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Clinical Procedures in Emergency Medicine


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Table of Contents

Section I: Respiratory Procedures 1. Basic Airway Management and Decision-Making 2. Tracheal Intubation 3. Pharmacologic Adjuncts to Intubation 4. Cricothyrotomy and Translaryngeal Jet Ventilation 5. Tracheostomy Care and Tracheal Suctioning 6. Noninvasive Assessment and support of Oxygenation and Ventilation 7. Mechanical Ventilation 8. Thoracentesis 9. Tube Thoracostomy Section II: Cardiac Procedures 10. Cardiosinus Massage/Cardioversion 11. Defibrillation 12. Assessment of Implanted Pacemaker/AICD Devices 13. Emergency Tranvenous Cardiac Pacing 14. Emergency Transcutaneous Cardiac Pacing 15. Pericardiocentesis and Intracardiac Injections 16. Artificial Perfusion During Cardiac Arrest 17. Resuscitative Thoracotomy Section III: Vascular Techniques and Volume Support 18. Pediatric Vascular Access and Blood Sampling 19. Arterial Puncture and Cannulation 20. Peripheral Intravenous Access 21. Guide-Wire (Seldinger) Techniques for Catheter Insertion 22. Venous Cutdown 23. High-Flow Infusion Techniques 24. Central Venous Catheterization and Central Venous Pressure Monitoring 25. Accessing Indwelling Lines 26. Intraosseous Infusion 27. Endotracheal Drug Administration 28. Autotransfusion (Autologous Blood Transfusion) 29. Transfusion Therapy: Blood and Blood Products 30. Pneumatic Antishock Garment Section IV: Anesthetic and Analgesic Techniques 31. Local and Topical Anesthesia 32. Nerve Blocks of the Thorax and Extremities 33. Regional Anesthesia of the Head and Neck 34. Intravenous Regional Anesthesia 35. Systemic Analgesia and Sedation for Procedures Section V: Soft Tissue Procedures 36. Principles of Wound Management 37. Methods of Wound Closure 38. Skin Grafting in the Outpatient 39. Soft Tissue Foreign Body Removal 40. Incision and Drainage 41. Burn Care Procedures Section VI: Gastrointestinal Procedures 42. Esophageal Foreign Bodies 43. Nasogastric and Feeding Tube Placement 44. Balloon Tamponande of Gastroesophageal Varices 45. Decontamination of the Poisoned Patient 46. Peritoneal Procedures 47. Abdominal Hernia Reduction 48. Rectal Procedures Section VII: Musculoskeletal Procedures 49. Out-of-Hospital Splinting 50. Management of Amputations 51. Extensor Tendon Injuries in the Hand and Wrist 52. Management of Common Dislocations 53. Splinting Techniques 54. Podiatric Procedures 55. Trigger Point Therapy 56. Injection Therapy of Bursitis and Tendonitis 57. Arthrocentesis 58. Compartment Syndrome Evaluation Section VIII: Genitourinary Procedures 59. Urologic Procedures Section IX: Obstetric and Gynecologic Procedures 60. Emergency Childbirth 61. Culdocentesis 62. Examination of the Sexual Assault Victim 63. Removal of and Intrauterine Device Section X: Neurologic Procedures 64. Management of Increased Intracranial Pressure and Intracranial Shunts 65. Spinal Puncture and Cerebrospinal Fluid Examination 66. Special Neurologic Tests Section XI: Ophthalmologic, Otolaryngologic, and Dental Procedures 67. Ophthalmologic Procedures 68. Otolayngologic Procedures 69. Emergency Dental Procedures Section XII: Vital Sign Measurement 70. Vital Sign Measurement Section XIII : Special Procedures 71. Procedures Pertaining to Hypothermia 72. Hyperthermia Procedures 73. The Sedative-Hypnotic Interview 74. Bedside Laboratory and Microbiologic Procedures 75. Universal Precautions APPENDIX Commonly Used Formulas and Calculations

About the Author

Dr. Roberts' research is interdisciplinary and involves fundamental, clinical, behavioral and epidemiological studies. He has been involved in several seminal studies of preeclampsia including the recognition of preeclampsia as involving endothelial dysfunction and being more than hypertension in pregnancy. He currently is involved in global health research and is on the Management Committee of the Bill and Melinda Gates funded study, Preeclampsia and Eclampsia monitoring prevention and treatment (PRE-EMPT0. He also heads the Global Pregnancy Collaboration, a consortium of 34 centers world-wide that facilitates collaborative research. He is a co-investigator on studies in Brazil and South Africas.


"Since the first edition appeared in 1985, Roberts and Hedges has been the final word in procedures.Dedicated to not only the how, but the why, when, and who of performing procedures."The Journal of Emergency Medicine
it needs to be done and needs to be done now let this be your guide.The authoritative, annotated, academic standard in its category."JAMA

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