Table of Contents

Section One: Introductory Chapters
1.Informed Consent
2.Aseptic Technique
3.Basic Principles of Ultrasonography
4.Ultrasound Assisted Procedures
5.Trauma Ultrasound: The FAST Scan
Section Two: Respiratory Procedures
6.Essential Anatomy of the Airway
7.Basic Airway Management
8.Pharmacologic Adjuncts to Intubation
9.Endotracheal Medication Administration
10.Rapid Sequence Induction
11.Orotracheal Intubation
12.Confirmation of Endotracheal Intubation
13.Video Assisted Orotracheal Intubation Devices
14.Fiberoptic Assisted Endotracheal Intubation Devices
15.Endotracheal Tube Intubating Introducers and Bougies
16.Digital (Tactile) Orotracheal Intubation
17.Lighted Stylet & Trachlight Intubation
18.Supraglottic Airway Devices
19.Laryngeal Mask Airways
20.Double Lumen Airway Tube Intubation
21.Fiberoptic Endoscopic Intubation
22.Nasotracheal Intubation
23.Retrograde Guidewire Intubation
24.Percutaneous Transtracheal Jet Ventilation
25.Cricothyroidotomy
26.Tracheostomy
27.Tracheostomy Care
28.Transtracheal Aspiration
Section Three: Cardiothoracic Procedures
29.Cardiac Ultrasound
30.Cardioversion and Defibrillation
31.Transcutaneous Cardiac Pacing
32.Transthoracic Cardiac Pacing
33.Transvenous Cardiac Pacing
34.Pacemaker Assessment
35.Automatic Implantable Cardioverter-Defibrillator Assessment
36.Pericardiocentesis
37.Intracardiac Injection
38.Needle Thoracostomy
39.Tube Thoracostomy
40.Thoracentesis
41.Open Chest Wound Management
42.Emergency Department Thoracotomy
43.Open Cardiac Massage
44.Cardiac Wound Repair
45.Hilum & Great Vessel Wound Management
46.Thoracic Aortic Occlusion
Section Four: Vascular Procedures
47.General Principles for Intravenous Access
48.Venipuncture and Peripheral Intravenous Access
49.Central Venous Access
50.Ultrasound Guided Vascular Access
51.Troubleshooting Indwelling Central Venous Lines
52.Accessing Indwelling Central Venous Lines
53.Pulmonary Artery (Swan-Ganz) Catheterization
54.Peripheral Venous Cutdown
55.Intraosseous Infusion
56.Umbilical Vessel Catheterization
57.Arterial Puncture and Cannulation
Section Five: Gastrointestinal Procedures
58.Nasogastric Intubation
59.Activated Charcoal Administration
60.Gastric Lavage
61.Whole Bowel Irrigation
62.Esophageal Foreign Body Removal
63.Balloon Tamponade of Gastrointestinal Bleeding
64.Gastrostomy Tube Replacement
65.Paracentesis
66.Diagnostic Peritoneal Lavage
67.Anal Fissure Management
68.External Hemorrhoid Management
69.Prolapsed Rectum Reduction
70.Anoscopy
71.Rigid Rectosigmoidoscopy
72.Rectal Foreign Body Extraction
Section Six: Orthopedic and Musculoskeletal Procedures
73.Bursitis and Tendonitis Therapy
74.Compartment Pressure Measurement
75.Fasciotomy
76.Extensor Tendon Repair
77.Arthrocentesis
78.Methylene Blue Joint Injection
79.Basic Principles of Fracture and Joint Reductions
80.Sternoclavicular Joint Dislocation Reduction
81.Shoulder Joint Dislocation Reduction
82.Elbow Joint Dislocation Reduction
83.Radial Head Subluxation (Nursemaids Elbow) Reduction
84.Metacarpophalangeal joint dislocation reduction
85.Interphalangeal Joint Dislocation Reduction
86.Hip Joint Dislocation Reduction
87.Patellar Dislocation Reduction
88.Knee Joint Dislocation Reduction
89.Ankle Joint Dislocation Reduction
90.Common Fracture Reduction
91.Casts and Splints
Section Seven: Skin and Soft Tissue Procedures
92.General Principles of Wound Management
93.Basic Wound Closure Techniques
94.Tissue Adhesives for Wound Repair
95.Advanced Wound Closure Techniques
96.Management of Specific Soft Tissue Injuries
97.Subcutaneous Foreign Body Identification and Removal
98.Ultrasound Guided Foreign Body Identification and Removal
99.Tick Removal
100.Fishhook Removal
101.Ring Removal
102.Subungual Hematoma Evacuation
103.Subungual Foreign Body Removal
