Atlas of Emergency Medicine Procedures

 

Atlas of Emergency Medicine Procedures: Table of Contents

I. Vascular Procedures  

1 Arterial Cannulation (Radial and Femoral)
Jeffrey Kile, Katrina John, Amish Aghera
1. 1 Indications
1. 2 Contraindications
1. 3 Materials and Medications
1. 4 Complications
1. 5 Pearls and Pitfalls
Selected Reading

2 Ultrasound-Guided Peripheral Intravenous Access
Coben Thorn, L. Connor Nickels
2. 1 Indications
2. 2 Contraindications
2. 3 Materials and Medications
2. 4 Procedure
2. 5 Complications
2. 6 Pearls and Pitfalls
 Selected Reading

3 Central Venous Line Placement: Internal Jugular Vein, Subclavian Vein, and Femoral Vein
Kevin D. Ergle, Zachary B. Kramer, Jason Jones, Rohit Pravin Patel
3. 1 Indications
3. 2 Contraindications
3. 3 Materials and Medications
3. 4 Procedures
3. 5 Complications
3. 6 Ultrasound Guided Cannulation: Tips for Each Approach
3. 7 Removing a Central Line
Selected Reading

4 Pulmonary Artery Catheter
Rohit Pravin Patel, Marie-Carmelle Elie
4. 1 Indications
4. 2 Contraindications
4. 3 Materials
4. 3. 1 Catheter Preparation
4. 4 Procedure
4. 5 Complications
4. 6 Pearls and Pitfalls
Selected Reading

5 Noninvasive Cardiac Monitoring: The Edwards Vigileo System
Dawood G. Dalaly, Rohit Pravin Patel
5. 1 Indications
5. 2 Contraindications
5. 3 Definitions and Values
5. 4 Materials
5. 5 Procedure
5. 6 Pearls and Pitfalls
Selected Readin

 

g

 

6 Peripheral Venous Cutdown
Jeffrey Kile, Katrina John, Amish Aghera
6. 1 Indications
6. 2 Contraindications
6. 3 Materials and Medications
6. 4 Choice of Vessel for Cutdown
6. 5 Procedure
6. 6 Complications
6. 7 Pearls and Pitfalls
Selected Reading

II. Airway and Vascular Procedures 

7 Bag-Valve-Mask Ventilation
Braden Hexom, Tatiana Havryliuk
7. 1 Indications
7. 2 Contraindications
7. 3 Materials
7. 4 Procedure
7. 5 Complications
7. 6 Pearls and Pitfalls
Selected Reading

8 Awake Orotracheal Intubation
Benjamin M. Mahon, Justin Bennett, Lars K. Beattie
8. 1 Indications
8. 2 Contraindications
8. 3 Materials and Medications
8. 4 Procedure
8. 5 Pearls and Pitfalls
Selected Reading

9 Rapid-Sequence Intubation
Ram A. Parekh
9. 1 Indications
9. 2 Contraindications
9. 3 Materials and Medications
9. 4 Procedure
9. 5 Complications
9. 6 Pearls and Pitfalls
Selected Reading

10 Direct Laryngoscopy
Bharath Chakravarthy, Weston Seipp
10. 1 Indications
10. 2 Contraindications
10. 3 Materials and Medications
10. 4 Procedure
10. 5 Complications
10. 6 Pearls and Pitfalls
References

11 Laryngeal Mask Airway
Sohan Parekh
11. 1 Indications
11. 2 Contraindications
11. 3 Types
11. 4 Materials and Medications
11. 5 Procedure
11. 6 Complications
11. 7 Pearls and Pitfalls
Selected Reading

12 Combitube
Clint Masterson
12. 1 Indicat

ions<

 

12. 2 Contraindications
12. 3 Materials
12. 4 Procedure
12. 5 Pearls and Pitfalls
Selected Reading

 

13 Assessment of the Difficult Airway
Melinda W. Fernandez, Lars K. Beattie
13. 1 Indications
13. 2 Materials and Medications
13. 3 Procedure
13. 4 Pearls and Pitfalls
References
Selected Reading

14 GlideScope
Sohan Parekh
14. 1 Indications
14. 2 Contraindications
14. 3 Materials and Medications
14. 4 Procedure
14. 5 Complications
14. 6 Pearls and Pitfalls
Selected Reading

15 Endotracheal Tube Introducer (Bougie)
Joseph Rabinovich
15. 1 Indications
15. 2 Contraindications
15. 3 Materials and Medications
15. 4 Procedure
15. 5 Complications
15. 6 Pearls and PitfallsReferences

16 Lighted Stylet Intubation
Benjamin M. Mahon, Lars K. Beattie
16. 1 Indications
16. 2 Contraindications
16. 3 Materials and Medications
16. 4 Procedure
16. 5 Pearls and Pitfalls
References
Selected Reading

