Emergency Procedures and Techniques

, by Simon, Rober R., M.D.; Brenner, Barry E.

Note: Supplemental materials are not guaranteed with Rental or Used book purchases.

ISBN: 9780683077384 | 0683077384
Cover: Paperback
Copyright: 1/1/1994

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This thoroughly updated Fourth Edition is a must for residents and practitioners who need a practical, clear, and readable guide to emergency medicine procedures. The book provides fast access to the essentials of emergency interventions for a wide range of medical conditions and traumatic injuries. "Axioms" and "Cautions" highlighted by large headings appear throughout the book and more than 400 easy-to-follow diagrams demonstrate key techniques. This edition describes the latest procedural advances and includes much-needed guidelines on newer problems involving implantable defibrillators, indwelling devices, and percutaneous feeding tubes. A Brandon-Hill recommended title.

Preface

vii

Acknowledgments

Abdominal Procedures

Nasogastric Intubation

(5)

Indications

(1)

Equipment

(1)

Technique of Insertion

(1)

Techniques to Facilitate Passage of a Nasogastric Tube

(3)

Aftercare

(1)

Complications

(1)

Clogged Feeding Tubes

(1)

Foreign Bodies in the Esophagus

(1)

Gastric Lavage for Hemorrhage into the Upper Gastrointestinal Tract

(1)

Technique

(1)

Sengstaken-Blakemore Balloon Tamponade

(2)

Indication

(1)

Equipment

(1)

Technique

(2)

Complications

(1)

Abdominal Stab Wound Exploration

(1)

Technique

(1)

Peritoneal Lavage

(7)

Indications

(1)

Contraindications

(1)

Equipment

(1)

Technique

(1)

Midline Incision Technique

(1)

Peritoneal Lavage in Children

(1)

Percutaneous Technique

(2)

Umbilical Approach

(1)

Technique

(1)

Alternate Technique

(1)

Complications

(1)

Sigmoidoscopy

(3)

Indications

(1)

Contraindications

(1)

Equipment

(1)

Technique

(2)

Complications

(1)

Anoscopy

(1)

Technique

(1)

Proctoscopy in the Infant

(1)

Indications

(1)

Equipment

(1)

Technique

(1)

External Thrombosed Hemorrhoids

(3)

Technique of Incision

(1)

Treatment of Gangrenous Prolapsed Hemorrhoids

(1)

Severe Hemorrhoidal Bleeding

(1)

Posthemorrhoidectomy Bleeding

(1)

Treatment of Anal Fissures

(1)

Anorectal Abscesses

(1)

Perianal Abscesses

(1)

Submucosal Abscess

(1)

Ischiorectal and Supralevator Abscesses

(1)

Pilonidal Abscesses

(1)

Foreign Bodies in the Anus

(1)

Colostomy Problems Presenting to the Emergency Center

(4)

Ileostomy Problems Presenting to the Emergency Center

(4)

Airway Procedures

Essential Anatomy of the Airway

(1)

Obstruction

(2)

Stages of Obstruction

(1)

Common Traumatic Conditions

(1)

Foreign Bodies

(1)

Basic Airway Maneuvers

(10)

Breathing Adequately Without Obstruction

(1)

Nasal Cannula

(1)

Plastic Face Mask (Simple Mask)

(1)

Venturi Mask

(1)

Oxygen Reservoir Mask

(1)

Breathing Spontaneously With Obstruction

(1)

Head Tilt Maneuver

(1)

Chin Lift Maneuver

(1)

Jaw Thrust Maneuver (Triple Airway Maneuver)

(1)

Oropharyngeal Airway

(2)

Nasopharyngeal Airway Apnea With Complete Airway Obstruction

(1)

Heimlich Maneuver

(1)

Apnea Without Airway Obstruction

(1)

Mouth-to-Mouth Breathing

(1)

Pocket Mask

(1)

