Archive

Medical Category: Procedures and Skills

Low-Dose Ketamine for Acute Pain in the ED: IV Push vs Short Infusion?

Background: Ketamine’s role in the ED has expanded in recent years.  The clinical reasons for this make it easy to understand why, and include analgesia, amnesia, and anesthesia. Amazingly, ketamine does not only reduce acute pain, but it also decreases ...

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Procedures and Skills

Intraosseous (IO) Needle Length in Obese Patients

Background: Intraosseous (IO) access can play an important role in the resuscitation of the critically ill patient to help expedite delivery of critical medications (i.e. RSI). Much like with peripheral or central access, obesity can present a challenge to placement of ...

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Procedures and Skills

American College of Emergency Physicians (ACEP) Conference 2016

This years ACEP 2016 conference took place in Las Vegas, NV from Oct 16th – 19th.  There was greater than 350 courses, labs, and workshops given throughout the week.  It was impossible to make all of these great lectures, but ...

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Abdominal and GastrointestinalCardiovascularNeurologyProcedures and SkillsResuscitationTrauma

The POKER Trial: Go All in on Ketofol?

Background: Procedural sedation and analgesia is a frequently performed procedure in the emergency department to help facilitate care of patients in an effective manner. Our goal should be to minimize pain and anxiety while minimizing adverse effects. We have discussed ...

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Procedures and Skills

Changing Arm Position for Ultrasound Guided Subclavian Central Lines?

The subclavian route is known to be the site for central line placement with the lowest risk of infection, but can also lead to many mechanical complications . The biggest risk of subclavian line placement is an iatrogenic pneumothorax. The ...

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Procedures and Skills
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