17 Fiberoptic Stylet Intubation (Rigid and Semirigid)
Joseph Rabinovich
17. 1 Indications
17. 2 Contraindications
17. 3 Relative Contraindications
17. 4 Materials and Medications
17. 5 Procedure
17. 6 Pearls and Pitfalls
References

18 Storz Video Laryngoscope
Joseph Rabinovich
18. 1 Indications
18. 2 Contraindications
18. 3 Materials and Medications
18. 4 Procedure
18. 5 Complications
18. 6 Pearls and Pitfalls
References
Selected Reading

<19 Cric

 

othyroidotomy
Henry Young II, Shannon Toohey, Bharath Chakravarthy, Lars K. Beattie
19. 1 Indications
19. 2 Contraindications
19. 3 Two Techniques
19. 4 Complications
19. 5 Pearls
References
Selected Reading

 

20 Tracheostomy Tube Malfunction
Deena Bengiamin, Bharath Chakravarthy
20. 1 Indications
20. 2 Materials and Medications
20. 3 Procedure
20. 4 Pearls and Pitfalls
Selected Reading

21 Percutaneous Transtracheal Jet Ventilation
Clint Masterson
21. 1 Indications
21. 2 Contraindications
21. 3 Materials and Medications
21. 4 Procedure
21. 5 Complications
21. 6 Pearls and Pitfalls
Selected Reading

III. Thoracic Procedures 

22 Needle Thoracostomy
Lucas McArthur, Christian Fromm
22. 1 Indications
22. 2 Contraindications
22. 3 Materials
22. 4 Procedure
22. 5 Complications
22. 6 Pearls and Pitfalls
Selected Reading
Acknowledgments

23 Chest Tube Thoracostomy
Brandon R. Allen, Latha Ganti
23. 1 Indications
23. 2 Contraindications
23. 3 Materials and Medications
23. 4 Procedure
23. 5 Complications23. 6 Pearls and Pitfalls
Selected Reading

24 Thoracentesis
Lee Richard Donner, Michael Anana
24. 1 Indications
24. 2 Contraindications
24. 3 Materials and Medications
24. 4 Procedure
24. 5 Complications
24. 6 Considerations
24. 7 Pearls and Pitfalls
Selected Reading

25 Open Chest Wounds and Flail Chest
Jacob J. Glaser, Carl

os J. Rodriguez<

 

25. 1 Background
25. 2 Initial Evaluation of Thoracic Trauma
25. 3 Open Pneumothorax
25. 4 Flail Chest
References

 

26 Emergent Resuscitative Thoracotomy, Open Cardiac Massage, and Aortic Occlusion
Kevin M. Jones, Jay Menaker
26. 1 Indications
26. 2 Contraindications
26. 3 Materials and Medications
26. 4 Procedure
26. 5 Complications
Selected Reading

27 Lung Ultrasonography
Ali H. Dabaja, L. Connor Nickels, Rohit Pravin Patel
27. 1 Indications
27. 2 Contraindications
27. 3 Materials
27. 4 Preparations
27. 5 Procedure
Selected Reading
IV. Cardiac Procedures 

28 Repair of Cardiac Injuries
Ronald Tesoriero
28. 1 Indications
28. 2 Contraindications
28. 3 Materials and Medications
28. 4 Procedure
28. 5 Complications
28. 6 Pearls and Pitfalls
Selected Reading

29 Synchronized Electrical Cardioversion
Jason Jones, Ann Tsung, Marie-Carmelle Elie
29. 1 Indications
29. 2 Contraindications
29. 3 Materials and Medications
29. 4 Procedure
29. 5 Complications
29. 6 Pearls and Pitfalls
Selected Reading

30 Unsynchronized Cardioversion (Defibrillation)
Matthew R. Tice, Zachary B. Kramer, Marie-Carmelle Elie
30. 1 Indications
30. 2 Contraindications
30. 3 Materials and Medications
30. 4 Procedure
30. 5 Complications
30. 6 Pearls and Pitfalls
Selected Reading

31 Transcutaneous Pacing
Nour Rifai, Christian Coletti
31. 1 Indications

31. 2 Contraindicat

 

ions
31. 3 Materials and Medications
31. 4 Procedure
31. 5 Pearls and Pitfalls
Selected Reading

 

32 Transvenous Cardiac Pacing
Katrina John, Jeffrey Kile, Amish Aghera
32. 1 Indications
32. 2 Contraindications
32. 3 Materials and Medications
32. 4 Procedure
32. 5 Complications
32. 6 Pearls and Pitfalls
Selected Reading

33 Pericardiocentesis (Optional: Ultrasound Guidance)
Katrina Skoog Nguyen, L. Connor Nickels, Rohit Pravin Patel
33. 1 Indications
33. 2 Contraindications
33. 3 Materials and Medications
33. 4 Procedure
33. 5 Complications
33. 6 Pearls and Pitfalls
References

