Emergency Medicine Procedures

Eric F. Reichman, PhD, MD Residency Program Director, Department of Emergency Medicine, University of Texas at Houston School of Medicine, Houston, TX Robert R. Simon, MD, Department of Emergency Medicine, Cook County Hospital, Chicago, Illinois

Section One: Respiratory Procedures1.Essential Anatomy of the Airway2.Basic Airway Management3.Pharmacologic Adjuncts to Intubation4.Rapid Sequence Induction5.Orotracheal Intubation6.Digital (Tactile) Orotracheal Intubation7.Bullard Laryngoscope Intubation8.Lighted Stylet Intubation9.Esophageal-Tracheal Combitube Intubation10.Fiberoptic Endoscopic Intubation11.Nasotracheal Intubation12.Retrograde Guidewire Intubation13.Percutaneous Transtracheal Jet Ventilation14.Cricothyroidotomy15.Tracheostomy16.Tracheostomy Care17.Laryngeal Mask Airways18.Transtracheal AspirationSection Two: Cardiothoracic Procedures19.Cardioversion and Defibrillation20.Transcutaneous Cardiac Pacing21.Transthoracic Cardiac Pacing22.Transvenous Cardiac Pacing23.Pacemaker Assessment24.Automatic Implantable Cardioverter-Defibrillator Assessment25.Pericardiocentesis26.Intracardiac Injection27.Needle Thoracostomy28.Tube Thoracostomy29.Thoracentesis30.Open Chest Wound Management31.Emergency Department Thoracotomy32.Open Cardiac Massage33.Cardiac Wound Repair34.Hilum & Great Vessel Wound Management35.Thoracic Aortic OcclusionSection Three: Vascular Procedures36.General Principles for Intravenous Access37.Venipuncture and Peripheral Intravenous Access38.Central Venous Access39.Troubleshooting Indwelling Central Venous Lines40.Accessing Indwelling Central Venous Lines41.Pulmonary Artery (Swan-Ganz) Catheterization42.Non-Invasive Cardiac Output Monitoring43.Peripheral Venous Cutdown44.Intraosseous Infusion45.Umbilical Vessel Catheterization46.Arterial Puncture and CannulationSection Four: Gastrointestinal Procedures47.Nasogastric Intubation48.Activated Charcoal Administration49.Gastric Lavage 50.Whole Bowel Irrigation51.Esophageal Foreign Body Removal52.Balloon Tamponade of Gastrointestinal Bleeding53.Gastrostomy Tube Replacement54.Paracentesis55.Diagnostic Peritoneal Lavage56.Anal Fissure Management57.External Hemorrhoid Management58.Prolapsed Rectum Reduction59.Anoscopy60.Rigid Rectosigmoidoscopy61.Rectal Foreign Body ExtractionSection Five: Orthopedic and Musculoskeletal Procedures62.Bursitis and Tendonitis Therapy63.Compartment Pressure Measurement64.Extensor Tendon Repair65.Arthrocentesis66.Sternoclavicular Joint Dislocation Reduction67.Shoulder Joint Dislocation Reduction68.Elbow Joint Dislocation Reduction69.Radial Head Subluxation (Nursemaids Elbow) Reduction70.Interphalangeal Joint Dislocation Reduction71.Hip Joint Dislocation Reduction72.Patellar Dislocation Reduction73.Knee Joint Dislocation Reduction74.Ankle Joint Dislocation Reduction75.Common Fracture Reduction76.Casts and SplintsSection Six: Skin and Soft Tissue Procedures77.General Principles of Wound Management78.Basic Wound Closure Techniques79.Advanced Wound Closure Techniques80.Management of Specific Soft Tissue Injuries 81.Subcutaneous Foreign Body Identification and Removal82.Tick Removal83.Fishhook Removal84.Ring Removal85.Subungual Hematoma Evacuation86.Subungual Foreign Body Removal87.Nailbed Repair88.Ganglion Cyst Aspiration and Injection89.Subcutaneous Abscess Incision and