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…

 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…

 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,…

 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…

A rectal prolapse is when one or all layers of the rectal mucosa protrude out through the anal opening (FIGURE 32.1).  Complete prolapse occurs when all layers of the rectum…

 Clinical suspicion of patellar dislocation     The knee is held in 20 to 30 degrees of flexion     An obvious deformity is typically seen     Dislocated patella on x-ray (anteroposterior [AP] or sunrise…

A strategy of time separation between the administration of a dissociative induction agent and the neuromuscular blocker to allow preintubation optimization. INTRODUCTION Delayed sequence intubation (DSI) differs from rapid sequence…

 Used to confirm the diagnosis of benign paroxysmal positional vertigo (BPPV) of the posterior semicircular canal CONTRAINDICATIONS  Unstable heart disease  Ongoing cerebrovascular ischemia  Severe cervical degenerative arthritis  High-grade carotid stenosis…

 Clinical suspicion of abdominal aortic aneurysm (AAA)     Unexplained abdominal, back, or flank pain, particularly in the older patient     Unexplained hypotension     Syncope in the setting of abdominal pain     Palpable and/or pulsatile…

 A localized infection at the nail fold and/or around the nail plate INDICATIONS  Failed spontaneous drainage or improvement despite warm soaks CONTRAINDICATIONS  Herpetic whitlow  Coagulopathy  General Basic Steps     Analgesia     Incision…