34 Ultrasound Evaluation of Pulmonary Embolism and Heart Strain
Giuliano De Portu, L. Connor Nickels, Marie-Carmelle Elie
34. 1 Indications
34. 2 Contraindications
34. 3 Materials and Medications
34. 4 Procedure
34. 5 Findings
34. 6 Complications
34. 7 Pearls and Pitfalls
Selected Reading

35 Pacemaker Evaluation in the Emergency Department
Joseph D. Romano, Christian Coletti
35. 1 Pacemaker Function
35. 2 Common Pacemaker Codes
35. 3 Pacemaker Malfunction
35. 4 Initial Evaluation of the Patient With a Pacemaker
35. 5 Interpreting the Type of Malfunction Based on ECG
35. 6 Management of Pacemaker-mediated Tachycardia
References

V. Spine Evaluation 

36 Cervical Collar Placement
Justin Bennett, Lars K. Beattie
36. 1 Indications
36. 2 Contraindications
36

. 3 Materials and Medicati

 

ons
36. 4 Procedure (Aspen Collar)
36. 5 Pearls and Pitfalls
Selected Reading

 

37 Cervical Spine Clearance
Braden Hexom, Tatiana Havryliuk
37. 1 Indications
37. 2 Contraindications
37. 3 NEXUS and CCR to Assess the Need for Imaging
37. 4 Type of Imaging
37. 5 Materials
37. 6 Procedure
37. 7 Complications
37. 8 Pearls and Pitfalls Reference
Selected Reading

38 Log Roll
Justin Bennett, Lars K. Beattie
38. 1 Indications
38. 2 Contraindications
38. 3 Materials and Medications
38. 4 Procedure
38. 5 Pearls and Pitfalls
Selected Reading

VI. Neurologic and Neurosurgical Procedures 

39 Burr Hole Craniotomy
Latha Ganti
39. 1 Indications
39. 2 Contraindications
39. 3 Materials and Medications
39. 4 Procedure
39. 5 Complications
39. 6 Pearls and Pitfalls
References
Selected Reading

40 External Ventricular Drain Placement
Latha Ganti 
40. 1 Indications
40. 2 Contraindications
40. 3 Materials and Medications
40. 4 Procedure
40. 5 Complications
40. 6 Pearls and Pitfalls
References

41 Lumbar Puncture in Adults
Kevin Tench, L. Connor Nickels, Rohit Pravin Patel
41. 1 Indications
41. 2 Contraindications
41. 3 Materials and Medications
41. 4 Procedure
41. 5 Complications
41. 6 Pearls and Pitfalls
Selected Reading

42 Reflex Eye Movements (Doll’s Eyes and Caloric Testing)
Thomas T. Nguyen, Tina Dulani, Saadia Ak

htar
42. 1 Indications: Doll’s

 

Eyes
42. 2 Contraindications: Doll’s Eyes
42. 3 Procedure: Doll’s Eyes
42. 4 Pearls and Pitfalls: Doll’s Eyes
42. 5 Indications: Caloric Reflex Testing
42. 6 Contraindications: Caloric Reflex Testing
42. 7 Materials and Medications: Caloric Reflex Testing
42. 8 Procedure: Caloric Reflex Testing
42. 9 Complications: Caloric Reflex Testing
42. 10 Pearls and Pitfalls: Caloric Reflex Testing
Selected Reading

 

43 Dix-Hallpike Maneuver
Rui Domingues, Muhammad Waseem
43. 1 Indications
43. 2 Contraindications
43. 3 Materials
43. 4 Procedure
43. 5 Complications
43. 6 Pearls and Pitfalls
Selected Reading

44 Epley Maneuver for Vertigo (Particle Repositioning or Canalith Repositioning Procedure)
Rui Domingues, Muhammad Waseem
44. 1 Indications
44. 2 Contraindications
44. 3 Materials
44. 4 Procedure
44. 5 Complications
44. 6 Pearls and Pitfalls
Selected Reading

45 Clinical Brain Death Examination in Adults
Eric S. Papierniak, Hassan M. Alnuaimat, Tracy Timmons, Deborah M. Stein
45. 1 Indications
45. 2 Contraindications
45. 3 Materials and Medications
45. 4 Procedure
45. 5 Pearls and Pitfalls
45. 6 Controversies
Selected Reading

VII. Ophthalmic Procedures 

46 Slit Lamp Examination
Bobby K. Desai
46. 1 Indications
46. 2 Contraindications
46. 3 Materials
46. 4 Procedure
46. 5 Complications
46. 6 Pitfalls
46. 7 Fluorescein Testi

ng
Selected Reading

 

47 Eye Ir

rigation
Bobby K. Desai
47. 1 Indications
47. 2 Contraindications
47. 3 Materials and Medications
47. 4 Procedure
47. 5 Complications
47. 6 Pearls and Pitfalls
Selected Reading

