EMERGENCY MEDICINE

Emergency Medical Services

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Emergency Medical Services

Key Points Print Section Listen Emergency medical services (EMS) is the extension of emergency medical care into the prehospital setting. The U.S. EMS Systems Act of 1973 established key elements…

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Lumbar Puncture

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Lumbar Puncture

Key Points Print Section Listen Knowledge of anatomical landmarks and proper sterile technique are important when performing a lumbar puncture (LP). Absolute contraindications to LP are skin infection over puncture…

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Arterial Blood Gas

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Arterial Blood Gas

Key Points Print Section Listen Arterial puncture for blood gas analysis is a common procedure performed in the emergency department (ED). Blood obtained from the radial artery can be used…

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Procedural Sedation

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Procedural Sedation

Key Points Print Section Listen Procedural sedation is the administration of analgesic and sedative agents to induce a depressed level of consciousness so that a medical procedure can be performed…

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Incision and Drainage

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on Incision and Drainage

Key Points Print Section Listen Incision and drainage is the procedure of choice for subcutaneous abscesses. Antibiotics are not necessary unless there is associated cellulitis. Abscesses should be probed with…

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The Ears

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Ears

Introduction Print Section Listen The ears, like the nose, have a complex three-dimensional array of ridges and valleys that must be respected if a reconstruction is to return the appearance…

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The Lips

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Lips

Introduction Print Section Listen The lips, like the eyelids, represent a special site; they often have only a modest dermal component, necessitating consideration of alternative repair strategies, and represent a…

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The Nose

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Nose

Introduction Print Section Listen The nose is a frequently encountered surgical site for clinicians who focus on cutaneous reconstruction; the propensity for nonmelanoma skin cancer development in this area, coupled…

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The Forehead

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Forehead

Introduction Print Section Listen The forehead presents unique challenges and opportunities to the surgeon. The convex surface may increase the tendency toward dog-ear formation, as even ellipses with high length…

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The Eyelids

Jan 3, 2019 by in EMERGENCY MEDICINE Comments Off on The Eyelids

Introduction Print Section Listen The eyelids present unique challenges to the surgeon—the dermis is very thin, with a near absence of subcutaneous fat in some areas. This provides only minimal…

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