Should Fluoro be Your New Go-To?
Part Three in a Three-Part Series
This is the third and final part of our series on foreign bodies and fluoroscopy. Click here for part one and here for part two.
This month, we walk you through a step-by-step guide with bonus video footage to aid in your technique. This progressive procedure is absolutely significant to your practice, and we hope you all get a chance to try it.
The Approach
n Identification of foreign body on plain film or ultrasound
n Saphenous or posterior tibial nerve block
n Enlargement of the wound or entrance site using incision...
Source: The Procedural Pause - January 4, 2016 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Should Fluoro Be Your Go-to?
Part Two in a Three-Part Series
Welcome back to our series on foreign body and fluoroscopy. If you’re new to the series, catch up on part one at http://emn.online/1lb0SAI.
Why is fluoroscopy worth investigating? A group of Chinese interventional radiologists looked at eight years’ worth of data using percutaneous fluoroscopically guided removal (PFGR) of foreign bodies in soft tissues. The 2009 study looked at foreign bodies in the skin from one week to 10 years. Ninety-four percent of the 346 foreign bodies were removed without any serious complications. The removal time ranged from 30 seconds to 20 minutes...
Source: The Procedural Pause - December 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Should Fluoro Be Your Go-to?
Part Two in a Three-Part Series
Welcome back to our series on foreign body and fluoroscopy. If you’re new to the series, catch up on part one at http://emn.online/1lb0SAI.
Why is fluoroscopy worth investigating? A group of Chinese interventional radiologists looked at eight years’ worth of data using percutaneous fluoroscopically guided removal (PFGR) of foreign bodies in soft tissues. The 2009 study looked at foreign bodies in the skin from one week to 10 years. Ninety-four percent of the 346 foreign bodies were removed without any serious complications. The removal time ranged from 30 seconds to 20 minutes, bu...
Source: The Procedural Pause - December 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
BONUS! Clinical Pearl 1: The JR Knot
This new bonus feature from James R. Roberts, MD, & Martha Roberts, CEN, ACNP, brings you tips, tricks, and pearls to make your emergency medicine practice easier.
This month, their first Clinical Pearl features the JR Knot, invented by its namesake James Roberts. This easy pearl will show you how to secure a central line.
Watch the video.Tags: central line, tie downPublished: 11/24/2015 6:59:00 AM (Source: The Procedural Pause)
Source: The Procedural Pause - November 24, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
BONUS! Clinical Pearl 1: The JR Knot
This new bonus feature from James R. Roberts, MD, & Martha Roberts, CEN, ACNP, brings you tips, tricks, and pearls to make your emergency medicine practice easier.
This month, their first Clinical Pearl features the JR Knot, invented by its namesake James Roberts. This easy pearl will show you how to secure a central line.
Watch the video.Tags: central line, tie downPublished: 11/24/2015 6:59:00 AM (Source: The Procedural Pause)
Source: The Procedural Pause - November 24, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Should Fluoro Be Your Go-to?
Part One in a Three-Part Series
How many times have you wasted at least 30 minutes (if not more) digging around in a patient’s foot to remove a sewing needle or piece of metal or glass? Or maybe the question is, how many of you have immediately referred the patient to podiatry because foreign body removal isn’t an ED procedure?
Foreign body removal may not be emergent, but it can be urgent. Items left in the skin can cause complications and should be removed whenever possible to decrease risk of infection or other future issues.
Foreign body of the left foot in a 56-year-old woman.
The ED is the r...
Source: The Procedural Pause - November 2, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Should Fluoro Be Your Go-to?
Part One in a Three-Part Series
How many times have you wasted at least 30 minutes (if not more) digging around in a patient’s foot to remove a sewing needle or piece of metal or glass? Or maybe the question is, how many of you have immediately referred the patient to podiatry because foreign body removal isn’t an ED procedure?