 

48 Corneal Foreign Body Removal
Bobby K. Desai
48. 1 Indications
48. 2 Contraindications
48. 3 Materials and Medications
48. 4 Procedure
48. 5 Complications
Selected Reading

49 Ultrasound Evaluation of Retinal Detachment
Shalu S. Patel, L. Connor Nickels, Rohit Pravin Patel
49. 1 Indications
49. 2 Contraindications
49. 3 Materials and Medications
49. 4 Procedure
49. 5 Complications
49. 6 Pearls and Pitfalls
Selected Reading

50 Ultrasonography in the Evaluation of Intraocular Pathology
Benjamin M. Mahon, Marie-Carmelle Elie, L. Connor Nickels, Rohit Pravin Patel
50. 1 Indications
50. 2 Contraindications
50. 3 Materials
50. 4 Procedure
50. 5 Complications
50. 6 Pearls and Pitfalls
50. 7 Specific Disease Processes/Pathology
References
Selected Reading

51 Tonometry
Bobby K. Desai
51. 1 Indications
51. 2 Contraindications
51. 3 Overview
51. 4 Schiøtz Tonometry
51. 5 Tono-Pen Tonometry
51. 6 Complications
Selected Reading

52 Lateral Canthotomy
Benjamin M. Mahon, Bobby K. Desai
52. 1 Indications
52. 2 Contraindications
52. 3 Materials and Medications
52. 4 Procedure
52. 5 Complications
52. 6 Pearls and Pitfalls
Selected

Reading

 

VIII. Otorhinolaryngologic Pro

cedures

 

53 Epistaxis Control
Benjamin M. Mahon, Bobby K. Desai
53. 1 Etiology
53. 2 Indications
53. 3 Contraindications
53. 4 Materials and Medications
53. 5 Procedure: Anterior Epistaxis
53. 6 Procedure: Posterior Epistaxis
Selected Reading

54 Treatment of Septal Hematoma
Bobby K. Desai
54. 1 Indications
54. 2 Contraindications
54. 3 Materials and Medications
54. 4 Procedure
54. 5 Pitfalls and Complications
Selected Reading

55 Nasal Foreign Body Removal
Bobby K. Desai
55. 1 Indications
55. 2 Contraindications
55. 3 Materials and Medications
55. 4 Procedures
Selected Reading

56 Cerumen Removal
Bobby K. Desai
56. 1 Indications
56. 2 Contraindications
56. 3 Materials and Medications
56. 4 Procedure
56. 5 Pitfalls and Complications
Selected Reading

57 Ear Foreign Body Removal
Bobby K. Desai
57. 1 Indications
57. 2 Contraindications
57. 3 Materials and Medications
57. 4 Procedures
Selected Reading

58 Treatment of Auricular Hematoma
Bobby K. Desai
58. 1 Indications
58. 2 Contraindications
58. 3 Materials and Medications    
58. 4 Procedure
58. 5 Pitfalls and Complications
Selected Reading
Acknowledgement

59 Incision and Drainage of Peritonsillar Abscess
Melinda W. Fernandez, Bobby K. Desai
59. 1 Indications
59. 2 Contraindications
59. 3 Materials and Medications
59. 4 Procedure:

Aspiration
59. 5 Procedure: Incision and Drain

 

age
59. 6 Complications
59. 7 Pearls and Pitfalls
Selected Reading

 

60 Incision and Drainage of Sublingual Abscess
Melinda W. Fernandez, Bobby K. Desai
60. 1 Indications
60. 2 Contraindications
60. 3 Materials and Medications
60. 4 Procedure: Incision and Drainage
60. 5 Complications
60. 6 Pearls and Pitfalls
Selected Reading

61 Incision and Drainage of Parotid Duct Abscess
Melinda W. Fernandez, Bobby K. Desai
61. 1 Indications
61. 2 Contraindications
61. 3 Materials and Medications
61. 4 Procedure
61. 5 Complications
61. 6 Pearls and Pitfalls
Selected Reading

IX. Dental Procedures  

62 Techniques of Mandibular Anesthesia
Susana Perry, Joshua Perry, Rosalia Rey
62. 1 Inferior Alveolar Nerve Block
62. 2 Buccal Nerve Block
62. 3 Mental Nerve Block
Selected Reading

63 Reduction of Dislocated Temporomandibular Joint
Christopher J. Spencer, Geraldine Weinstein
63. 1 Indications
63. 2 Contraindications for Closed Reduction
63. 3 Materials and Medications
63. 4 Procedure
63. 5 Complications
63. 6 Pearls
Selected Reading

64 Dry Socket (Alveolar Osteitis, Fibrinolytic Osteitis)
Michael A. Abraham, Amir Azari, Jennifer Westcott, Franci Stavropoulos
64. 1 Indications
64. 2 Contraindications
64. 3 Materials and Medications
64. 4 Procedure
64. 5 Complications
64. 6 Pearls and Pitfalls
Selected Reading

