collection

EM Procedures | Page 2

shared collection
40 papers 1000+ followers Emergency Medicine Procedures
By Merlin Curry MD, EMT-P
https://read.qxmd.com/read/21494105/real-time-ultrasound-guided-subclavian-vein-cannulation-versus-the-landmark-method-in-critical-care-patients-a-prospective-randomized-study
#21
RANDOMIZED CONTROLLED TRIAL
Mariantina Fragou, Andreas Gravvanis, Vasilios Dimitriou, Apostolos Papalois, Gregorios Kouraklis, Andreas Karabinis, Theodosios Saranteas, John Poularas, John Papanikolaou, Periklis Davlouros, Nicos Labropoulos, Dimitrios Karakitsos
OBJECTIVE: Subclavian vein catheterization may cause various complications. We compared the real-time ultrasound-guided subclavian vein cannulation vs. the landmark method in critical care patients. DESIGN: Prospective randomized study. SETTING: Medical intensive care unit of a tertiary medical center. PATIENTS: Four hundred sixty-three mechanically ventilated patients enrolled in a randomized controlled ISRCTN-registered trial (ISRCTN-61258470)...
July 2011: Critical Care Medicine
https://read.qxmd.com/read/22809915/the-risk-of-catheter-related-bloodstream-infection-with-femoral-venous-catheters-as-compared-to-subclavian-and-internal-jugular-venous-catheters-a-systematic-review-of-the-literature-and-meta-analysis
#22
REVIEW
Paul E Marik, Mark Flemmer, Wendy Harrison
BACKGROUND: Catheter-related bloodstream infections are an important cause of morbidity and mortality in hospitalized patients. Current guidelines recommend that femoral venous access should be avoided to reduce this complication (1A recommendation). However, the risk of catheter-related bloodstream infections from femoral as compared to subclavian and internal jugular venous catheterization has not been systematically reviewed. OBJECTIVE: A systematic review of the literature to determine the risk of catheter-related bloodstream infections related to nontunneled central venous catheters inserted at the femoral site as compared to subclavian and internal jugular placement...
August 2012: Critical Care Medicine
https://read.qxmd.com/read/20522282/association-of-the-ottawa-aggressive-protocol-with-rapid-discharge-of-emergency-department-patients-with-recent-onset-atrial-fibrillation-or-flutter
#23
Ian G Stiell, Catherine M Clement, Jeffrey J Perry, Christian Vaillancourt, Cheryl Symington, Garth Dickinson, David Birnie, Martin S Green
OBJECTIVE: There is no consensus on the optimal management of recent-onset episodes of atrial fibrillation or flutter. The approach to these conditions is particularly relevant in the current era of emergency department (ED) overcrowding. We sought to examine the effectiveness and safety of the Ottawa Aggressive Protocol to perform rapid cardioversion and discharge patients with these arrhythmias. METHODS: This cohort study enrolled consecutive patient visits to an adult university hospital ED for recent-onset atrial fibrillation or flutter managed with the Ottawa Aggressive Protocol...
May 2010: CJEM
https://read.qxmd.com/read/25435406/endotracheal-tube-assisted-orogastric-tube-insertion-in-intubated-patients-in-an-ed
#24
RANDOMIZED CONTROLLED TRIAL
Oh Sung Kwon, Gyu Chong Cho, Choong Hyun Jo, Young Suk Cho
BACKGROUND AND AIMS: Inserting a nasogastric tube (NGT) in intubated patients may be difficult because they cannot follow swallowing instructions, resulting in a high rate of first-attempt failure. We introduce a simple technique for inserting an orogastric tube in an emergency department (ED). METHODS: Fifty-six patients in the ED, who were intubated and required NGT insertion, were randomly allocated to 2 groups. We inserted the NGT using a conventional technique from the nostril (control group) and an endotracheal tube (ET)-assisted technique from the mouth (ET group)...
