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…
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…
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…
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…
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…
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…
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…
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,…
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…
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…
