Procedures

Back to Basics: Ultrasound Guided Peripheral IVs 101

Ultrasound guidance has undeniably revolutionized IV access and is an incredibly useful skill for the ED physician.  The following are by no means a comprehensive guide to the procedure but rather 10 tips for small changes that are often overlooked and can make a huge difference. If you have trained with ultrasound guided IV’s and feel comfortable already with your own style, this may not be as helpful for you. For the medical students, interns, and perhaps "less young attendings" that did not have a vascular probe attached to their hip during residency, read on!

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Advanced Practice: Use of Ultrasound for Infant Lumbar Punctures

Modern immunizations in conjunction with better CT imaging has likely led to declining need for lumbar puncture in the emergency department to evaluate for meningitis and subarachnoid hemorrhage. This may contribute to physician discomfort with the procedure and lower likelihood of first attempt success. This study evaluated whether the addition of ultrasound guidance could increase first attempt success on infant lumbar puncture in the Emergency Department.

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Advanced Practice Airway Mastery Series: Predicting Cardiac Arrest After Intubation

Intubation is a potentially dangerous procedure which may result in rapid hemodynamic collapse and cardiac arrest in the critically ill. This week we summarize the results of a large retrospective study to determine the clinical factors associated with cardiac arrest after intubation.

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What’s the Diagnosis? By Dr. Loran Hatch

20 yo male presents to the ED with left hip pain after MVC PTA. Patient was restrained back seat passenger, no LOC. Patient appears very uncomfortable on stretcher, with left leg propped on rolled blanket. Tenderness at left hip but no obvious deformity. LLE with DP pulses 2+, sensation intact, will wiggles toes.

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Advanced Practice: Airway Mastery Series! DL vs VL for Airway Management in the ED

This is a summary of a portion of Dr. Byrne's talk on airway management presented at the August ResusEM conference at Cooper Medical School of Rowan University. This week we seek to answer the question: is video laryngoscopy superior to direct laryngoscopy for improved first pass success and decreased complication rates? Yes. Yes it is. Read on!

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Advanced Practice - Airway Mastery Series! Preoxygenation strategies

This post is a a summary of a portion of Dr Byrne's airway talk from last month's ResusEM conference at the Cooper Medical School of Rowan University. New techniques for preoxygenation before intubation can help to prolong time to desaturation and make this potentially dangerous procedure safer than ever!

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