Lacerations are among the most common reasons for visits to emergency departments. Although most lacerations will heal without treatment, repair of these injuries reduces infection, scarring, and patient discomfort. Sutures, tissue adhesives, and wound tapes may all be used for laceration repair. Tissue adhesives and wound tapes are suitable for smaller lacerations that are not subject to substantial tension. In this video, however, we will demonstrate the use of simple interrupted sutures. Contraindications Not all lacerations are suitable for primary closure. Some should be allowed to heal by secondary intention (i.e., granulation and re-epithelialization). The interval between injury and . . . .
Chapters:


Overview

Indications

Contraindications

Equipment

Preparation

Laceration repair

Aftercare

Complications

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Download the original file (wmv) Repair of Lacerations

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Astalavista Baby !

Diagnostically, arthrocentesis is indicated to rule out septic arthritis in individuals presenting with a single or several inflamed joints. Arthrocentesis can also be used to differentiate between crystal arthropathies, such as gout and pseudogout, inflammatory and noninflammatory effusions, and hemarthroses. It should be emphasized that a single inflamed joint should almost always undergo at least one diagnostic aspiration. Therapeutically, arthrocentesis may be performed to drain large effusions, hemarthroses, or to inject steroids or local anesthetic. Arthrocentesis should be avoided in patients with cellulitis overlying the site of needle entry, out of concern of seeding the joint cavity with bacteria. Known . . . . View Video
Chapters:


Introduction

Indications

Contraindications

Equipment

Anatomy & approach

Joint aspiration

Synovial-fluid analysis

Complications

Size: 8 MB
Format: avi



Edited by nucleuskore:
Here is a single rar file with the video (wmv) and the summary (pdf)

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Emergency orotracheal intubation is indicated in any situation in which definitive control of the airway is needed. Specific indications include cardiac or respiratory arrest, failure to protect the airway from aspiration, inadequate oxygenation or ventilation, and impending or existing airway obstruction. This video demonstrates how to perform orotracheal intubation. Specific indications are discussed, along with contraindications, troubleshooting, and complications.

Kabrhel C, Thomsen TW, Setnik GS, Walls RM. N Engl J Med 2007;356(17):e15, April 26, 2007







IF YOU ARE SATISFIED WITH MY POSTS DON'T HESITATE TO GIVE MY REPUTATION A LITTLE BOOST

Edited by nucleuskore:
Here is a single rar file with the video (wmv) and the summary (pdf)

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This video will demonstrate how to perform a comprehensive pelvic examination, which includes an examination of the external genitalia, a Papanicolaou test, a bimanual examination, as well as a rectovaginal examination. Indications Women should undergo a pelvic examination when they have vulvar and or vaginal complaints such as pain, discharge, abnormal bleeding, itching, and/or a mass. A pelvic examination is also indicated when pregnancy is suspected or proven, and in women who have been exposed to sexually transmitted infections. Pap testing is the main screening tool for detecting precancerous lesions of the cervix, we will now highlight the American Cancer Society . . . .

* Overview
* Indications
* Preparation
* Procedure
* Troubleshooting
* Contraindications

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Astalavista Baby !

Placement of an Arterial Line
Ken Tegtmeyer, M.D., Glenn Brady, M.D., Susanna Lai, M.P.H., Richard Hodo, and Dana Braner, M.D.

Arterial Line Placement (Introduction) This video will demonstrate arterial line placement in the radial artery using two of the many techniques available for arterial line placement, an over-the-wire technique and an over-the-needle technique. Placement of an arterial line is indicated for continuous monitoring of arterial pressure and direct arterial blood sampling. The radial pulse is palpated between the distal radius and the flexor carpi radialis tendon. Prior to line placement, perfusion of the extremity should be checked. For radial arterial catheters, an Allen test or a modified Allen test may be performed. While the value of the Allen test has . . . .

Chapters:
• Introduction & Overview
• Landmarks
• Preparation
• Positioning
• Over-the-Wire Technique
• Over-the-Needle Technique
• Secure with Suture
• Troubleshooting



Edited by nucleuskore:
Here is a single rar file with the video (wmv) and the summary (pdf)

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Nasogastric Intubation
Todd W. Thomsen, M.D., Robert W. Shaffer, M.D., and Gary S. Setnik, M.D.


Common indications for nasogastric intubation include decompression of the GI tract in patients with bowel obstruction and gastric emptying in intubated patients to prevent aspiration. NG tubes may be placed as an adjunct for the delivery of oral agents, such as activated charcoal or oral radiographic contrast medium. NG tubes are often placed in patients with suspected upper GI hemorrhage. However, the sensitivity and negative predictive value of nasogastric aspirates for detecting active bleeding is suboptimal, and the absence of bloody return cannot be relied upon to rule out hemorrhage. Nonetheless, nasogastric intubation may be useful in selected patients.

Chapters:
• Introduction
• Indications
• Contraindications
• Equipment
• Preparation
• Tube Insertion
• Confirmation
• Securing the tube
• Complications
Size: 50 MB




Edited by nucleuskore:
Here is a single rar file with the video (wmv) and the summary (pdf)

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Source: New England Journal Of Medicine
The placement of a central venous line is an essential technique in the treatment of many hospitalized patients. This video will demonstrate the placement of a central venous catheter in the internal jugular vein with the use of one of several variations of the Seldinger technique. An additional video on subclavian line placement will be forthcoming. We will demonstrate and review the regional anatomy of the neck, indications for the insertion of a central line, the recommended site and technique for placement of a line in the internal jugular vein, selected complications associated with the procedure, and suggestions for . . .
Chapters:

• Introduction
• Overview
• Equipment
• Preparation
• Placing the Line
• Troubleshooting

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Astalavista Baby !

Source: New England Journal of Medicine

Abdominal paracentesis is performed as a diagnostic procedure to establish the etiology of new-onset ascites or to rule out spontaneous bacterial peritonitis in patients with preexisting ascites. Large-volume paracentesis is performed in hemodynamically stable patients with tense or refractory ascites to alleviate discomfort or respiratory compromise. Contraindications Many patients undergoing paracentesis will have baseline coagulopathy or thrombocytopenia. However, the incidence of clinically significant bleeding during paracentesis is extremely low, and routine use of fresh-frozen plasma or platelet concentrates is not recommended. Paracentesis should be avoided in patients with disseminated intravascular coagulation. The paracentesis needle should not pass through sites . . . .

Chapters:

• Overview
• Indications
• Contraindications
• Equipment
• Preparation
• Paracentesis
• Analysis
• Complications

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Astalavista Baby !

Thoracentesis is used diagnostically to establish the cause of a pleural effusion. It can also be performed to drain large effusions that lead to respiratory compromise. Contraindications Limited data exist regarding the safety of thoracentesis in patients with coagulation abnormalities. The procedure is probably safe in patients with mild or moderate elevations of the prothrombin time or partial-thromboplastin time. The decision to use fresh-frozen plasma or platelet concentrates in patients with clinically significant coagulopathy or thrombocytopenia must be made on an individual basis. The procedure should be used with care in patients who are receiving mechanical ventilation, since positive-pressure . . . .

Chapters:

• Introduction
• Indications
• Contraindications
• Equipment
• Preparation
• Pleural fluid aspiration
• Pleural fluid analysis
• Complications

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Astalavista Baby !