65 Postextraction Hemorrhage
Michael A. Abraham, A

mir Azari, Jennifer Westcott, Franci Stavropoulos
65. 1 Indications
65. 2 Contraindications
65. 3 Materials and Medications
65. 4 Procedure
65. 5 Complications
65. 6 Pearls and Pitfalls
Selected Reading

 

66 Fractured Tooth
Geraldine Weinstein
66. 1 Indications
66. 2 Methods of Sustaining Dental Fracture
66. 3 Four Types of Fractured Tooth
66. 4 Contraindications
66. 5 Materials and Medications
66. 6 Procedure
66. 7 Complications
66. 8 Pearls

67 Dental Avulsion Management
Laura Tucker, Abimbola O. Adewumi
67. 1 Indications
67. 2 Contraindications
67. 3 Materials and Medications
67. 4 Procedure
67. 5 Complications
67. 6 Pearls and Pitfalls
Selected Reading

X. Gastrointestinal Procedures  

68 Excision of Thrombosed External Hemorrhoid
Pratik Shashikant Patel, Latha Ganti
68. 1 Indications
68. 2 Contraindications
68. 3 Materials and Medications 
68. 4 Procedure
68. 5 Complications
68. 6 Pearls and Pitfalls
References
Selected Reading

69 Diagnostic Peritoneal Lavage
Latha Ganti
69. 1 Indications
69. 2 Contraindications
69. 3 Materials and Medications
69. 4 Procedure
69. 5 Complications
69. 6 Pearls and Pitfalls
References
Selected Reading

70 Manual Reduction of Abdominal Hernia
Latha Ganti
70. 1 Indications
70. 2 Contraindications
70. 3 Materials and Medications
70. 4 Proc

edure
70. 5 Complications
70. 6 Pearls and Pitfalls

 

Selected Reading

 

71 Extended Focused Assessment With Sonography for Trauma
Coben Thorn, L. Connor Nickels
71. 1 Indications
71. 2 Contraindications
71. 3 Materials and Medications
71. 4 Procedure
71. 5 Complications
71. 6 Pearls and Pitfalls
Selected Reading

72 Nasogastric Tube Placement
David P. Nguyen, L. Connor Nickels, Giuliano De Portu
72. 1 Indications
72. 2 Contraindications
72. 3 Materials and Medications
72. 4 Procedure
72. 5 Complications
72. 6 Pearls
Selected Reading

73 Esophageal Foreign Body Removal
David P. Nguyen, L. Connor Nickels, Rohit Pravin Patel
73. 1 Indications
73. 2 Contraindications
73. 3 Materials
73. 4 Procedure
73. 5 Complications73. 6 Pearls
Selected Reading

74 Activated Charcoal
Deylin I. Negron Smida, Judith K. Lucas
74. 1 Indications
74. 2 Contraindications
74. 3 Materials and Medications
74. 4 Procedure
74. 5 Complications
74. 6 Pearls and Pitfalls
Selected Reading

75 Gastric Lavage
Deylin I. Negron Smida, Judith K. Lucas
75. 1 Indications
75. 2 Contraindications
75. 3 Materials and Medications
75. 4 Procedure
75. 5 Complications
75. 6 Pearls and Pitfalls
Selected Reading

76 Whole Bowel Irrigation
Judith K. Lucas
76. 1 Indications
76. 2 Contraindications
76. 3 Materials and Medications
76. 4 Procedure
76. 5 Complications
76. 6 Pearls<

Selected Reading

 

77 Sengstaken-Blakemore Tube
Thomas T.

Nguyen, Etan Eitches, Stephanie Wetmore-Nguyen
77. 1 Indications
77. 2 Contraindications
77. 3 Materials and Medications
77. 4 Procedure
77. 5 Complications
77. 6 Pearls and Pitfalls
Selected Reading

 

78 Gastrostomy Tube Placement
Nate Lisenbee, Latha Ganti
78. 1 Indications
78. 2 Contraindications
78. 3 Materials and Medications
78. 4 Procedure
78. 5 Pearls and Pitfalls
78. 6 Complications
Selected Reading

79 Paracentesis
Shalu S. Patel, Bobby K. Desai 
79. 1 Indications
79. 2 Contraindications
79. 3 Materials and Medications
79. 4 Procedure
79. 5 Complications
79. 6 Pearls and Pitfalls
Selected Reading

80 Anal Fissure Management
David P. Nguyen, L. Connor Nickels, Giuliano De Portu
80. 1 Indications
80. 2 Contraindications
80. 3 Materials and Medications
80. 4 Procedure
80. 5 Complications
80. 6 Pearls and Pitfalls
Selected Reading