Bag-Valve-Mask Device (Laerdal Bag)

(1)

Oxygen-Powered Manually Triggered Breathing Device

(1)

Intubation of the Trachea

(20)

Advantages of Endotracheal Intubation

(1)

Indications

(1)

Contraindications

(1)

Equipment

(1)

Technique

(5)

Special Considerations and Helpful Hints

(2)

Guidelines for the Difficult Endotracheal Intubation

(2)

Complications

(1)

Tactile Oral Tracheal Intubation

(1)

Retrograde Intubation

(1)

Fiberoptic Endoscopes

(1)

Nasotracheal Intubation

(1)

Indications

(1)

Contraindications

(1)

Equipment

(1)

Technique

(6)

Complications

(1)

Esophageal Obturator Airway (EOA)

(1)

Infant and Child Endotracheal Intubation

(3)

Pediatric Oral Tracheal Intubation

(1)

Drugs Used in Infant Intubation

(1)

Rapid Sequence Intubation

(1)

Intubation When an Infant Must Be Kept Awake

(1)

Cricothyroidotomy in the Infant

(1)

Neonatal Resuscitation

(3)

Congenital Causes of an Obstructed Airway in the Newborn

(1)

Asphyxia and the Airway

(1)

Cardiac Compression and Defibrillation in the Neonate

(1)

Guidelines for Neonatal Resuscitation

(2)

Tracheotomy

(10)

Percutaneous Tracheostomy

(1)

Technique

(1)

Cricothyroidotomy

(1)

Indications

(1)

Contraindications

(1)

Equipment

(1)

Technique

(3)

Complications

(1)

Cricothyroidotomy in the Pediatric Age Group

(1)

Tracheostomy

(1)

Indications

(1)

Contraindications

(1)

Equipment

(1)

Technique

(2)

Aftercare

(1)

Complications

(1)

Tracheostomy in the Patient with Massive Neck Swelling

(1)

Ancillary Procedures

(10)

Percutaneous Transtracheal Catheter Ventilation

(1)

Indications

(1)

Equipment

(1)

Technique

(1)

Complications

(1)

Bronchoscopy

(1)

Indications

(1)

Equipment

(1)

Technique

(1)

Transtracheal Aspiration

(1)

Technique

(1)

Complications

(1)

Pulmonary Aspiration and Nasotracheal Suctioning

(5)

Anesthesia and Regional Blocks

The Clinical Pharmacology of Local Anesthetics

(4)

Allergic Reactions to Anesthetic Agents

(1)

Long-Acting Local Anesthetics

(1)

Types of Local Anesthesia

(1)

Equipment

(3)

Head and Neck Blocks

(11)

Mental Nerve Block

(1)

Indications

(1)

Technique

(1)

Mandibular Nerve Block

(1)

Indications

(1)

Technique

(1)

Maxillary Nerve Block-Greater Palatine and Nasopalatine Block

(1)

Indications

(1)

Technique

(1)

Supraorbital and Supratrochlear Nerve Block

(1)

Indications

(1)

Technique

(1)

Alternate Technique

(1)

Infraorbital Nerve Block

(1)

Indications

(1)

Technique

(1)

Alternate Technique

(1)

Anesthesia to the Nose

(1)

Indications

(1)

Technique

(1)

Modified Sluder's Technique

(1)

Additional Anesthesia for Reduction of Nasal Fractures

100

(1)

Scalp Block

100

(1)

Indications

101

(1)

Technique

101

(1)

Anesthesia of the Ear

102

(1)

Indications

103

(1)

Technique for Block of the Auricle

104

(1)

Technique for Block of the Auditory Canal

104

(1)

Upper Extremity Blocks

105

(8)

Brachial Plexus Block

105

(1)

Indications

105

(1)

Technique

105

(1)

Complications

106

(1)

Median Nerve Block at Elbow

106

(1)

Indications

106

(1)

Technique

106

(1)

