Practical procedures

This chapter discusses practical procedures in acute medicine, including arterial blood sampling, arterial line insertion, central line insertion, internal jugular vein cannulation, subclavian vein cannulation, ultrasound (US)-guided central venous catheterization, pulmonary artery catheterization, temporary cardiac pacing (ventricular pacing, atrial pacing, complications), pericardial aspiration, DC cardioversion, intra-aortic balloon counterpulsation, principles of respiratory support, mechanical ventilation, nasal ventilation, positive pressure ventilation, percutaneous cricothyrotomy, endotracheal intubation, aspiration of a pneumothorax, aspiration of a pleural effusion, insertion of a chest drain, ascitic tap (paracentesis), total paracentesis, insertion of a Sengstaken–Blakemore tube, percutaneous liver biopsy, transjugular liver biopsy, transjugular intrahepatic portosystemic shunt (TIPS), peritoneal dialysis, intermittent haemodialysis, plasmapheresis, renal biopsy, pH determination, joint aspiration, lumbar puncture, and needle-stick injuries.

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Realism of procedural task trainers in a pediatric emergency medicine procedures course

Canadian Medical Education Journal ◽

10.36834/cmej.36741 ◽

2015 ◽

Vol 6 (1) ◽

pp. e68-e73

Author(s):

Allan Shefrin ◽

Afshin Khazei ◽

Adam Cheng

Keyword(s):

Emergency Medicine ◽

Chest Tube ◽

Central Line ◽

Pediatric Emergency ◽

Chest Drain ◽

Pediatric Emergency Medicine ◽

Training Models ◽

Central Line Insertion ◽

Line Insertion ◽

Procedural Task

Background: Pediatric emergency medicine (PEM) physicians have minimal experience in life saving procedures and have turned to task trainers to learn these skills. Realism of these models is an important consideration that has received little study.Method: PEM physicians and trainees participated in a day long procedural training course that utilized commercially available and homemade task trainers to teach pericardiocentesis, chest tube insertion, cricothyroidotomy and central line insertion. Participants rated the realism of the task trainers as part of a post-course survey.Results: The homemade task trainers received variable realism ratings, with 91% of participants rating the pork rib chest tube model as realistic, 82% rating the gelatin pericardiocentesis mold as realistic and 36% rating the ventilator tubing cricothyroidotomy model as realistic. Commercial trainers also received variable ratings, with 45% rating the chest drain and pericardiocentesis simulator as realistic, 74% rating the crichotracheotomy trainer as realistic and 80% rating the central line insertion trainer as realistic.Conclusions: Task training models utilized in our course received variable realism ratings. When deciding what type of task trainer to use future courses should carefully consider the desired aspect of realism, and how it aligns with the procedural skill, balanced with cost considerations.

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Practical procedures

10.1093/med/9780199643219.003.0018 ◽

2012 ◽

Keyword(s):

Central Venous Catheterization ◽

Central Line ◽

Arterial Line ◽

Ultrasound Guided ◽

Central Venous ◽

Central Line Insertion ◽

Vein Cannulation ◽

Arterial Blood ◽

Line Insertion ◽

Venous Catheterization

Arterial blood sampling 784Arterial line insertion: introduction 786Arterial line insertion: over-the-wire technique 786Arterial line insertion: over-the-needle technique 788Central line insertion 790Internal jugular vein cannulation 792Subclavian vein cannulation 794Ultrasound-guided central venous catheterization (1) 796Ultrasound-guided central venous catheterization (2) ...

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Practical procedures

Oxford Handbook of Acute Medicine ◽

10.1093/med/9780199230921.003.15 ◽

2010 ◽

pp. 735-812

Author(s):

Punit S. Ramrakha ◽

Kevin P. Moore ◽

Amir Sam

Keyword(s):

Central Venous Catheterization ◽

Central Line ◽

Arterial Line ◽

Central Venous ◽

Internal Jugular Vein Cannulation ◽

Central Line Insertion ◽

Vein Cannulation ◽

Arterial Blood ◽

Line Insertion ◽

Venous Catheterization

Arterial blood sampling 736 Arterial line insertion 1 738 Arterial line insertion 2 740 Central line insertion 742 Internal jugular vein cannulation 744 Subclavian vein cannulation 746 Ultrasound (US)-guided central venous catheterization 1 748 US-guided central venous catheterization 2 750 Pulmonary artery catheterization 1 752...

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