Shoulder Dystocia

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Shoulder Dystocia

 Impaction of the infant shoulders in the pelvic outlet occurring after delivery of the head during a vertex vaginal delivery PROCEDURAL DEFINITION  Maneuvers intended to disimpact the shoulders by adducting…

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Phimosis Reduction

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Phimosis Reduction

 Relief of urinary retention CONTRAINDICATIONS  No true emergency exists  Successful, blind insertion of Foley catheter     Physiologic (i.e., normal) phimosis especially in younger boys (<3 years old)     Preferred treatment may be…

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Knee Arthrocentesis

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Knee Arthrocentesis

Knee Arthrocentesis Alicia Blazejewski INDICATIONS  Used to evacuate abnormal fluid collections from the joint space for synovial fluid analysis     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory process  Used to diagnose occult…

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B: Arthrocentesis

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on B: Arthrocentesis

Knee Arthrocentesis Alicia Blazejewski INDICATIONS  Used to evacuate abnormal fluid collections from the joint space for synovial fluid analysis     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory process  Used to diagnose occult…

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Fasciotomy

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

 For acute compartment syndrome treatment (TABLE 53.1)     Common locations for compartment syndrome include the calf, the anterior thigh, and the forearm     Once the diagnosis is made, early fasciotomy is advocated…

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Interphalangeal Arthrocentesis

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Interphalangeal Arthrocentesis

 Evacuation of abnormal collections of fluid from the joint space for synovial fluid analysis     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory process  Diagnose occult fracture or ligamentous injury  Decrease/relieve pressure in…

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Wrist (Radiocarpal) Arthrocentesis

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Wrist (Radiocarpal) Arthrocentesis

 Provide evacuation of abnormal collections of fluid from the joint space for synovial fluid analysis     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory process  Diagnose occult fracture or ligamentous injury  Decrease/relieve pressure…

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Gastroesophageal Balloon Tamponade and the Sengstaken–Blakemore Tube

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Gastroesophageal Balloon Tamponade and the Sengstaken–Blakemore Tube

 Unstable patients with gastroesophageal varices receiving maximal medical therapy  Endoscopy is unavailable or unsuccessful CONTRAINDICATIONS  Esophageal strictures or recent gastroesophageal surgery  Relative:     No active bleeding     Incomplete equipment     Source of bleeding…

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Eye Foreign Body Removal

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Eye Foreign Body Removal

 To remove external foreign bodies (FBs) in the eye  Symptoms include pain, redness, increased tearing, or FB sensation CONTRAINDICATIONS  Caution and care must be taken if globe rupture is suspected…

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Peripheral Venous Cutdown—Saphenous Vein at Ankle

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Peripheral Venous Cutdown—Saphenous Vein at Ankle

 Emergent venous access for fluid resuscitation or drug infusion if alternative peripheral or central access is either unattainable or contraindicated CONTRAINDICATIONS  Absolute Contraindications     Major blunt, long-bone fracture or penetrating trauma…

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