Ulnar Nerve Block at the Elbow

107

(1)

Indications

107

(1)

Technique

107

(1)

Median Nerve Block at the Wrist

107

(1)

Indications

108

(1)

Technique

108

(1)

Ulnar Nerve Block at the Wrist

109

(1)

Indications

109

(1)

Technique

109

(1)

Radial Nerve Block of the Wrist

110

(1)

Indications

110

(1)

Technique

110

(1)

Digital Nerve Blocks

110

(1)

Indications

110

(1)

Technique

111

(1)

Metacarpal Nerve Block

111

(2)

Technique for Blocking a Thumb

113

(1)

Nerve Blocks of the Foot

113

(1)

Posterior Tibial Nerve Block

113

(1)

Technique

114

(1)

Sural and Saphenous Nerve Blocks

114

(4)

Sural Nerve Block

115

(1)

Technique

115

(1)

Saphenous Nerve Block

116

(1)

Technique

116

(1)

Superficial Peroneal Nerve Block Technique

117

(1)

Anterior Tibial Nerve Block (Deep Peroneal Nerve Block)

117

(1)

Technique

117

(1)

Block of the Great Toe

117

(1)

Blocks of the Toes Other Than the Great Toe

118

(1)

Blocks of the Torso and Other Areas

118

(10)

Block of the Intercostal Nerves

118

(1)

Indications

119

(1)

Technique

119

(1)

Complications

119

(1)

Transvaginal Pudendal Nerve Block

120

(1)

Indications

120

(1)

Technique

121

(1)

Block of the Penis

122

(1)

Indications

122

(1)

Technique

122

(1)

Urethral Anesthesia

123

(1)

Indications

123

(1)

Technique

123

(1)

Infiltration Anesthesia for Cesarean Section

123

(1)

Indications

123

(1)

Technique

123

(1)

Anesthesia of the Surface of the Cornea and Conjunctiva

124

(1)

Indications

124

(1)

Hematoma Block for Reduction of a Fracture

124

(1)

Intravenous Regional Analgesia (Bier Block)

124

(1)

Technique

125

(1)

Complications

125

(1)

Technique for Lumbar Puncture Anesthesia

126

(2)

Cardiothoracic Procedures

Pericardiocentesis

128

(3)

Reliability of Pericardiocentesis

129

(1)

Initial Management of Suspected Cardiac Tamponade

129

(1)

Indications

129

(1)

Equipment

129

(1)

Technique

130

(1)

Complications

131

(1)

Pericardial Window

131

(1)

Thoracotomy

131

(12)

Indications

133

(1)

Equipment

133

(1)

Technique

134

(2)

Cardiac Repair

136

(1)

Ventricular Repair

137

(2)

Coronary Vascular Injuries

139

(1)

Atrial Repair

140

(1)

Atrial Cannulation

140

(1)

Injuries to the Hilum and Great Vessels

141

(1)

Open Cardiac Massage

142

(1)

Intracardiac Injection

143

(1)

Technique

143

(1)

Complications

144

(1)

Thoracic Aortic Occlusion

144

(1)

Closed Thoracostomy (Chest Tube Insertion)

145

(8)

Indications

146

(1)

Equipment

146

(1)

Technique

147

(1)

Posterior Lateral Chest Tube

147

(5)

Anterior Chest Tube

152

(1)

Complications

152

(1)

Thoracentesis

153

(3)

Equipment

153

(1)

Technique

154

(1)

Complications

155

(1)

Cardiac Pacing: External and Transcutaneous

156

(1)

Transthoracic Pacemaker Insertion

156

(4)

Indications

156

(1)

Equipment

156

(1)

Technique

156

(2)

Complications

158

(2)

Neurosurgical Procedures

Burr Holes

160

(7)

Intracranial Hematomas in Severe Head Injury

160

(1)

Treatment of the Patient Who Has Severe Head Injury

161

(2)

