Shoulder Arthrocentesis

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

 To evacuate abnormal collections of fluid from the joint space for synovial fluid analysis, especially in the investigation of the following conditions:     Septic arthritis     Crystal arthropathy     Hemarthrosis     Inflammatory processes  To…

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Intercostal Nerve Block

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Intercostal Nerve Block

 Used to provide analgesia for acute and chronic pain conditions affecting the thorax including the following:     Significant rib fractures causing hypoventilation, splinting respirations, or atelectasis     Chest wall/upper abdominal surgery: Thoracotomy,…

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Bedside Efast Ultrasonography: Extended Focused Assessment With Sonography For Trauma

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Bedside Efast Ultrasonography: Extended Focused Assessment With Sonography For Trauma

 To assess for the absence of lung sliding, suggestive of a pneumothorax, in the following conditions:     Blunt thoracoabdominal trauma     Penetrating thoracoabdominal trauma     Unexplained hypotension  To assess for the presence of…

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Paraphimosis Reduction

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

 Paraphimosis (foreskin trapped proximal to coronal sulcus) is a urologic emergency, and reduction is always indicated when the condition is present CONTRAINDICATIONS  None RISKS/CONSENT ISSUES  Pain (local anesthesia will be…

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Video Laryngoscopy

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Video Laryngoscopy

 Routine intubation  Rescue for failed direct laryngoscopy  Anticipated difficult intubation (abnormal anatomy, reduced mouth opening, history of difficult intubations, cervical spine precautions, obesity)  Intubation with desire for teaching or supervision…

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Episiotomy

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

 To prevent severe spontaneous third- and fourth-degree perineal lacerations  To increase the diameter of the soft-tissue pelvic outlet to relieve shoulder dystocia  To facilitate delivery of fetus having nonreassuring fetal…

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Bedside Echocardiography

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Bedside Echocardiography

 Identifying the presence or absence of cardiac activity in cardiac arrest  Identifying the presence or absence of pericardial effusion and differentiating from pleural effusion  Identifying the presence or absence of…

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Auricular Hematoma Drainage

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Auricular Hematoma Drainage

 A subperichondrial hematoma that separates the perichondrium from the underlying auricular cartilage     Result of a shearing force to the ear, but can also develop after blunt trauma     The hematoma disrupts…

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Dental Nerve Blocks

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Dental Nerve Blocks

 To provide temporary analgesia for intraoral or facial pain related to the following:     Trauma requiring intraoral or facial laceration repair     Dental trauma resulting in fractured teeth     Infection (tooth abscess, root…

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Subungual Hematoma

Aug 9, 2016 by in EMERGENCY MEDICINE Comments Off on Subungual Hematoma

 Trephination: To create a fistula through the nail to the hematoma     Decompression, drainage, and pain relief of small subungual hematomas  Nail removal and nail bed laceration repair     Large hematomas and…

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