overlying skin cellulitis Coagulopathy RISKS/CONSENT ISSUES Pain (site of needle insertion)…
To evacuate abnormal collections of air or fluid from the pleural space in the following conditions: Pneumothorax Hemothorax Chylothorax Empyema Recurrent pleural effusion Prevention of hydrothorax after cardiothoracic surgery CONTRAINDICATIONS…
A sensitive way to evaluate for intra-abdominal injury in the trauma patient In Blunt Trauma Unexplained hypotension Concern for injury but no obvious indication for laparotomy and serial abdominal examinations…
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…
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…
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…
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…
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…
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…
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…