Indications for Burr Holes

163

(1)

Equipment

163

(1)

Technique

163

(1)

Temporal Burr Hole

164

(1)

Anterior Burr Hole

164

(1)

Posterior Burr Hole

165

(2)

Complications

167

(1)

Lumbar Puncture

167

(8)

Indications

167

(1)

Contraindications

167

(1)

Equipment

168

(1)

Technique

169

(2)

Traumatic Tap Versus Intracranial Bleed

171

(1)

Encountering Bone

171

(1)

Aftercare

172

(1)

Complications

172

(2)

Lumbar Puncture in the Neonate

174

(1)

Skeletal Traction for Cervical Spine Dislocations and Fractures

175

(2)

Gardner Tong

175

(1)

Technique of Application

175

(1)

Heifetz Tong

176

(1)

Technique of Application

176

(1)

Subdural Aspiration

177

(2)

Technique

177

(2)

Obstetric and Gynecologic Procedures

Normal Delivery of the Infant

179

(5)

Examination

179

(1)

Station

180

(1)

Fetal Distress

180

(1)

Preparation for Delivery in the Emergency Center

180

(1)

Spontaneous Delivery

181

(1)

Delivery of the Placenta

182

(1)

Repair of Episiotomy Incision

183

(1)

Breech Extraction

184

(6)

Technique

184

(3)

Mauriceau Maneuver

187

(1)

Symphysiotomy and Its Use for the Trapped Fetus in a Breech Delivery

187

(1)

Equipment

187

(1)

Technique

187

(3)

Cesarean Section

190

(5)

Equipment

190

(1)

Technique

191

(3)

Repair of the Uterus

194

(1)

Culdocentesis

195

(1)

Indications

195

(1)

Contraindications

195

(1)

Equipment

195

(1)

Technique

195

(1)

Bartholin's Abscess

196

(2)

Technique of Drainage and Marsupialization

196

(2)

Orthopedic Procedures

Arthrocentesis

198

(14)

Synovial Analysis

199

(2)

Equipment

201

(1)

Surgical Preparation of a Joint Surface

201

(1)

Metacarpophalangeal and Interphalangeal Joint Aspiration

201

(1)

Carpometacarpal Aspiration of the Thumb

202

(1)

Radiocarpal Arthrocentesis (Wrist Arthrocentesis)

202

(2)

Elbow Arthrocentesis

204

(1)

Shoulder Aspiration

204

(1)

Anterior Approach

204

(1)

Posterior Approach

205

(1)

Aspiration of the Sternoclavicular Joint

205

(1)

Hip Arthrocentesis

206

(1)

Anterior Approach

207

(1)

Lateral Approach

207

(1)

Knee Aspiration

208

(1)

Parapatellar Approach (Medial or Lateral Approach)

208

(1)

Infrapatellar Approach

208

(1)

Ankle Aspiration (Tibiotalar Joint Aspiration)

209

(1)

Anteromedial Approach

210

(1)

Subtalar Arthrocentesis

211

(1)

Metatarsophalangeal Joint Aspiration

211

(1)

Interphalangeal Joint Aspiration

212

(1)

Temporomandibular Joint Aspiration

212

(1)

Fracture Principles, Casting Techniques, and Common Splints

212

(22)

Initial Management

212

(2)

Emergency Splinting

214

(5)

Selection of Definitive Treatment

219

(2)

Indications for Operative Treatment of Fractures

221

(1)

Casting

221

(3)

Checking Casts

224

(1)

Anesthesia for Fractures

225

(1)

Special Considerations for Fracture Management: Open Fractures

225

(2)

Gutter Splints

227

(1)

Thumb Spica or Wrist Gauntlet Cast

227

(1)

Short and Long Arm Casts

228

(1)

Dorsal Distal Phalanx Splint

228

(1)

Hairpin Splint

228

(1)

