Difference between revisions of "Common ED Procedures"

From Guide to YKHC Medical Practices
Jump to navigation Jump to search
(Created page with "===Procedural Sedation=== *You must have privileges for procedural sedation in order to perform this procedure. Your privileges are available through our email system if you a...")
 
m
 
Line 4: Line 4:
 
If you plan to use ketamine, providers have to administer this medication. This works best with 2 providers – one to administer the med and another to perform the procedure.
 
If you plan to use ketamine, providers have to administer this medication. This works best with 2 providers – one to administer the med and another to perform the procedure.
 
*Our CRNA staff is always happy to help with sedation as well.
 
*Our CRNA staff is always happy to help with sedation as well.
*Except for emergency procedures, patients must be NPO for a minimum of 6 hours prior to the sedation.
+
 
 
===Chest tubes===
 
===Chest tubes===
 
*We have a commercial kit for chest tube insertion along with a wide variety of chest tube sizes depending on the indication for the chest tube. Our inpatient unit will take care of our chest tube patients if admission at YKHC is indicated. Generally multi-system trauma patients are medevac’d to ANMC for management of their multiple injuries.
 
*We have a commercial kit for chest tube insertion along with a wide variety of chest tube sizes depending on the indication for the chest tube. Our inpatient unit will take care of our chest tube patients if admission at YKHC is indicated. Generally multi-system trauma patients are medevac’d to ANMC for management of their multiple injuries.

Latest revision as of 04:43, 2 December 2019

Procedural Sedation

  • You must have privileges for procedural sedation in order to perform this procedure. Your privileges are available through our email system if you are not sure.
  • Any “deep” sedation requires use of the OR and CRNAs.

If you plan to use ketamine, providers have to administer this medication. This works best with 2 providers – one to administer the med and another to perform the procedure.

  • Our CRNA staff is always happy to help with sedation as well.

Chest tubes

  • We have a commercial kit for chest tube insertion along with a wide variety of chest tube sizes depending on the indication for the chest tube. Our inpatient unit will take care of our chest tube patients if admission at YKHC is indicated. Generally multi-system trauma patients are medevac’d to ANMC for management of their multiple injuries.

Intubations

  • All intubated patients must be medevac’d to ANMC for ICU management. We do not have an ICU in Bethel and we do not have the resources to keep these patients.
  • There is an adult and pediatric guideline that you are expected to follow.
  • Intubation – Adult
  • Intubation – Pediatric

Closed Fracture reductions

  • This is a common procedure in our ED. The ortho docs will expect you to telerad both pre and post-reduction films when you have a displaced fracture.
  • You need to use the ortho telerad form.