Procedures Archives

Procedures Renal/Genitourinary Trauma Ultrasound and Radiology

Not Too FAST: Which RUQ view is positive for free fluid?

FAST Views Authors: Allison Lee, MD, Nicole Anthony, MD Question: Below are several right upper quadrant (RUQ) views obtained from unique Focused Assessment with Sonography in Trauma (FAST) exams over the past month at KCHC. Which RUQ view is positive for free fluid? 1 ____________________________________________ 2 ____________________________________________ 3 ____________________________________________ 4 Read more…

By Marie J Murphy, MD MPH, 2 yearsMay 24, 2022 ago

Cardiovascular Morning Report Procedures Ultrasound and Radiology

Transvenous pacemaker placement and troubleshooting

Written by: Taylor Douglas, M.D. You are the single provider in a rural Emergency Department, taking care of an unstable bradycardic patient. You are successfully pacing your patient transcutaneously, and now it’s time to get them a more definitive and comfortable method of pacing before they are transferred for cardiology Read more…

By T3, 3 yearsApril 15, 2021 ago

EM Principles Otolaryngology/Dental Procedures Trauma

Teaching Shift Series- Dental Emergencies

Reviewed By Dr James Willis Edited By Noah Berland This Post is based on Teaching Shifts from the following residents: Drs. Noah Berland, Priscilla Chao, and Hope Taitt Case 1: A 38-year-old female with PMH of HTN, DM presents after assault with blunt maxillofacial trauma. No LOC. The primary survey Read more…

By Noah Berland, 4 yearsOctober 9, 2020 ago

EM-Critical Care Infectious Disease Otolaryngology/Dental Procedures

Acute Management of Ludwig’s Angina and the Emergent Difficult Airway

EM-CCM Presentation Review 09/16/2020 Authors: Keesandra Agenor MD, John Riggins Jr MD Edited by: Raymond Beyda MD, Eden Kim DO Case A 74-year-old male with PMH of hypertension and dyslipidemia presents to the ED with acute tongue swelling, neck swelling, and changes in his voice that started the prior evening. Read more…

By jriggins21, 4 yearsSeptember 22, 2020 ago

EM-Critical Care Procedures Ultrasound and Radiology

Team Sono: TEE in Cardiac Arrest

The Ultrasound Mini-Fellowship (Team Sono) met last month to discuss TransEsophageal Echocardiography (TEE) in cardiac arrest. We specifically discussed two major papers in the TEE literature discussing TEE during cardiac arrest. First, thank you to all of our amazing faculty (Drs. Maurelus, Ozaki, Aherne, Mahalingham, Balakrishnan, Kim, Cutright, Reisman, Beyda, Read more…

By chrishanuscin, 4 yearsSeptember 8, 2020 ago

EM Principles Procedures Renal/Genitourinary

Priapism – Diagnosis and Treatment

In the last few hours of your busy Pod A shift, you sign up for a patient with the chief complaint “penile pain.” His chart indicates a history of sickle cell and multiple prior urology appointments and ED presentations for recurrent priapism. As you enter the room, the patient yells, Read more…

By David Warshaw, 4 yearsSeptember 3, 2020 ago

Infectious Disease Organ System Procedures

Quick and Dirty: A Treatment for Viral Conjunctivitis?

Viral conjunctivitis accounts for almost 700,000 yearly visits to the emergency department1 and 92% of those can be attributed to adenovirus, termed Adenoviral Conjunctivitis (Ad-Cs)2. Patients may experience ocular irritation, photophobia, blurred vision, eyelid swelling, and conjunctival edema. Although the condition is generally self-limited, it is highly infectious and occasionally Read more…

By nicanthony, 4 yearsAugust 11, 2020 ago

Cardiovascular EM-Critical Care Procedures

Emergent Pericardiocentesis – A Contemporary Review

Case: You are the senior resident working an afternoon trauma/critical care shift when a rapid response is called in the hospital. Shortly thereafter, an elderly woman with a history of metastatic colon cancer is brought to you by the nursing staff after losing consciousness while undergoing radiation therapy. Triage vitals Read more…

By Tahir Ahmad, 4 yearsFebruary 13, 2020 ago

EM Principles Procedures

Procedural Sedation in the ED

It’s a hot summer day in Brooklyn, and you’re working in the pediatric emergency department. EMS brings in a 7-year-old boy who fell off his bike. You can see a large laceration on his right arm. X-rays show no fractures or foreign body. You control his pain, but the kiddo Read more…

By David Warshaw, 5 yearsSeptember 17, 2019 ago

Orthopedics Procedures

Nail Bed Laceration and Repair in the Emergency Department

How does one get a nail bed injury? Distal phalanx injuries are the most common hand injury, particularly in children. These are often due to crush injuries also resulting in subungual hematomas and nail bed lacerations. If a subungual hematoma involves more than half the nail plate, there is a Read more…

By Charles Murchison, 6 yearsJune 18, 2018 ago

Procedures

Helpful tips and evidence based guidance on common procedures in Emergency Medicine