February 2015: American Journal of Emergency Medicine
https://read.qxmd.com/read/23896591/procedural-sedation-with-propofol-for-emergency-dc-cardioversion
#25
Philip Kaye, Matthew Govier
Many emergency patients present with cardiac arrhythmias requiring emergency direct current countershock cardioversion (DCCV) as a part of their management. Almost all require sedation to facilitate the procedure. Propofol has been used for procedural sedation in Emergency Medicine since 1995. In 1996, in a review article in Anaesthesia, it was recommended as the drug which most closely approaches the ideal agent for DCCV. However, the existing evidence for the dosage requirements and safety of propofol in emergency DCCV is limited...
November 2014: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/17239740/temporary-transvenous-pacemaker-placement-in-the-emergency-department
#26
REVIEW
Richard A Harrigan, Theodore C Chan, Steven Moonblatt, Gary M Vilke, Jacob W Ufberg
Emergency Department placement of a temporary transvenous cardiac pacemaker offers potential life-saving benefits, as the device can definitively control heart rate, ensure effective myocardial contractility, and provide adequate cardiac output in select circumstances. The procedure begins with establishment of central venous access, usually by a right internal jugular or left subclavian vein approach, although the femoral vein is an acceptable alternative, especially in patients who are more likely to bleed should vascular access become complicated...
January 2007: Journal of Emergency Medicine
https://read.qxmd.com/read/24439715/ambulatory-management-of-large-spontaneous-pneumothorax-with-pigtail-catheters
#27
Fanny Voisin, Laurent Sohier, Yann Rochas, Mallorie Kerjouan, Charles Ricordel, Chantal Belleguic, Benoit Desrues, Stéphane Jouneau
STUDY OBJECTIVE: There is no consensus about the management of large spontaneous pneumothoraces. Guidelines recommend either needle aspiration or chest tube drainage and most patients are hospitalized. We assess the efficiency of ambulatory management of large spontaneous pneumothoraces with pigtail catheters. METHODS: From February 2007 to January 2011, all primary and secondary large spontaneous pneumothoraces from Lorient's hospital (France) were managed with pigtail catheters with a 1-way valve...
September 2014: Annals of Emergency Medicine
https://read.qxmd.com/read/22313556/emergency-surgical-cricothyroidotomy-24-successful-cases-leading-to-a-simple-scalpel-finger-tube-method
#28
Bruce R Paix, William M Griggs
Surgical airway access justifiably remains the final option for managing the 'can't intubate can't ventilate' situation, but available techniques are often complicated and might require special equipment. This paper reports on the real world experience of two experienced Australian medical specialists with backgrounds in Anaesthesia and Aeromedical Retrieval who performed 24 surgical airways, mainly under adverse prehospital conditions, over a combined 40 years of practice. All attempts were successful, the majority through a simple open 'scalpel-finger-tube' method, which is described here...
February 2012: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/11162023/transthecal-digital-block-at-the-proximal-phalanx
#29
P J Torok, S D Flinn, A Y Shin
This study assessed the efficacy of a modified transthecal digital block. Three-hundred-and-sixty consecutive digits were anaesthetised with this technique for the treatment of fractures, infections and foreign bodies. Complete palmar and dorsal anaesthesia was achieved in 357 of the 360 digits (99%), including 52 of 53 thumbs (98%). The technique was extremely easy to perform and no complications occurred.
February 2001: Journal of Hand Surgery: Journal of the British Society for Surgery of the Hand
https://read.qxmd.com/read/15915410/transthecal-digital-block-an-underutilized-technique-in-the-ed
#30
REVIEW
Raymond G Hart, Francisco A S Fernandas, Joseph E Kutz
The transthecal digital block is a simple, safe, and effective anesthesia technique that can be used in many digital injuries. It is contraindicated only in cases of infection. The purposes of this article are to (1) discuss the indications for the transthecal digital block, (2) describe the technique, and (3) review the literature. The transthecal technique is used on appropriate patients almost to the exclusion of more traditional digital blocks by many hand surgeons. The advantages of this method are that it requires only a single injection, has a rapid onset of action, and requires only a small amount of anesthetic...
