Nasal Foreign Body Removal
Presence of foreign material within the nostril CONTRAINDICATIONS If the foreign body entered the nose traumatically and there is concern it has penetrated the cranial cavity If there is danger…
Nasogastric Tube Placement
Aspiration of gastric fluid, air, or blood Evaluation of upper gastrointestinal (GI) bleed (volume and/or presence of blood) Decompression of obstructed GI tract (i.e., small bowel obstruction) Prevention of aspiration…
Ankle Arthrocentesis
Diagnostic Evacuate abnormal collections of fluid from the joint space for synovial fluid analysis of the following suspected conditions: Septic arthritis Crystal arthropathy Hemarthrosis Inflammatory process Diagnose occult fracture or…
Thoracentesis
Diagnostic: Acquisition of pleural fluid for analysis Therapeutic: Relief of respiratory distress caused by pleural fluid CONTRAINDICATIONS Absolute Traumatic hemo- or pneumothorax (tube thoracostomy is more appropriate) Relative Platelet count…
Anorectal Foreign Body Removal
Anorectal foreign body (FB) in a stable, cooperative patient, which is: Palpable by rectal approach Absence of a sharp edge CONTRAINDICATIONS Obtain surgical consult immediately in following instances: Signs of…
Suprapubic Catheterization
Urethral trauma (e.g., partial or full transection) Urethral stricture Chronic urethral infection Urinary retention in which a urethral catheter cannot be passed (e.g., prostate obstruction, gynecologic malignancy or other pelvic…
Laryngeal Mask Airway
Rescue airway when unable to intubate or difficult ventilation via bag-valve mask (BVM) Facilitate endotracheal intubation CONTRAINDICATIONS Absolute (When Used as an Airway Rescue Device): Ability to establish definitive airway…
Umbilical Vein Catheterization
To provide rapid vascular access in neonates up to 2 weeks of age for resuscitation in which all other access attempts have failed To provide rapid administration of intravenous fluids,…
Ankle and Foot Nerve Blocks
Used to provide regional anesthesia to the foot in order to facilitate the following: Primary closure/exploration of foot wounds Incision and drainage Removal of foreign bodies Operative intervention Preferred technique…
Sedation and Analgesia for the Pediatric Patient
To provide anxiolysis, analgesia, sedation, and motor control during unpleasant diagnostic or therapeutic procedures. Decisions regarding appropriate sedation practices depend on: Type of procedure or treatment Age and medical condition…