XI. Genitourinary Procedures 

81 Bladder Catheterization
Maritza A. Plaza-Verduin, Judith K. Lucas
81. 1 Indications
81. 2 Contraindications
81. 3 Materials and Medications
81. 4 Procedure
81. 5 Complications
81. 6 Pearls and Pitfalls
Selected Reading

82 Pelvic Examination and Wet Preparation
Nauman W. Rashid, Elaine B. Josephson, Muhammad Waseem
82. 1 Indications
82. 2 Contraindications
82. 3 Materials and Medications
82. 4 Procedure

82. 5 Complications
82. 6 Pearls and Pitfalls
Selected Reading

 

83 Bartholin Gland Abscess/Cysts Drainage
Holly H. Charleton, Marylin Otero, Diane F. Giorgi, Joseph A Tyndall
83. 1 Indications
83. 2 Contraindications
83. 3 Procedure Types
83. 4 Materials
83. 5 Procedures
83. 6 Aftercare
Selected Reading

84 Sexual Assault Forensic Examination
Rajnish Jaiswal, Mary T. Ryan, Muhammad Waseem
84. 1 Indications
84. 2 Contraindications
84. 3 Materials and Medications
84. 4 Procedure
84. 5 Pearls and Pitfalls
References

85 Treatment of Priapism
Jeffrey Kile, Katrina John, Amish Aghera
85. 1 Indications
85. 2 Contraindications
85. 3 Materials and Medications
85. 4 Noninvasive Therapy Preprocedure
85. 5 Procedures
85. 6 Complications
85. 7 Pearls and Pitfalls
85. 8 Considerations
Selected Reading

86 Reduction of Phimosis/Paraphimosis
Justin Chen, Muhammad Waseem
86. 1 Indications
86. 2 Contraindications
86. 3 Materials and Medications
86. 4 Procedure: Manual Reduction for Paraphimosis
86. 5 Complications
86. 6 Pearls and Pitfalls
Selected Reading

87 Manual Testicular Detorsion
Brandon R. Allen, L. Connor Nickels
87. 1 Indications
87. 2 Contraindications
87. 3 Materials and Medications
87. 4 Procedure
87. 5 Pearls and Pitfalls
References

XII. Skin and Soft Tissue Procedures 

88 Local Anesthesia
Derek Ailes, Muhammad Waseem
88. 1 Indications

88. 2 Contraindications
88. 3 Materials and Medications88. 4 Procedure

 

88. 5 Complications
88. 6 Pearls
References

 

89 Regional Anesthesia (Nerve Blocks)
Derek Ailes, Muhammad Waseem
89. 1 Indications
89. 2 Contraindications
89. 3 Materials and Medications
89. 4 Procedure: General Block
89. 5 Complications
89. 6 Pearls and Pitfalls
89. 7 Selected Specific Blocks
References

90 Wound Management and Hemostasis
Rich Teitell, Muhammad Waseem
90. 1 Indications for Primary Wound Repair
90. 2 Contraindications for Primary Wound Repair
90. 3 Procedure for Wound Closure and Hemostasis
90. 4 Complications
90. 5 Pearls and Pitfalls
Selected Reading

91 Burn Care
Thomas Parry, Jeffrey Pepin
91. 1 Burn Description
91. 2 Indications
91. 3 Materials and Medications
91. 4 Sizing
91. 5 Fluid Resuscitation
91. 6 Procedure
91. 7 Complications
91. 8 Pearls and Pitfalls
91. 9 Admission Criteria
Selected Reading

92 Wound Closure
Oliver Michael Berrett, Jeffrey Joseph Harroch, Karlene Hosford, Muhammad Waseem
92. 1 Indications
92. 2 Contraindications
92. 3 Methods
92. 4 Preparation
92. 5 Suture Repair
92. 6 Alternative Methods of Wound Closure
92. 7 Pearls and Pitfalls
Selected Reading

93 Wound Closure With Tissue Adhesive
Pratik Shashikant Patel, Latha Ganti
93. 1 Indications
93. 2 Contraindications
93. 3 Materials and Medications
93. 4 Procedure
93. 5 Complica

tions
93. 6 Pearls and Pitfalls
Selected Reading

 

94 Fishhook Remo

val
Judith K. Lucas
94. 1 Indications
94. 2 Contraindications
94. 3 Materials and Medications
94. 4 Procedures
94. 5 Postremoval Wound Care
94. 6 Complications
94. 7 Pearls and Pitfalls
Selected Reading

 

95 Tick Removal
David N. Smith, Judith K. Lucas
95. 1 Indications
95. 2 Contraindications
95. 3 Materials and Medications
95. 4 Procedure
95. 5 Complications
95. 6 Pearls and Pitfalls
Selected Reading

