Emergency Department Thoracotomy
Penetrating Chest Trauma Traumatic arrest with witnessed signs of life* in the field Persistent hypotension (systolic blood pressure (SBP) <60 mm Hg) despite resuscitative efforts Blunt Trauma Traumatic arrest that…
Digital Nerve Block
Used to provide local anesthesia to the digits for repair, reduction, or drainage Lacerations Nail bed injuries Infections (i.e., felons, paronychias) Amputations Fractures or dislocations CONTRAINDICATIONS Absolute Contraindications Transthecal technique…
Paracentesis
Paracentesis is the removal of fluid from the peritoneal cavity through the use of a needle for either therapy (to relieve patient symptoms) or diagnosis (to determine causes or complications…
Elbow Dislocation and Reduction
Clinical suspicion of acute anterior, posterior, lateral, medial, or divergent dislocation with or without neurovascular compromise The clinical presentation depends on the type of dislocation Suspected dislocation is clinically confirmed…
Lumbar Puncture
Used to obtain cerebrospinal fluid (CSF) and to measure the opening pressure of the subarachnoid space to aid in the evaluation and management of patients with acute headache or other…
Escharotomy and Burn Care
Used to decompress accumulated edema under tight, unyielding eschar following full-thickness burn (classic and modern classifications of burns are given in TABLE 74.1) Circumferential extremity burn with evidence of neurovascular…
Digit Dislocation and Reduction
Clinical suspicion of joint dislocation Incidence of dislocations: Dorsal proximal interphalangeal (PIP) >> volar PIP >> dorsal metacarpal (MCP) thumb > dorsal MCP finger >> volar MCP dorsal distal interphalangeal…
Extensor Tendon Repair
For repair of a partial or complete tendon injury Partial laceration of the extensor tendons proximal to the metacarpophalangeal (MCP) joint may or may not require repair; those at or…
Ankle Dislocation and Reduction
Dislocated Ankle Joint Demonstrated on plain radiographs Clinically dislocated with neurovascular compromise CONTRAINDICATIONS Open dislocations without neurovascular compromise may be better managed in the operating room for cleaning before reduction…
Hip Dislocation and Reduction
Clinical suspicion of hip dislocation Hip pain with obvious deformity in the setting of a motor vehicle crash, pedestrian struck by a vehicle, falls, or sports-related injuries Radiographic evidence of…