Dorsal and Volar Finger Splints

229

(1)

Dynamic Finger Splinting

229

(2)

Universal Hand Dressing

231

(1)

Long Arm Posterior Splints

231

(1)

Anterior-Posterior Splints of the Forearm

231

(1)

Sugar Tong Splint of the Forearm

232

(1)

Sugar Tong Splint of the Arm

232

(1)

Types of Slings

233

(1)

Application of a Posterior Splint to the Ankle

233

(1)

Jones Compression Dressing

234

(1)

Reduction of Selected Common Fractures

234

(5)

Clavicular Fractures

235

(1)

Colles' Fracture

236

(1)

Displaced Surgical Neck Fractures of the Humerus

237

(1)

Supracondylar Fractures of the Distal Humerus

238

(1)

Reduction of Selected Common Dislocations

239

(9)

Anterior Dislocations of the Glenohumeral Joint

239

(1)

Hennepin Technique

240

(1)

Stimson Technique

240

(1)

Traction and Countertraction

240

(2)

Traction with Lateral Traction

242

(1)

Kocher Maneuver

242

(1)

Aftercare

243

(1)

Luxatio Erecta

243

(1)

Sternoclavicular Dislocations

243

(1)

Dislocations of the Elbow

244

(1)

Subluxation of the Radial Head in Children

245

(1)

Dislocations of the Interphalangeal Joints of the Hand

245

(1)

Hip Dislocations

246

(1)

Dislocations of the Knee

246

(1)

Dislocations of the Tibiotalar Joint

247

(1)

Patellar Dislocations

248

(1)

Injection and Aspiration of Selected Soft Tissue Disorders

248

(5)

De Quervain's Stenosing Tenosynovitis

248

(1)

Tennis Elbow

248

(1)

Olecranon Bursitis

248

(1)

Subdeltoid Bursitis or Supraspinous Tendonitis

248

(1)

Stenosing Tenosynovitis

249

(1)

Bicipital Tendonitis

249

(1)

Ingrown Nails

250

(3)

Otolaryngologic and Ophthalmologic Procedures

Esophagus and Airway Foreign Bodies

253

(1)

Removal of Foreign Bodies from the Ear

253

(1)

Cerumen Impaction

254

(1)

Myringotomy

254

(1)

Intraocular Foreign Bodies

255

(1)

Corneal Rust Stains

255

(1)

Use of the Schiotz Tonometer

255

(1)

Epistaxis

256

(10)

Treatment of Epistaxis

258

(1)

Equipment

258

(1)

Technique

258

(3)

Posterior Bleeding

261

(1)

Posterior Pack

261

(1)

Complications

261

(1)

Balloon Tamponade

262

(1)

Technique of Insertion

262

(2)

Injection Block of the Sphenopalatine Artery

264

(1)

Sphenopalatine Artery

264

(2)

Summary

266

(1)

Nasal Foreign Bodies

266

(1)

Nasal Fractures

266

(4)

Equipment

267

(1)

Technique of Reduction

268

(2)

Laryngoscopy

270

(1)

Head and Neck Abscesses

271

(4)

Preparatory Steps in Treating Intraoral Abscesses

271

(1)

Peritonsillar Abscesses

271

(1)

Technique for Drainage

271

(1)

Retropharyngeal Abscesses

272

(1)

Sublingual Abscesses

272

(1)

Technique for Drainage

272

(1)

Abscesses of the Parotid Duct

273

(1)

Aftercare of Intraoral Abscesses

273

(2)

Common Dental Emergencies

Local Anesthesia

275

(2)

Equipment

275

(1)

Posterior-Superior Alveolar Nerve Block

275

(1)

Apical Nerve Blocks

275

(1)

Palatal Infiltration

276

(1)

Inferior Alveolar Nerve Block

276

(1)

Fractured Teeth

277

(3)

Crown Fractures

278

(1)

Type I Fractures

278

(1)

