Pocket references for the procedures the ED actually does. Each one: when to do it and when to hold off, the setup, the step-by-step technique with a diagram, the aftercare, where it goes wrong, and a sample Epic note to document it.
Technique-focused by design — drug doses, anesthetic maximums, and sedation protocols live in your institutional references, not here. The series grows over time; four sections, more procedures coming.
Explore, irrigate, close without tension. Suture selection by site, everted edges, and the wounds you should not close.
→ Prep the tray No. 016The incision is the cure. Adequate opening, loculation breakdown, and when packing helps versus hurts.
→ Prep the tray No. 017Anterior dislocations and the gentle techniques that work: external rotation, Cunningham, and scapular manipulation.
→ Prep the trayPosition wins the procedure. Landmarking L3–L4, the midline path, opening pressure, and the four tubes.
→ Prep the tray No. 019Rule septic arthritis in or out. The parapatellar approach, the suprapatellar pouch, and reading the fluid.
→ Prep the tray ComingSection fills out over time.
Resuscitate before you intubate. Positioning, preoxygenation, laryngoscopy technique, and confirming the tube.
→ Prep the tray No. 021Ultrasound-guided internal jugular access: the full sterile setup, Seldinger technique, and confirming the wire.
→ Prep the tray ComingSection fills out over time.
The most hated tube in medicine, placed kindly: measurement, topical prep, the swallow, and confirming position.
→ Prep the tray No. 023Kiesselbach's plexus bleeds; compression stops it. The escalation ladder from pressure to cautery to packing.
→ Prep the tray ComingSection fills out over time.