Colles Fracture Reduction with Hematoma Block
A Colles fracture is a transverse fracture through the distal 2 to 3 cm of the radial metaphysis where the distal fragment is dorsally displaced and angulated. The most common…
Measurement of Compartment Pressures
Suspected compartment syndrome Rising creatine phosphokinase (CPK) level without a source in the setting of trauma CONTRAINDICATIONS Relative Contraindications Overlying skin cellulitis Coagulopathy RISKS/CONSENT ISSUES Pain (site of needle insertion)…
Tube Thoracostomy
To evacuate abnormal collections of air or fluid from the pleural space in the following conditions: Pneumothorax Hemothorax Chylothorax Empyema Recurrent pleural effusion Prevention of hydrothorax after cardiothoracic surgery CONTRAINDICATIONS…
Diagnostic Peritoneal Lavage
A sensitive way to evaluate for intra-abdominal injury in the trauma patient In Blunt Trauma Unexplained hypotension Concern for injury but no obvious indication for laparotomy and serial abdominal examinations…
Facial Nerve Blocks
To anesthetize portions of the face and ears Areas of distributions: Supraorbital and supratrochlear: Forehead Infraorbital: Upper lip, upper cheek, lateral portion of the nose, and anterior maxillary teeth Inferior…
Induction of Therapeutic Hypothermia
Comatose patients resuscitated from cardiac arrest with restoration of spontaneous circulation (ROSC) INCLUSION CRITERIA Post–cardiac arrest ROSC < 30 minutes from the time of EMS arrival Time < 6 hours…
Wrist Nerve Blocks
Used to provide anesthesia in distribution of median, ulnar, and/or radial nerves for the treatment of complex soft-tissue or bony injuries of the hand Irrigation of deep abrasions with embedded…
Foreign Body Removal: Ticks, Rings, and Fish Hooks
Indicated only if location of foreign body (FB) is certain Removal may be done in 30 minutes or less RELATIVE CONTRAINDICATIONS Involvement of joint—orthopedic consultation may be required Coagulopathies or…
Priapism: Intracavernous Aspiration
To alleviate compartment syndrome in ischemic low-flow (veno-occlusive) priapism May be caused by: Trauma (genital, pelvic, perineal) Thromboembolism (sickle cell disease, leukemia) Medications (cyclic guanosine monophosphate [cGMP] inhibitors, neuroleptics, erectile-dysfunction…