Type II Fractures

278

(1)

Equipment Needed for Dental Fractures and Pulp Capping

278

(1)

Type III Fractures

278

(1)

Root Fractures

279

(1)

Displacement Injuries of the Teeth

280

(3)

Equipment

280

(3)

Post-Extraction Bleeding

283

(1)

Pain: Post-Extraction Pain and Dry Socket

283

(1)

Equipment

283

(1)

Defective Restorations

284

(1)

Periodontal Abscess

284

(2)

Plastic Surgery Principles and Techniques

Skin Anatomy and Function

286

(4)

Skin Structure

286

(1)

Normal Repair

286

(2)

Factors Affecting Normal Repair

288

(1)

Drugs

288

(1)

Associated Conditions

288

(1)

Region

289

(1)

Abnormal Repair

289

(1)

Keloids

289

(1)

Hypertrophic Scars

289

(1)

Mechanism of Wound Injury

290

(1)

Suture Material and Adjuncts for Wound Closure

290

(7)

Skin Tape

290

(1)

Skin Clips and Staples

291

(1)

Wound Adhesives

291

(1)

Suture Material

292

(1)

Suture Sizes

293

(1)

Nonabsorbable Sutures

294

(1)

Absorbable Sutures

295

(1)

Needles

295

(1)

Suture Materials and Risk of Infection

296

(1)

The Wound and Suture Material

297

(1)

Tools for Suturing

297

(2)

Instrument Holder

297

(1)

Forceps

297

(1)

Scalpel Blade

298

(1)

Skin Hooks

298

(1)

Traumatic Wounds (General Principles)

299

(7)

Contaminated Wounds-Preparation

299

(1)

Infection-Potentiating Fractions in Soil

299

(1)

Bacterial Contaminants and Infection

299

(1)

Shaving of Hair Around Wounds

300

(1)

Antiseptics and Wound Preparation

300

(1)

Debridement

301

(3)

Mechanical Cleansing (Irrigation)

304

(1)

Contaminated Wounds, Delayed Closure, and Antibiotics

305

(1)

Anesthesia for Wounds

306

(2)

Hemorrhage and Hemostasis

308

(1)

Basic Principles in Wound Closure

308

(2)

Linear Scars and Skin Tension Lines

308

(1)

Tension and Layer-by-Layer Closure

309

(1)

Relationship of Suture to the Wound Edge

310

(5)

Timing of Closure

312

(1)

Undermining

313

(2)

Closure of Dead Space

315

(1)

Basic Suturing Techniques

315

(17)

Instrument Tie

315

(1)

Simple Closures

315

(1)

Simple Interrupted

315

(2)

Open Loop Simple Interrupted

317

(1)

Interlocking Slip Knot

317

(1)

Continuous Over-and-Over

318

(1)

Continuous Single-Lock

318

(1)

Mattress Closures

319

(1)

Vertical Mattress

319

(1)

Locked Vertical Mattress

320

(1)

Horizontal Mattress

321

(1)

Half-Buried Horizontal Mattress

322

(1)

Continuous Horizontal Mattress

323

(1)

Subcutaneous and Buried Sutures

323

(1)

Subcuticular

323

(2)

Buried Subcutaneous

325

(1)

Reinforcing Sutures for Wounds under Tension

326

(1)

Advanced Closures

326

(1)

The ``Dog Ear''

326

(1)

Z-Plasty

327

(1)

Approximating the Edges of a Laceration with Grossly Unequal Lengths

328

(1)

Closing a Defect

329

(1)

Square Defect

329

(1)

Diamond-Shaped Defect

329

(1)

Elliptical Defect

330

(1)

Closure With a V-Y Advancement Flap

330

(1)

Rectangular Defect

331

(1)

Triangular Defect (Rotation Flap)

331

(1)

Oval Defect (Interpolation Flap)

332

(1)

Repair of Specific Types of Wounds

332

(4)