96 Subungal Hematoma Drainage
Pratik Shashikant Patel, Latha Ganti
96. 1 Causes
96. 2 Indications
96. 3 Contraindications
96. 4 Materials and Medications
96. 5 Procedure
96. 6 Complications
96. 7 Pearls and Pitfalls
Selected Reading

97 Incision and Drainage of Abscess
Nicholas D. Caputo, Karlene Hosford, Muhammad Waseem
97. 1 Indications
97. 2 Contraindications
97. 3 Materials and Medications
97. 4 Procedure
97. 5 Complications
97. 6 Pearls
Selected Reading

XIII. Orthopedic Procedures 

98 Splinting
Christopher H. Stahmer, Muhammad Waseem
98. 1 Indications
98. 2 Contraindications
98. 3 Materials and Medications
98. 4 Procedure
98. 5 Complications
Selected Reading

99 Ulnar Gutter Splint
Jeffrey Kile, Katrina John, Amish Aghera
99. 1 Indications
99. 2 Contraindications
99. 3 Materials
99. 4 Procedure
99. 5 Complications
99. 6 Pearls and Pitfalls
Selecte

d Reading

 

100 Shoulder Dislocation Reduction Techniques
Katrina Skoog Ng

uyen, L. Connor Nickels, Rohit Pravin Patel
100. 1 Indications
100. 2 Contraindications
100. 3 Materials and Medications
100. 4 Procedure
100. 5 Complications
100. 6 Pearls
Selected Reading
Acknowledgement

 

101 Elbow Dislocation Reduction
Katrina John, Jeffrey Kile, Amish Aghera
101. 1 Indications
101. 2 Contraindications
101. 3 Materials and Medications
101. 4 Procedure for Posterior Dislocations
101. 5 Procedure for Anterior Dislocations
101. 6 Procedure for Radial Head Subluxations
101. 7 Complications
101. 8 Pearls and Pitfalls
Selected Reading

102 Distal Interphalangeal Joint Reduction
Justin Chen, Muhammad Waseem
102. 1 Indications
102. 2 Contraindications
102. 3 Materials and Medications
102. 4 Procedure
102. 5 Complications
102. 6 Pearls and Pitfalls
Selected Reading

103 Hip Dislocation Reduction
Katrina John, Jeffrey Kile, Amish Aghera
103. 1 Indications
103. 2 Contraindications
103. 3 Materials and Medications
103. 4 Procedure
103. 5 Complications
103. 6 Pearls and Pitfalls
Selected Reading

104 Knee Dislocation Reduction
Jeffrey Kile, Katrina John, Amish Aghera
104. 1 Indications
104. 2 Contraindications
104. 3 Materials and Medications
104. 4 Procedure
104. 5 Complications
104. 6 Pearls and Pitfalls
Selected Reading

105 Ankle Dislocation Reduction
Katri

na John, Jeffrey Kile, Amish Aghera
105. 1 Indications
105. 2 Contraindications

 

105. 3 Materials and Medications
105. 4 Procedure
105. 5 Complications
105. 6 Pearls and Pitfalls
Selected Reading

 

106 Arthrocentesis
Shalu S. Patel, Bobby K. Desai 
106. 1 Indications
106. 2 Contraindications
106. 3 Materials and Medications
106. 4 Procedure
106. 5 Complications
106. 6 Pearls and Pitfalls
Selected Reading

107 Intra-articular Injection
Bharat Kothakota, Muhammad Waseem
107. 1 Indications
107. 2 Contraindications
107. 3 Materials and Medications
107. 4 Procedure
107. 5 Complications
107. 6 Pearls
Selected Reading

108 Sugar-Tong Splint
Katrina John, Jeffrey Kile, Amish Aghera
108. 1 Indications
108. 2 Contraindications
108. 3 Materials
108. 4 Procedure
108. 5 Complications
108. 6 Pearls and Pitfalls
Selected Reading

XIV. Obstetric Procedures 

109 Fetal Heart Rate Monitoring
Nate Lisenbee, Joseph A. Tyndall
109. 1 Indications
109. 2 Contraindications
109. 3 Methods
109. 4 Equipment and Procedures
109. 5 Complications
References
Selected Reading

110 Ultrasonography for Ectopic Pregnancy
L. Connor Nickels
110. 1 Indications
110. 2 Contraindications
110. 3 Materials and Medications
110. 4 Procedure
110. 5 Complications
110. 6 Pearls and Pitfalls
Reference
Selected Reading

111 Ultrasonography for Hydatidiform Mole
L. Connor Nicke

ls
111. 1 Indications
111. 2 Contraindications
111. 3 Materials and Medications

 

111. 4 Procedure
111. 5 Complications
111. 6 Pearls and Pitfalls
Selected Reading

 

112 Ultrasonography for Blighted Ovum (Anembryonic Gestation)
Katrina Skoog Nguyen, L. Connor Nickels
112. 1 Indications
112. 2 Contraindications
112. 3 Materials and Medications
112. 4 Procedure
112. 5 Complications
112. 6 Pearls and Pitfalls
Selected Reading

