Common ED Procedures: Difference between revisions

From Guide to YKHC Medical Practices

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===Procedural Sedation===
==Critical Procedures==
*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.
*'''[[Central Line Insertion]]'''
*Any “deep” sedation requires use of the OR and CRNAs.
*'''[[Chest tubes]]'''
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.
*'''[[Thoracic Lavage]]'''
*Our CRNA staff is always happy to help with sedation as well.
*'''[[FAST Exam]]'''
*Except for emergency procedures, patients must be NPO for a minimum of 6 hours prior to the sedation.
*'''[[High-Flow Nasal Cannula (HFNC) — Pediatric|High-Flow Nasal Cannula]]'''
===Chest tubes===
*'''[[Intubation – Adult and Peds|Intubations]]''' (and other airway management)
*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.
*'''[[Blakemore Tube Insertion for Upper Gastrointestinal Hemorrhage]]'''
===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===
==Common Procedures==
*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.
*'''[[Abscess Incision and Drainage (I&D)]]'''
*You need to use the ortho  [[media:Orthopedic Teleradiology Request.pdf|telerad form]].
*'''[[Closed Fracture Reductions]]'''
*'''[[Digital Block]]'''
*'''[[Fishhook Removal]]'''
*'''[[Laceration Repair]]'''
*'''[[Lumbar Puncture]]'''
*'''[[Paracentesis]]'''
*'''[[Peritonsilar Abscess Drainage]]'''
*'''[[Procedural Sedation]]'''
*'''[[Thoracentesis]]'''
 
 
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Latest revision as of 13:58, 28 July 2023