Chapter 8 – Renal Replacement Therapy
Abstract A 72-year-old man is brought to the emergency department from his skilled nursing facility for shortness of breath and altered mental status. He is admitted to the medical intensive…
Chapter 2 – How Much Does the Family Want to Be Involved in Decision-Making?
Abstract As advancements in medical therapy improve survival, we are confronted with more patients who either cannot communicate or lack decisional capacity, leaving a more common dependency on collaborations with…
Overlooking the Basics and Focusing on Medications That Do Not Matter During Pediatric Codes
Overlooking the Basics and Focusing on Medications That Do Not Matter During Pediatric Codes Michael S. Mitchell, MD Crick Watkins, DO The crashing pediatric patient can induce anxiety for providers…
Chapter 19 – Thoracostomy Tube Insertion
Abstract Traditionally, a tube thoracostomy is placed using the open technique; however, percutaneous techniques, and those using serial dilation, are also acceptable. Care should be taken with trocar techniques due…
Chapter 18 – Cricothyroidotomy
Abstract When attempts at orotracheal intubation or airway rescue techniques (e.g., laryngeal mask airway) have failed in a patient who cannot oxygenate or ventilate, cricothyroidotomy is the emergency surgical airway…
Chapter 25 – Ultrasound in Trauma
Abstract Ultrasound offers a quick, repeatable, and moderately sensitive assessment for an important subset of traumatic injuries. The Focused Assessment with Sonography for Trauma (FAST) exam is performed at the…
Chapter 24 – Splinting
Abstract Splints should be used to temporarily immobilize possible fractures and dislocations during the evaluation and management of life- and limb-threatening injuries. Chapter 24 Splinting Carl R. Chudnofsky General Principles…
Chapter 21 – Resuscitative Endovascular Occlusion of the Aorta (REBOA)
Abstract REBOA is an endovascular occlusion balloon, inserted through the femoral artery, designed to occlude the aorta in the setting of severe abdominal or pelvic hemorrhage (Figure 21.1). Chapter 21…
Chapter 20 – Emergency Room Resuscitative Thoracotomy
Abstract In traumatic cardiac arrest, especially due to hemorrhage or cardiac tamponade, external cardiac compression has no role in the emergency room. Chapter 20 Emergency Room Resuscitative Thoracotomy Demetrios Demetriades…
Chapter 23 – Tourniquet Application for Extremity Bleeding Control
Abstract Place the tourniquet around the limb and weave the strap through the buckle. Alternatively, in tourniquets that come preassembled, they can be slipped over the limb. If possible, clothing…
