Procedures

A

• Airway Suctioning - Oropharyngeal and Tracheal

  Proper catheter selection, oxygenation before and after, brief suction passes, and sterile technique for artificial airways.
• Arterial Line - Radial Placement

  Optimize waveform accuracy and safety with Allen test, ultrasound guidance, pressure transducer setup, and vigilant limb monitoring.

B

• Bag Valve Mask Ventilation - Effective Technique

  Proper mask seal, airway positioning, and gentle ventilation prevent hypoxia and gastric insufflation; two-person technique preferred.
• Bedside Echo - Focused Cardiac Ultrasound

  Rapid POCUS to assess pericardial effusion, global function, and gross right heart strain using standard windows.
• Blood Cultures - Aseptic Collection

  Two sets from separate sites before antibiotics when feasible; proper skin antisepsis and bottle handling reduce contamination.
• Burn Wound - Initial Dressing and Care

  Cool water, not ice; analgesia; assess depth and TBSA; clean, debride loose blisters, and apply appropriate non-adherent dressing.

C

• Central Venous Catheter - Ultrasound-Guided Internal Jugular

  Real-time ultrasound reduces complications; strict sterile technique, correct vein identification, wire control, and post-placement verification.
• Cricothyrotomy - Surgical Airway

  When cannot intubate, cannot oxygenate: rapid identification of membrane, vertical skin incision, horizontal membrane incision, tube placement.

D

• DVT Ultrasound - Two-Point Compression

  Bedside compression ultrasound of common femoral and popliteal veins to evaluate for proximal DVT in symptomatic patients.

E

• Ear Procedures - Cerumen Disimpaction and Foreign Body Removal

  Soften, irrigate carefully if tympanic membrane intact, and extract under visualization with appropriate tools; avoid pushing deeper.
• Endotracheal Intubation - Rapid Sequence Intubation

  Structured preoxygenation, precise dosing, first-pass success strategy, and post-intubation sedation with ventilator setup.
• Epistaxis Control - Anterior Cautery and Packing

  Direct pressure first, topical vasoconstrictor and anesthetic, cautery for visible source, and packing when needed with follow-up.
• Eye Care - Corneal Foreign Body Removal and Fluorescein Exam

  Topical anesthesia, eyelid eversion, fluorescein staining, and careful removal with moistened swab or needle; check for rust ring and perforation.

F

• FAST Exam - Focused Assessment with Sonography in Trauma

  Rapid ultrasound to detect free fluid in peritoneum and pericardium; integrates into trauma algorithm.
• Foley Catheter - Insertion and Troubleshooting

  Use aseptic technique, correct catheter size, confirm urine return, advance to bifurcation before balloon inflation; handle difficult male urethra carefully.

I

• Incision and Drainage - Cutaneous Abscess

  Local anesthesia, adequate incision, blunt loculation disruption, irrigation, and appropriate packing or loop drainage.
• Intraosseous Access - Adult and Pediatric

  Rapid vascular access via proximal tibia or humerus; confirm flow and avoid extravasation; transition to IV when feasible.

K

• Knee Arthrocentesis - Aspiration and Injection

  Sterile aspiration via lateral suprapatellar approach improves diagnosis and symptoms; send labs and consider steroid injection when indicated.

L

• Laceration Repair - Suturing Basics

  Irrigation, exploration, tension-free layered closure, and appropriate suture choice with tetanus update as needed.
• Lumbar Puncture - Technique and CSF Handling

  Use proper positioning, landmarking or ultrasound assist, atraumatic needle when possible, and correct CSF tube handling.

N

• Nail Procedures - Paronychia Drainage and Subungual Hematoma Trephination

  Warm soaks and incision at eponychial fold for paronychia; trephination for painful hematoma with intact nail and no fracture.
• Nasogastric or Orogastric Tube - Placement and Confirmation

  Measure, lubricate, insert with head flexed, and confirm position with appropriate methods before use.
• Needle Decompression - Tension Pneumothorax

  Immediate decompression in unstable suspected tension pneumothorax with large-bore catheter, followed by definitive tube thoracostomy.

P

• Paracentesis - Diagnostic and Therapeutic

  Ultrasound localization, lateral lower quadrant site, small needle for diagnostic and large-volume drainage when therapeutic; give albumin when indicated.
• Peripheral IV - Ultrasound-Guided Difficult Access

  Use linear probe to identify target vein, align needle under real-time visualization, and secure extended-length catheter.
• Peripheral Nerve Block - Femoral Block Basics

  Ultrasound-guided femoral block for analgesia; identify femoral artery and nerve, inject in-plane with aspiration and incremental dosing.
• Procedural Sedation and Analgesia - Safety and Dosing

  Pre-procedure assessment, fasting considerations, monitoring, titrated dosing, airway readiness, and recovery criteria.

S

• Shoulder Dislocation - Anterior Reduction Techniques

  Analgesia or sedation, neurovascular exam pre and post, and gentle technique selection (traction-countertraction, external rotation, Cunningham).
• Splinting - Common Upper Extremity Splints

  Choose correct splint type and position of function to immobilize while minimizing stiffness and pressure injury.
• Sterile Technique - Barrier Precautions and Field Setup

  Hand hygiene, sterile gown and gloves, full barrier draping, and field maintenance to reduce catheter and procedure-related infections.

T

• Thoracentesis - Ultrasound-Guided

  Ultrasound marking reduces pneumothorax; stay above rib to avoid neurovascular bundle, remove modest volumes with monitoring.
• Tube Thoracostomy - Chest Tube Insertion

  Safe triangle approach, blunt dissection above rib, finger sweep, and secure fixation with underwater seal or suction.

W

• Wound Care - Bedside Sharp Debridement

  Remove devitalized tissue to reduce bioburden and promote healing; protect viable structures and control pain.