Closure of Wounds of Unequal Thickness

332

(1)

Multiple Lacerations on the Forehead

333

(1)

Suturing through Hair

333

(1)

Abrasions

334

(1)

Animal Bites

334

(1)

Human Bites

335

(1)

Avulsions of the Skin

335

(1)

Incomplete Lacerations

335

(1)

Complete Avulsions

336

(1)

Gunshot Wounds

336

(1)

Escharotomy for Burns

336

(2)

Technique

336

(2)

Special Repairs

338

(15)

Multiple Small Skin Flaps

338

(1)

Lacerations of the Eyelid

338

(3)

Flap Laceration

341

(1)

Nasal Lacerations

341

(3)

Lip and Oral Mucosa Lacerations

344

(1)

Gingival Lacerations

345

(1)

Lengthening the Shorter Side of a Forehead Laceration

345

(1)

Ear Lacerations

346

(1)

Muscle Injuries

347

(1)

Fingertip Injuries

348

(2)

Ingrown Nails

350

(1)

Nailbed Injuries

351

(2)

Removal of a Nail

353

(1)

Aftercare of Selected Wound Injuries

353

(4)

Suture Removal

353

(2)

Elevation and Pressure Dressings

355

(1)

Dressings

355

(1)

Infection

356

(1)

Scar Revision

357

(1)

Abscesses

357

(3)

Antiseptic Preparation and Technique of Anesthesia

357

(1)

Incision

358

(1)

Special Considerations

358

(1)

Felons

358

(1)

Paronychial and Eponychial Abscesses

358

(1)

Hidradenitis Suppurativa

358

(1)

Peritonsillar Abscesses

359

(1)

Periodontal Abscesses

359

(1)

Perirectal Abscesses

359

(1)

Pilonidal Abscesses

360

(1)

Foreign Body Removal

360

(6)

Embedded Needle

360

(2)

Nailbed Splinters

362

(1)

Fishhook

362

(4)

Urologic Procedures

Bladder Catheterization

366

(3)

Indications

366

(1)

Contraindications

366

(1)

Equipment

366

(1)

Male Catheterization

366

(1)

Preparatory Steps

366

(1)

Procedural Steps

367

(1)

Female Catheterization

368

(1)

Preparatory Steps

368

(1)

Procedural Steps

368

(1)

Complications

368

(1)

Coude Catheters

369

(1)

Suprapubic Catheterization and Aspiration

369

(3)

Indications

369

(1)

Contraindications

369

(1)

Suprapubic Aspiration

369

(1)

Equipment

369

(1)

Technique

369

(1)

Suprapubic Catheterization

369

(1)

Equipment

369

(1)

Technique

370

(1)

Complications

371

(1)

Catheterization of the Infant

372

(1)

Urethral Sounding

372

(1)

Indications

372

(1)

Equipment

372

(1)

Technique

372

(1)

Catheterization With a Filiform and Follower

373

(1)

Equipment

373

(1)

Technique

373

(1)

Emergency Urethrogram

374

(1)

Priapism

375

(1)

Technique of Penile Aspiration for Priapism

376

(1)

Equipment

376

(1)

Procedural Steps

376

(1)

Anesthesia of the Testicle and Epididymitis

376

(2)

Technique

376

(1)

Testicular Torsion

377

(1)

Technique

377

(1)

Reduction of Paraphimosis

378

(2)

Vascular Procedures

Basic Principles in Intravenous Cannulation

380

(4)

Intravenous Cannulas-General Features and Complications

380

(1)

Stiffness and Thrombogenicity

380

(1)

Infusion Rates

381

(1)

Catheter Shearing

381

(1)

Air Embolism

381

(1)

Phlebitis and Cellulitis

381

(1)

Sepsis

382

(1)

Thrombosis and Pulmonary Thromboembolism

382

(1)

Venopulmonary Fistula

383

(1)