Foreign body removal may not be emergent, but it can be urgent. Items left in the skin can cause complications and should be removed whenever possible to decrease risk of infection or other future issues.
Foreign body of the left foot in a 56-year-old woman.
The ED is the right plac...
Source: The Procedural Pause - November 2, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Tap that Knee! Basics of Arthrocentesis
Part 2 of a Series
Our series on joint care has given you a basic overview on knee arthrocentesis. Typically, it is not necessary to have an orthopedic consultant come to the bedside in the emergency department to do this procedure. Arthrocentesis is a procedure you can do well and feel confident about your technique.
Take a moment to review our last blog post on knee pain before reading this post and watching the accompanying video. (http://bit.ly/1Q7dG4h.) As always, review the anatomy; it plays a key part in successful bedside technique. Ultrasound-guided arthrocentesis is always a favored approach.
Altho...
Source: The Procedural Pause - October 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Tap that Knee! Basics of Arthrocentesis
Part 2 of a Series
Our series on joint care has given you a basic overview on knee arthrocentesis. Typically, it is not necessary to have an orthopedic consultant come to the bedside in the emergency department to do this procedure. Arthrocentesis is a procedure you can do well and feel confident about your technique.
Take a moment to review our last blog post on knee pain before reading this post and watching the accompanying video. (http://bit.ly/1Q7dG4h.) As always, review the anatomy; it plays a key part in successful bedside technique. Ultrasound-guided arthrocentesis is always a favored approach.
Although em...
Source: The Procedural Pause - October 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Can I Tap That?
Part 1 of a Series
How often do you come in contact with a patient whose chief complaint is knee pain? How often can you actually to do something about it? Collectively as emergency providers, we do not typically fix these types of injuries in the ED, and at times, it is not even certain if we actually diagnose knee pain properly. The truth of the matter is simply that we can diagnose it correctly, help our patients feel better, and give them some answers.
Frequently, traumatic knee pain can be diagnosed as a contusion, generalized strain, or sprain. Rest, ice, compression, elevation, and NSAIDS are often presc...
Source: The Procedural Pause - September 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
Can I Tap That?
Part 1 of a Series
How often do you come in contact with a patient whose chief complaint is knee pain? How often can you actually to do something about it? Collectively as emergency providers, we do not typically fix these types of injuries in the ED, and at times, it is not even certain if we actually diagnose knee pain properly. The truth of the matter is simply that we can diagnose it correctly, help our patients feel better, and give them some answers.
Frequently, traumatic knee pain can be diagnosed as a contusion, generalized strain, or sprain. Rest, ice, compression, elevation, and NSAIDS are often prescribed...
Source: The Procedural Pause - September 1, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
A Procedure’s Impact on Patient Comfort, Care, and Outcome
This blog teaches procedures, with its case studies and videos intended to help you perfect your technique and strengthen your confidence. This month we explore issues related to procedural patient impact. How will your intervention positively or negatively affect patient outcome? What happens when we decide to step in and complete a procedure?
A risk is always inherent when a provider undertakes a procedure, no matter how insignificant. Carefully, we weigh the pros and cons of the potential procedure with our patients. Will our intervention cause a positive effect or outcome? Our goals are to repair, resolve, or rest...
Source: The Procedural Pause - August 3, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
A Procedure’s Impact on Patient Comfort, Care, and Outcome
This blog teaches procedures, with its case studies and videos intended to help you perfect your technique and strengthen your confidence. This month we explore issues related to procedural patient impact. How will your intervention positively or negatively affect patient outcome? What happens when we decide to step in and complete a procedure?
A risk is always inherent when a provider undertakes a procedure, no matter how insignificant. Carefully, we weigh the pros and cons of the potential procedure with our patients. Will our intervention cause a positive effect or outcome? Our goals are to repair, resolve, or restor...
Source: The Procedural Pause - August 3, 2015 Category: Emergency Medicine Tags: Blog Posts Source Type: blogs