104.Nailbed Repair
105.Ganglion Cyst Aspiration and Injection
106.Subcutaneous Abscess Incision and Drainage
107.Paronychia or Eponychia Incision and Drainage
108.Felon Incision and Drainage
109.Pilonidal Abscess or Cyst Incision and Drainage
110.Perianal Abscess Incision and Drainage
111.Sebaceous Cyst Incision and Drainage
112.Hemorrhage Control
113.Trigger Point Injections
114.Escharotomy
Section Eight: Neurologic and Neurosurgical Procedures
115.Lumbar Puncture
116.Burr Holes
117.Lateral Cervical Puncture
118.Ventriculostomy
119.Ventricular Shunt Evaluation and Aspiration
120.Subdural Hematoma Aspiration in the Infant
121.Skeletal Traction (Gardner-Well’s Tongs) for Cervical Spine Dislocations and Fractures
122.Edrophonium (Tensilon™) Testing
Section Nine: Anesthesia and Analgesia
123.Local Anesthesia
124.Topical Anesthesia
125.Hematoma Blocks
126.Regional Nerve Blocks (Regional Anesthesia)
127.Intravenous Regional Anesthesia
128.Nitrous Oxide Anesthesia
129.Procedural sedation and Analgesia (Conscious Sedation)
Section Ten: Obstetrical and Gynecologic Procedures
130.Ultrasound in Pregnancy
131.Normal Spontaneous Vaginal Delivery
132.Episiotomy
133.Shoulder Dystocia Management
134.Breech Delivery
135.Postpartum Hemorrhage Management
136.Perimortem Cesarean Section
137.Symphysiotomy
138.Bartholin Gland Abscess or Cyst Incision and Drainage
139.Sexual Assault Examination
140.Culdocentesis
141.Prolapsed Uterus Reduction
Section Eleven: Genitourinary Procedures
142.Urethral Catheterization
143.Suprapubic Bladder Aspiration
144.Suprapubic Bladder Catheterization (Percutaneous Cystostomy)
145.Retrograde Urethrography and Cystography
146.Anesthesia of the Penis, Testicle, and Epididymis
147.Priapism Management
148.Paraphimosis Reduction
149.Phimosis Reduction
150.Dorsal Slit of the Foreskin
151.Manual Testicular Detorsion
152.Zipper Injury Management
Section Twelve: Ophthalmologic Procedures
153.Eye Examination
154.Contact Lens Removal
155.Ocular Burn Management and Eye Irrigation
156.Intraocular Pressure Measurement (Tonometry)
157.Digital Globe Massage
158.Anterior Chamber Paracentesis
159.Corneal Foreign Body Removal
160.Corneal Rust Ring Removal
161.Eye Patching and Eye Shields
162.Acute Orbital Compartment Syndrome (Retrobulbar Hemorrhage) Management
163.Globe Luxation Reduction
164.Hordoleum (Stye) Incision and Drainage
Section Thirteen: Otolaryngologic Procedures
165.External Auditory Canal Foreign Body Removal
166.Cerumen Impaction Removal
167.Tympanocentesis
168.Auricular Hematoma Evacuation
169.Nasal Foreign Body Removal
170.Nasal Fracture Reduction
171.Nasal Septal Hematoma Evacuation
172.Epistaxis Management
173.Laryngoscopy
174.Airway Foreign Body Removal
175.Peritonsillar Abscess Incision and Drainage
Section Fourteen: Dental Procedures
176.Dental Anesthesia and Analgesia
177.Dental Abscess Incision and Drainage
178.Post-Extraction Pain and Dry Socket (Alveolar Osteitis) Management
179.Post-Extraction Bleeding Management
180.Defective Dental Restoration Management
181.Subluxed and Avulsed Tooth Management
182.Fractured Tooth Management
183.Temporomandibular Joint Dislocation Reduction
Section Fifteen: Podiatric Procedures
184.Ingrown Toenail Removal
185.Toe Fracture Management
186.Neuroma Management
Section Sixteen: Miscellaneous Procedures
187.Relief of Choking and Acute Upper Airway Foreign Body Removal
188.Induction of Therapeutic Hypothermia
189.Hypothermic Patient Management
190.Hyperthermic Patient Management
191.Autotransfusion
192.Helmet Removal
193.Hazmat Patient Management
194.Physical Restraint
195.Chemical Restraint

About the Author

Eric F. Reichman, PhD, MD
Residency Program Director, Department of Emergency Medicine, University of Texas at Houston School of Medicine, Houston, TX