Catheter Fragment Embolism

383

(1)

Arrhythmia

383

(1)

Hematoma Formation

383

(1)

Infiltration

383

(1)

Neurological Complications

383

(1)

Injury to Nearby Nerves

383

(1)

Peripheral Intravenous Techniques

384

(5)

Peripheral Veins of the Upper and Lower Extremity

384

(1)

Equipment

385

(1)

Technique

385

(2)

Basilic Vein Venipuncture

387

(1)

Peripheral Veins of the Head and Neck

387

(1)

Technique

388

(1)

Central Intravenous Techniques

389

(16)

Percutaneous Central Venous Access

389

(1)

Infraclavicular Subclavian Vein Cannulation

389

(1)

Indications

389

(1)

Contraindications

389

(1)

Equipment

389

(1)

Technique

390

(4)

Aftercare

394

(1)

Complications

394

(4)

Supraclavicular Subclavian Vein Cannulation

398

(1)

Technique

398

(2)

Complications

400

(1)

Internal Jugular Vein Cannulation

400

(1)

Advantages

400

(1)

Disadvantages

400

(1)

Indications

400

(1)

Equipment

400

(1)

Technique

400

(3)

Internal Jugular Vein Cannulation-Direct Anterior Approach (The Schaider Approach)

403

(1)

Femoral Vein Cannulation

404

(1)

Indications

404

(1)

Technique

404

(1)

Complications

405

(1)

Vein Cutdown Techniques

405

(7)

Saphenous Vein Cutdown at the Ankle

405

(1)

Indications

406

(1)

Contraindications

406

(1)

Equipment

407

(1)

Technique

407

(2)

Saphenous Vein Cutdown at the Groin

409

(1)

Techniques

410

(1)

Basilic Vein Cutdown

411

(1)

Complications

411

(1)

Cephalic Vein Cutdown at the Wrist

412

(1)

Intravenous Cannulation of the Infant

412

(3)

Peripheral Intravenous Lines in the Infant

413

(1)

Internal Jugular Vein Cannulation in the Infant

413

(1)

Technique

414

(1)

Subclavian Vein Cannulation in the Infant

415

(1)

Technique

415

(3)

Subclavian Vein Catheterization in Children

415

(1)

Catheterization of the Straight Sinus in the Infant

416

(1)

Technique

416

(1)

Saphenous Vein Cutdown at the Ankle in the Infant

416

(1)

Technique

416

(1)

Saphenous Vein Cutdown in the Infant Groin

417

(1)

Technique

417

(1)

Intraosseous Infusion in the Infant

418

(1)

Interosseous Infusion in the Adult

419

(1)

Umbilical Vessel Catheterization

419

(6)

Indications

419

(1)

Equipment

420

(1)

Technique

421

(4)

Special Procedures Related to Intravenous Cannulation

425

Central Venous Pressure Monitoring

425

Indications

425

Technique

425

Transvenous Cardiac Pacemaker

426

Indications for Pacemaker in the Emergency Center

427

Equipment

427

Electrocardiographic Positioning Technique

427

Blind Positioning Technique

429

Femoral Approach (Preferred)

429

Complications

429

Transthoracic Cardiac Pacemaker

431

Indications

431

Equipment

431

Technique

431

Complications

431

Swan-Ganz Catheterization of the Pulmonary Artery

431

Indications

432

Equipment

432

Technique

432

Procedural Steps: Modified Seldinger Technique

432

Complications

434

Arterial Puncture

435

Equipment

435

Technique

435

Complications

436

Arterial Cannulation

436

Indications

436

Contraindications

437

Equipment

437

Technique

437

Complications

438

Intramuscular Injections

438

Technique

439

Alternate Site

439

An Emergency Intramuscular Site for Drug Administration

439

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Emergency Procedures and Techniques

Summary

Table of Contents

Supplemental Materials

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Emergency Procedures and Techniques

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