Procedures Book

	General Considerations
1	The Need for Medical Procedures	3
2	Documentation of Procedures	4
3	Hazards of Body Fluid Exposure	6
4	Conscious Sedation	9
5	Sterile Technique	14
	Endotracheal Intubation	19
6	Cricothyroidotomy	19
7	Emergency Tracheostomy	24
8	Mask Ventilation: Oral and Nasal Airways	30
9	Orotracheal Intubation	36
	Intravascular Access	47
10	Seldinger Technique	47
11	Changing a Line Over a Wire	52
12	Cutdown Approach	57
	Arterial Lines	63
13	Peripheral Arterial Line with Angiocatheter	63
14	Femoral Arterial Line by Seldinger Technique	69
15	Intra-Aortic Balloon Pump	73
	Central Venous Lines	79
16	Subclavian Vein Approach	79
17	Internal Jugular Vein Approach	89
18	Femoral Vein Approach	98
19	Placement of Swan-Ganz Catheters	103
20	Long Arm Lines	110
21	Peripheral Venous Lines	115
	Abdominal Procedures	118
22	Peritoneal Tap	118
23	Peritoneal Dialysis Access	125
	Gastrointestinal Tubes	134
24	Nasogastric Tubes	134
25	Feeding Tubes	140
26	Replacement of Gastrostomy Tubes	143
27	Sengstaken-Blakemore Tubes	145
	Neurologic Procedures	150
28	Lumbar Puncture	150
	Thoracic Procedures	158
29	Tube Thoracostomy	158
30	Thoracentesis	171
31	Emergency Pericardiocentesis	176
	Urinary Drainage	180
32	Transurethral Catheterization	180
33	Suprapubic Catheterization	185
	Local Anesthesia and Nerve Block	190
34	Local Anesthesia and Nerve Block	190
	Orthopaedics	203
35	Splinting	203
App. A	Reading X-Rays, Reading ECGs, Adult Emergency Cardiac Care Algorithms	213
App. B	On Call Formulary	227
	Index	245