Drainage90.Paronychia or Eponychia Incision and Drainage91.Felon Incision and Drainage92.Pilonidal Abscess or Cyst Incision and Drainage93.Perianal Abscess Incision and Drainage94.Sebaceous Cyst Incision and Drainage95.Hemorrhage ControlSection Seven: Neurologic and Neurosurgical Procedures96.Lumbar Puncture97.Burr Holes98.Lateral Cervical Puncture99.Ventriculostomy100.Ventricular Shunt Evaluation and Aspiration101.Subdural Hematoma Aspiration in the Infant102.Skeletal Traction (Gardner-Well’s Tongs) for Cervical Spine Dislocations and Fractures103.Reflex Eye Movements (Caloric Testing and Doll’s Eyes)104.Edrophonium (Tensilon™) TestingSection Eight: Anesthesia and Analgesia105.Local Anesthesia106.Regional Nerve Blocks (Regional Anesthesia)107.Intravenous Regional Anesthesia108.Nitrous Oxide Anesthesia109.Procedural sedation and Analgesia (Conscious Sedation)Section Nine: Obstetrical and Gynecologic Procedures110.Normal Spontaneous Vaginal Delivery111.Episiotomy112.Shoulder Dystocia Management113.Breech Delivery114.Postpartum Hemorrhage Management115.Perimortem Cesarean Section116.Symphysiotomy117.Bartholin Gland Abscess or Cyst Incision and Drainage118.Sexual Assault Examination 119.Culdocentesis120.Prolapsed Uterus ReductionSection Ten: Genitourinary Procedures121.Urethral Catheterization122.Suprapubic Bladder Aspiration123.Suprapubic Bladder Catheterization (Percutaneous Cystostomy)124.Retrograde Urethrography and Cystography125.Anesthesia of the Penis, Testicle, and Epididymis126.Priapism Management127.Paraphimosis Reduction128.Phimosis Reduction129.Dorsal Slit of the Foreskin130.Manual Testicular Detorsion131.Zipper Injury ManagementSection Eleven: Ophthalmologic Procedures132.Eye Examination133.Contact Lens Removal 134.Ocular Burn Management and Eye Irrigation 135.Intraocular Pressure Measurement (Tonometry)136.Corneal Foreign Body Removal137.Corneal Rust Ring Removal 138.Eye Patching and Eye Shields139.Acute Orbital Compartment Syndrome (Retrobulbar Hemorrhage) Management140.Globe Luxation ReductionSection Twelve: Otolaryngologic Procedures141.External Auditory Canal Foreign Body Removal142.Cerumen Impaction Removal143.Tympanocentesis144.Auricular Hematoma Evacuation145.Nasal Foreign Body Removal146.Nasal Fracture Reduction147.Nasal Septal Hematoma Evacuation148.Epistaxis Management149.Laryngoscopy150.Airway Foreign Body Removal151.Peritonsillar Abscess Incision and Drainage152.Sublingual Abscess Incision and Drainage153.Parotid Duct Abscess Incision and DrainageSection Thirteen: Dental Procedures154.Dental Anesthesia and Analgesia155.Dental Abscess Incision and Drainage156.Post-Extraction Pain and Dry Socket (Alveolar Osteitis) Management157.Post-Extraction Bleeding Management158.Defective Dental Restoration Management159.Subluxed and Avulsed Tooth Management160.Fractured Tooth Management161.Temporomandibular Joint Dislocation ReductionSection Fourteen: Podiatric Procedures162.Ingrown Toenail Removal163.Plantar Puncture Wound Management 164.Toe Fracture Management165.Plantar Wart Management166.Neuroma Management167.Management of Select Podiatric ConditionsSection Fifteen: Miscellaneous Procedures168.Aseptic Technique169.Hypothermic Patient Management170.Hyperthermic Patient Management171.Helmet Removal172.Pneumatic Antishock Garment (MAST Trousers)173.Hazmat Patient Management