CUPRINS

Section I - Vital signs and Patient Monitoring

Techniques
1. Vital signs Measurement
1
2. Devices for Assesing Oxygenation and Ventilation
23

Section II - Respiratory Procedures

3. Basic Airway Management and Decision Making
39
4. Tracheal Intubation
62
5. Pharmacologic Adjuncts to Intubation
107
6. Cricothyrotomy and Percutaneous Translaryngeal Ventilation
120
7. Tracheostomy Care
134
8. Mechanical Ventilation
9. Thoracentesis
173
10.
Tube Thoracostomy
189

Section III - Cardiac Procedures

11.
12.
13.
14.
15.
16.

Techniques for Supraventricular Tachycardias

213
Defibrilation and Cardioversion
228
Assessment of Implantable Devices
248
Basic Electrocardiographic Techniques
263
Emergency Cardiac Pacing
277
Pericardiocentesis
298

152

17.
18.

Artificial Perfusion during Cardiac Arrest

319
Resuscitative Thoracotomy
325

Section IV - Vascular Techniques and Volume

Support
19.

Pediatric Vascular Access and Blood Sampling Techniques

341
20.
Arterial Puncture and Cannulation
368
21.
Peripheral Intravenous Access
385
22.
Central Venous Catheterization and Central Venous Pressure
Monitoring
397
23.
Venous Cutdown
432
24.
Indwelling Vascular Devices: Emergency Access and
Management
440
25.
Intraosseous Infusion
455
26.
Alternative Methods of Drug Administration
469
27.
Autotransfuzion
484
28.
Transfuzion Therapy: Blood and Blood Products
496

Section V - Anesthetic and Analgesic Techniques

29.
30.
31.
32.
33.

Local and Tropical Anesthesia

519
Regional Anesthesia of the Head and Neck
541
Nerve Blocks of the Thorax and Extremities
554
Intravenous Regional Anesthesia
580
Systemic Analgesia and Sedation for Procedures
586

Section VI - Soft Tissue Procedures

34.
35.
36.
37.
38.

Principles of Wound Management

611
Methods of Wound Closure
644
Foreign Body Removal
690
Incision and Drainage
719
Burn Care Procedures
758

Section VII - Gastrointestinal Procedures

39.
40.
41.
42.
43.
44.
45.

Esophageal Foreign Bodies

789
Nasogastric and Feeding Tube Placement
809
Baloon Tamponade of Gastroesophageal Varices
831
Decontamination of the Poisoned Patient
837
Peritoneal Procedures
852
Abdominal Hernia Reduction
873
Anorectal Procedures
880

Section VIII - Musculoskeletal Procedures

46.
47.
48.
49.
50.
51.

Prehospital Immobilization
893
Management of Amputation
923
Extensor and Flexor Tendon Injuries in the Hand, Wrist, and Foot
931
Management of Common Dislocations
954
Splinting Techniques
999
Podiatric Procedures
1028

52.
53.
54.

Treatment of Bursitis, Tendinitis and Trigger Points

1042
Arthrocentesis
1075
Compartment Syndrome Evaluation
1095

Section IX - Genitourinary, Obstetric, and

Gynecologic Procedures
55.
56.
57.
58.

Urologic Procedures
1113
Emergency Childbirth
1155
Culdocentesis
1180
Examination of the Sexual Assault Victim
1188

Section X - Neurologic Procedures

59.
Management of Increased Intracranial Pressure and Intracranial
Shunt
1205
60.
Spinal Puncture and Cerebrospinal Fluid Examination
1218
61.
Special Neurologic Test and Procedures
1243

Section XI - Ophtalmologic, Otolaryngologic, and

Dental Procedures
62.
63.
64.

Opthalmologic Procedures
1259
Otolaryngologic Procedures
1298
Emergency Dental Procedures
1342

Section XII - Special Procedures

65.

Procedures Pertaining to Hypothermia and Hyperthermia

1363
66.
Ultrasound
1389
67.
Bedside Laboratory and Microbiologic Procedures
1395
68.
Standard Precautions and Infectious Exposure Management
1422
69.
Educational Aspects of Emergency Department Procedures
1431
70.
Physical and Chemical Restraint
1438
71.
Noncardiac Implantable Devices
1455
72.
Radiation in Pregnancy and Clinical Issues of Radiocontrast
Agents
1460

APPENDIX 1
73.

INDEX

Commonly Used Formulas and Calculations

1477