Archive

Medical Category: Procedures and Skills

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

Should We Use Skin Glue to Secure Peripheral IVs?

Background: Peripheral venous cannulation is the most frequently performed procedure in the Emergency Department (ED). The vast majority of patients admitted to the hospital will leave the ED with an intravenous catheter (IV). While these devices typically have a “life-span” ...

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Procedures and Skills

Complications of Procedural Sedation

Background: As Emergency Department (ED) physicians it is not uncommon to give patients procedural sedation and analgesia (PSA) to help facilitate painful procedures. Performing PSA requires close monitoring and is not without potential adverse events. There are numerous analgesic, sedative, and ...

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Procedures and Skills

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