113 Ultrasonography for Threatened, Incomplete, or Compete Abortion
L. Connor Nickels, Giuliano De Portu
113. 1 Indications
113. 2 Contraindications
113. 3 Materials and Medications
113. 5 Procedure
113. 6 Complications
113. 7 Pearls and Pitfalls
Selected Reading

114 Ultrasonography for Placenta Previa
L. Connor Nickels, Giuliano De Portu
114. 1 Indications
114. 2 Contraindications
114. 3 Materials and Medications
114. 4 Procedure
114. 5 Complications
114. 6 Pearls and Pitfalls
Reference
Selected Reading

115 Vaginal Delivery
Umarfarook Javed Mirza, Christopher Shields, Muhammad Waseem
115. 1 Indications
115. 2 Contraindications
115. 3 Materials and Medications
115. 4 Procedure
115. 5 Complications
115. 6 Pearls and Pitfalls
Selected Reading

116 Shoulder Dystocia Management
Irina Fox Brennan, Joseph A. Tyndall
116. 1 Indications
116. 2 Contraindications
116. 3 Materials and Medications
116. 4 Procedure
116. 5 Complicat

ions
116. 6 Pearls and Pitfalls
Selected Reading

 

117 Breech Delivery in the Emergency

Department
Kristin Stegeman, Sapnalaxmi Amin, Anton A. Wray, Joseph A Tyndall
117. 1 Indications
117. 2 Contraindications
117. 3 Materials and Medications
117. 4 Procedure
117. 5 Complications
117. 6 Pearls and Pitfalls
Selected Reading

 

118 Management of Primary Postpartum Hemorrhage
Megan Kwasniak, Anton A. Wray, Joseph A. Tyndall
118. 1 Indications
118. 2 Contraindications
118. 3 Materials and Medications
118. 4 Procedure
118. 5 Complications
118. 6 Pearls and Pitfalls
Selected Reading

119 Perimortem Cesarean Section
Jordana J. Haber, Elaine B. Josephson, Muhammad Waseem
119. 1 Indications
119. 2 Contraindications
119. 3 Materials and Medications
119. 4 Procedure
119. 5 Complications
119. 6 Pearls and Pitfalls
Selected Reading
XV. Common Pediatric Procedures

120 Peripheral Venous Catheterization
David N. Smith, Judith K. Lucas
120. 1 Indications
120. 2 Contraindications
120. 3 Materials and Medications
120. 4 Procedure
120. 5 Pearls and Pitfalls
Selected Reading

121 Umbilical Venous Catheters (Insertion and Removal)
Judith K. Lucas
121. 1 Indications
121. 2 Contraindications
121. 3 Materials and Medications
121. 4 Procedure (Insertion)
121. 5 Procedure (Removal)
121. 6 Complications
121. 7 Pearls and Pitfalls
Selected Reading

122 Intraosseous Ac

cess
Judith K. Lucas
122. 1 Indications
122. 2 Contraindications
122. 3 Materials and Medicati

 

ons
122. 4 Procedure
122. 5 Complications
122. 6 Pearls and Pitfalls
Selected Reading

 

123 Lumbar Puncture in Pediatrics
Maritza A. Plaza-Verduin, Judith K. Lucas
123. 1 Indications
123. 2 Contraindications
123. 3 Materials and Medications
123. 4 Procedure
123. 5 Complications
123. 6 Pearls and Pitfalls
Selected Reading

124 Suprapubic Bladder Aspiration
Maritza A. Plaza-Verduin, Judith K. Lucas
124. 1 Indications
124. 2 Contraindications
124. 3 Materials and Medications
124. 4 Procedure
124. 5 Complications
124. 6 Pearls and Pitfalls
Selected Reading

125 Removal of Hair/Thread Tourniquet
Judith K. Lucas
125. 1 Indications
125. 2 Contraindications
125. 3 Materials and Medications
125. 4 Procedures
125. 5 Complications
125. 6 Pearls and Pitfalls
Selected Reading

126 Use of the Broselow Tape
Judith K. Lucas
126. 1 Indications
126. 2 Contraindications
126. 3 Materials
126. 4 Procedure
126. 5 Pearls and Pitfalls
Selected Reading

127 Nursemaid’s Elbow 
Judith K. Lucas
127. 1 Definition
127. 2 Clinical Diagnosis
127. 3 Indications
127. 4 Contraindications
127. 5 Materials and Medications
127. 6 Procedure
127. 7 Evaluation After Procedure
127. 8 Pearls and Pitfalls
Selected Reading

 

Latha Ganti, MD, MS, MBA, FACEP
Professor of Emergency  Medicine
University of Central Florida &
Orlando Veterans Affairs Medical Center
Orlando, FL, USA