May 2005: American Journal of Emergency Medicine
https://read.qxmd.com/read/24673668/ultrasound-for-routine-lumbar-puncture
#31
RANDOMIZED CONTROLLED TRIAL
Michael A Peterson, Deepti Pisupati, Theodore W Heyming, Jennifer A Abele, Roger J Lewis
OBJECTIVES: The objective was to determine if use of ultrasound (US) by emergency physicians (EPs) to localize spinal landmarks improves the performance of lumbar puncture (LP). METHODS: This was a prospective, randomized, controlled study conducted in a county teaching hospital. Subjects, adults 18 years of age or older who were to receive LPs for routine clinical care in the emergency department (ED), were randomized either to undergo US localization of the puncture site or to have the puncture site determined by palpation of spinal landmarks...
February 2014: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
https://read.qxmd.com/read/23759045/procedural-sedation-and-analgesia-for-reduction-of-distal-forearm-fractures-in-the-paediatric-emergency-department-a-clinical-survey
#32
Scott Schofield, Jacquie Schutz, Franz E Babl
OBJECTIVE: Distal forearm fractures frequently require reduction in children. We set out to survey how such fractures are currently reduced at Paediatric Research in Emergency Departments International Collaborative (PREDICT) sites. METHODS: A survey was completed by paediatric emergency physicians at PREDICT sites. Survey questions covered departmental guidelines and resources and individual practice, agents used and limitations of fracture management using case vignettes...
June 2013: Emergency Medicine Australasia: EMA
https://read.qxmd.com/read/20579550/ultrasound-guidance-for-central-venous-catheter-placement-results-from-the-central-line-emergency-access-registry-database
#33
MULTICENTER STUDY
Adam Balls, Frank LoVecchio, Amy Kroeger, J Stephan Stapczynski, Mary Mulrow, David Drachman
BACKGROUND: Ultrasound guidance of central venous catheter (CVC) insertion improves success rates and reduces complications and is recommended by several professional and regulatory organizations. METHODS: This is a prospective observational study using data extracted from the Central Line Emergency Access Registry database, a multicenter online registry of CVC insertions from medical centers throughout the United States. We compared success rates with ultrasound and with the anatomic-landmark technique...
June 2010: American Journal of Emergency Medicine
https://read.qxmd.com/read/24438649/clinical-policy-procedural-sedation-and-analgesia-in-the-emergency-department
#34
REVIEW
Steven A Godwin, John H Burton, Charles J Gerardo, Benjamin W Hatten, Sharon E Mace, Scott M Silvers, Francis M Fesmire
This clinical policy from the American College of Emergency Physicians is the revision of a 2005 clinical policy evaluating critical questions related to procedural sedation in the emergency department.1 A writing subcommittee reviewed the literature to derive evidence-based recommendations to help clinicians answer the following critical questions: (1) In patients undergoing procedural sedation and analgesia in the emergency department,does preprocedural fasting demonstrate a reduction in the risk of emesis or aspiration? (2) In patients undergoing procedural sedation and analgesia in the emergency department, does the routine use of capnography reduce the incidence of adverse respiratory events? (3) In patients undergoing procedural sedation and analgesia in the emergency department, what is the minimum number of personnel necessary to manage complications? (4) Inpatients undergoing procedural sedation and analgesia in the emergency department, can ketamine, propofol, etomidate, dexmedetomidine, alfentanil and remifentanil be safely administered? A literature search was performed, the evidence was graded, and recommendations were given based on the strength of the available data in the medical literature...
