Internal Jugular Vein—Central Venous Access

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Internal Jugular Vein—Central Venous Access

 Emergency venous access for fluid resuscitation and drug infusion  Infusions requiring central venous administration (vasopressors, hyperosmolar solutions, hyperalimentation)  Central venous pressure and oxygen monitoring  Routine venous access due to inadequate…

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Femoral Vein—Central Venous Access

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Femoral Vein—Central Venous Access

 Emergency venous access for fluid resuscitation, drug infusion, and renal dialysis  Infusions requiring central venous administration (vasopressors, calcium chloride, hyperosmolar solutions, hyperalimentation)  Critically ill patients who cannot be placed flat…

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Wound Closure and Suture Techniques

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Wound Closure and Suture Techniques

 Goals are to optimize wound strength, reduce inflammation, avoid infection, and minimize scar formation     Time to wound cleaning is the most important factor     To preserve viable tissue and restore continuity…

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Shoulder Dislocation and Reduction

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Shoulder Dislocation and Reduction

Shoulder Dislocation and Reduction Olabiyi Akala and Maureen Gang INDICATIONS  History and clinical examination consistent with shoulder dislocation     Anterior Dislocation (~95%)        Mechanism          Force applied to an externally rotated, abducted, and…

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Cardiac Pacing

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Cardiac Pacing

 Hemodynamic instability (presyncope, angina, altered mentation, pulmonary edema) secondary to:     Bradydysrhythmias:        Sinus bradycardia        Sinus node dysfunction        Atrioventricular (AV) node conduction blocks (second and third degree)        Acute myocardial infarction with bifascicular…

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C: Joint Reduction

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on C: Joint Reduction

Shoulder Dislocation and Reduction Olabiyi Akala and Maureen Gang INDICATIONS  History and clinical examination consistent with shoulder dislocation     Anterior Dislocation (~95%)        Mechanism          Force applied to an externally rotated, abducted, and…

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Subclavian Vein—Central Venous Access

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Subclavian Vein—Central Venous Access

 Emergency venous access for fluid resuscitation and drug infusion  Central venous pressure and oxygen monitoring  Infusions requiring central venous administration (vasopressors, hyperosmolar solutions, hyperalimentation)  Routine venous access due to inadequate…

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Intubation of the Pediatric Patient

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Intubation of the Pediatric Patient

 Inadequate oxygenation or ventilation  Airway obstruction  Loss of protective airway reflexes (e.g., depressed cough and gag reflexes)  Excess work of breathing  Nonresponsive and apneic CONTRAINDICATIONS  Absolute Contraindications     None for unstable…

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Intubation: Tracheal and Nasotracheal

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Intubation: Tracheal and Nasotracheal

Rapid sequence intubation (RSI) is the preferred method of emergency airway management. It involves the near simultaneous administration of fast-acting induction and neuromuscular blocking agents to achieve optimal intubating conditions…

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Cricothyroidotomy—Standard and Needle

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Cricothyroidotomy—Standard and Needle

 To provide emergent airway access only when a safer, less invasive airway cannot be established or is contraindicated  For children younger than 12 years, needle cricothyroidotomy is the surgical airway…

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