Emergency Department Thoracotomy

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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Digital Nerve Block

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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Paracentesis

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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Elbow Dislocation and Reduction

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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Lumbar Puncture

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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Escharotomy and Burn Care

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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Digit Dislocation and Reduction

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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Extensor Tendon Repair

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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Ankle Dislocation and Reduction

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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Hip Dislocation and Reduction

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on 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…

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