By Rahul Jandial
Embarking at the first medical rotation in a health facility is a frightening adventure for clinicians, as textbook wisdom doesn't unavoidably correlate with the information that's beneficial ''''in the trenches'''' on the hospital.Whether you're a nurse tending to a significant venous line or an intern placing that line, Code Blue is an vital addition for your arsenal of emergency care wisdom. placed this instruction manual in your lab coat pocket and position the next info at your fingertips: fundamentals on physique platforms, ailments, and drugsCritical in. Read more...
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Extra info for Code Blue: Bedside Procedures and Critical Information
With a tonsillar clamp, create a tract from the incision to the pleural space (Fig. 11-4). Enter the pleural space by rolling over the sixth rib. This avoids the neurovascular bundle on the inferior aspect of the ribs. When a rush of air is encountered, the clamp should not be advanced any farther. Spread the clamp to widen the tract, allowing for sufficient space to advance the tonsillar clamp and chest tube. Insert your index finger into the tract and pleural space. Rotate a flexed finger tip circumferentially to free up any adhesions.
Entry into the tracheal lumen will lead to aspiration of air. • Advance the catheter over the needle and attach a pediatric ETT adapter. • Ventilation can be performed through a needle cricothyroidotomy for only 30 to 45 minutes. Fig. 8-3 PEARLS • Most centers recommend using needle cricothyroidotomy in children less than 12 years of age. • If a tracheal spreader is unavailable, the heel of the scalpel handle can be inserted into the cricothyroid membrane to create the necessary opening. • If a tracheostomy tube is unavailable, an ETT can be inserted into the trachea, and the cuff can then be inflated.
See Appendix A for additional helpful information. 04_Jandial-r4_015-018:Layout 1 8/2/12 3:34 PM Page 15 4 PARACENTESIS A 21-year-old woman presents with liver failure and a distended, nontender abdomen. INDICATIONS • • • • Ascites (Fig. 4-1) Spontaneous bacterial peritonitis Need to obtain diagnostic fluid Relief of abdominal discomfort or respiratory difficulty from abdominal fluid CONTRAINDICATIONS • • • • Coagulopathy Bowel obstruction Distended bowel loops Pregnancy Fig. 4-1 Abdominal CT scan showing ascites.