February 2014: Annals of Emergency Medicine
https://read.qxmd.com/read/23160104/ez-io-%C3%A2-intraosseous-device-implementation-in-a-pre-hospital-emergency-service-a-prospective-study-and-review-of-the-literature
#35
REVIEW
David Santos, Pierre-Nicolas Carron, Bertrand Yersin, Mathieu Pasquier
INTRODUCTION: Intraosseous access is increasingly recognised as an effective alternative vascular access to peripheral venous access. We aimed to prospectively study the patients receiving prehospital intraosseous access with the EZ-IO(®), and to compare our results with those of the available literature. METHODS: Every patient who required an intraosseous access with the EZ-IO from January 1st, 2009 to December 31st, 2011 was included. The main data collected were: age, sex, indication for intraosseous access, localisation of insertion, success rate, drugs and fluids administered, and complications...
April 2013: Resuscitation
https://read.qxmd.com/read/22753644/prehospital-lateral-canthotomy
#36
Christopher Hill, Cliff Reid, Alex Tzannes, Brian Burns, Mark Bartlett
No abstract text is available yet for this article.
February 2013: Emergency Medicine Journal: EMJ
https://read.qxmd.com/read/22560130/the-use-of-emergency-department-thoracotomy-for-traumatic-cardiopulmonary-arrest
#37
REVIEW
Mark J Seamon, John Chovanes, Nicole Fox, Raymond Green, George Manis, George Tsiotsias, Melissa Warta, Steven E Ross
Despite the establishment of evidence-based guidelines for the resuscitation of critically injured patients who have sustained cardiopulmonary arrest, rapid decisions regarding patient salvageability in these situations remain difficult even for experienced physicians. Regardless, survival is limited after traumatic cardiopulmonary arrest. One applicable, well-described resuscitative technique is the emergency department thoracotomy-a procedure that, when applied correctly, is effective in saving small but significant numbers of critically injured patients...
September 2012: Injury
https://read.qxmd.com/read/21741118/a-prospective-study-of-central-venous-catheters-placed-in-a-tertiary-care-emergency-department-indications-for-use-infectious-complications-and-natural-history
#38
Katrina Diaz, Sean G Kelly, Barbara Smith, Preeti N Malani, John G Younger
Despite successful efforts to improve overall central line-associated bloodstream infections (CLABSI) rates, little is known about CLABSI rates or even central venous catheter insertion practices in the Emergency Department. We sought to determine the baseline CLABSI rate for Emergency Department-inserted central venous catheters and to describe indications for placement, duration of use, and the natural history of these devices.
February 2012: American Journal of Infection Control
https://read.qxmd.com/read/21256626/a-randomized-controlled-trial-of-ketamine-propofol-versus-propofol-alone-for-emergency-department-procedural-sedation
#39
RANDOMIZED CONTROLLED TRIAL
Henry David, Joseph Shipp
STUDY OBJECTIVE: We compare the frequency of respiratory depression during emergency department procedural sedation with ketamine plus propofol versus propofol alone. Secondary outcomes are provider satisfaction, sedation quality, and total propofol dose. METHODS: In this randomized, double-blind, placebo-controlled trial, healthy children and adults undergoing procedural sedation were pretreated with intravenous fentanyl and then randomized to receive either intravenous ketamine 0...
May 2011: Annals of Emergency Medicine
https://read.qxmd.com/read/20869789/infection-and-natural-history-of-emergency-department-placed-central-venous-catheters
#40
Christopher H LeMaster, Jeremiah D Schuur, Darshan Pandya, Daniel J Pallin, Jennifer Silvia, Deborah Yokoe, Ashish Agrawal, Peter C Hou
STUDY OBJECTIVES: Central line-associated bloodstream infection (CLABSI, hereafter referred to in this paper as "bloodstream infection") is a leading cause of hospital-acquired infection. To our knowledge, there are no previously published studies designed to determine the rate of bloodstream infection among central venous catheters placed in the emergency department (ED). We design a retrospective chart review methodology to determine bloodstream infection and duration of catheterization for central venous catheters placed in the ED...
November 2010: Annals of Emergency Medicine
label_collection
label_collection
1495
2
3
2014-04-06 23:56:06
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read
×

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"