Conducted energy device dart removal - Revision history

ClaireLewis at 15:49, 9 October 2019

2019-10-09T15:49:05Z

← Revisión anterior		Revisión del 15:49 9 oct 2019
Línea 1:		Línea 1:
	==Overview==		==Overview==
	* Conducted Energy Devices are used by law enforcement to help secure and control ~~suspects who are combative~~		* [[taser\|Conducted Energy Devices]] (e.g. Tasers) are used by law enforcement to help secure and control individuals
	* Conducted Energy Devices can:		* Conducted Energy Devices can:
	** Temporarily incapacitate a ~~suspect~~		** Temporarily incapacitate a person
	** Cause serious injury and rarely death		** Cause serious injury and rarely death

	==Indications==		==Indications==
	* Conducted Energy Device (CED) probe dart ~~deployment by law enforcement to subdue a suspect~~		* History of Conducted Energy Device (CED) deployment with CED probe dart remaining in patient

	==Contraindications==		==Contraindications==
Línea 20:		Línea 20:
	# Use trauma shears to cut wire at base of each dart cylinder to disconnect the dart(s) from the CED		# Use trauma shears to cut wire at base of each dart cylinder to disconnect the dart(s) from the CED
	#*May cut at longer length and wrap around hand for greater grip		#*May cut at longer length and wrap around hand for greater grip
	# While wearing gloves grasp the cylinder of the dart between thumb and index finger of one hand while stabilizing penetration location by holding skin ~~taunt~~ with other hand		# While wearing gloves grasp the cylinder of the dart between thumb and index finger of one hand while stabilizing penetration location by holding skin taut with other hand
	# Remove dart with a quick, firm pull directed perpendicular to skin surface		# Remove dart with a quick, firm pull directed perpendicular to skin surface
	# Dispose of dart in sharps container as would for any contaminated sharp unless law enforcement requests them as evidence then place in puncture proof specimen cup		# Dispose of dart in sharps container as would for any contaminated sharp unless law enforcement requests them as evidence then place in puncture proof specimen cup
Línea 26:		Línea 26:
	# Cleanse wound and surrounding skin with saline or alcohol		# Cleanse wound and surrounding skin with saline or alcohol
	# Cover small puncture wound with sterile dressing		# Cover small puncture wound with sterile dressing
	# ~~Validate~~ [[tetanus vaccination]] status of individual -- if not current administer tetanus shot within 72 hours of removal		# Update [[tetanus vaccination]] status of individual -- if not current administer tetanus shot within 72 hours of removal
	# Give wound care instructions to include that patient should seek medical attention if any signs of infection such as fever, increased pain, redness, warmth, swelling, or purulent discharge develops around one or more of the wounds		# Give wound care instructions to include that patient should seek medical attention if any signs of infection such as fever, increased pain, redness, warmth, swelling, or purulent discharge develops around one or more of the wounds

Línea 42:		Línea 42:

	==See Also==		==See Also==
	[[Conducted Energy Device]]		*[[Conducted Energy Device]]

	==External Links==		==External Links==
Línea 51:		Línea 51:

	[[Category:Procedures]]		[[Category:Procedures]]
			[[Category:Trauma]]

Rossdonaldson1: /* Procedure */

2018-02-27T09:34:58Z

Procedure

← Revisión anterior		Revisión del 09:34 27 feb 2018
Línea 19:		Línea 19:
	# Ensure CED is longer applying electrical charge prior to contact with patient, darts, or wires		# Ensure CED is longer applying electrical charge prior to contact with patient, darts, or wires
	# Use trauma shears to cut wire at base of each dart cylinder to disconnect the dart(s) from the CED		# Use trauma shears to cut wire at base of each dart cylinder to disconnect the dart(s) from the CED
			#*May cut at longer length and wrap around hand for greater grip
	# While wearing gloves grasp the cylinder of the dart between thumb and index finger of one hand while stabilizing penetration location by holding skin taunt with other hand		# While wearing gloves grasp the cylinder of the dart between thumb and index finger of one hand while stabilizing penetration location by holding skin taunt with other hand
	# Remove dart with a quick, firm pull directed perpendicular to skin surface		# Remove dart with a quick, firm pull directed perpendicular to skin surface

Rossdonaldson1: /* Procedure */

2018-02-27T09:33:18Z

Procedure

← Revisión anterior		Revisión del 09:33 27 feb 2018
Línea 25:		Línea 25:
	# Cleanse wound and surrounding skin with saline or alcohol		# Cleanse wound and surrounding skin with saline or alcohol
	# Cover small puncture wound with sterile dressing		# Cover small puncture wound with sterile dressing
	# Validate tetanus vaccination status of individual -- if not current administer tetanus shot within 72 hours of removal		# Validate [[tetanus vaccination]] status of individual -- if not current administer tetanus shot within 72 hours of removal
	# Give wound care instructions to include that patient should seek medical attention if any signs of infection such as fever, increased pain, redness, warmth, swelling, or purulent discharge develops around one or more of the wounds		# Give wound care instructions to include that patient should seek medical attention if any signs of infection such as fever, increased pain, redness, warmth, swelling, or purulent discharge develops around one or more of the wounds

Rossdonaldson1: Rossdonaldson1 moved page Conducted Energy Device Dart Removal to Conducted energy device dart removal

2018-02-27T09:31:40Z

Rossdonaldson1 moved page Conducted Energy Device Dart Removal to Conducted energy device dart removal

← Revisión anterior	Revisión del 09:31 27 feb 2018
(Sin diferencias)

RSarlay: Created page with "==Overview== * Conducted Energy Devices are used by law enforcement to help secure and control suspects who are combative * Conducted Energy Devices can: ** Temporarily incapa..."

2018-02-05T02:41:27Z

Created page with "==Overview== * Conducted Energy Devices are used by law enforcement to help secure and control suspects who are combative * Conducted Energy Devices can: ** Temporarily incapa..."

Página nueva

==Overview==
* Conducted Energy Devices are used by law enforcement to help secure and control suspects who are combative
* Conducted Energy Devices can:
** Temporarily incapacitate a suspect
** Cause serious injury and rarely death

==Indications==
* Conducted Energy Device (CED) probe dart deployment by law enforcement to subdue a suspect

==Contraindications==
* Specialist consultation may be required if dart is embedded in face, neck, groin, or eye

==Equipment Needed==
* Trauma shears
* Gloves
* Sterile dressing

==Procedure==
# Ensure CED is longer applying electrical charge prior to contact with patient, darts, or wires
# Use trauma shears to cut wire at base of each dart cylinder to disconnect the dart(s) from the CED
# While wearing gloves grasp the cylinder of the dart between thumb and index finger of one hand while stabilizing penetration location by holding skin taunt with other hand
# Remove dart with a quick, firm pull directed perpendicular to skin surface
# Dispose of dart in sharps container as would for any contaminated sharp unless law enforcement requests them as evidence then place in puncture proof specimen cup
# Repeat for each embedded dart in patient
# Cleanse wound and surrounding skin with saline or alcohol
# Cover small puncture wound with sterile dressing
# Validate tetanus vaccination status of individual -- if not current administer tetanus shot within 72 hours of removal
# Give wound care instructions to include that patient should seek medical attention if any signs of infection such as fever, increased pain, redness, warmth, swelling, or purulent discharge develops around one or more of the wounds

==Complications==
* Immediate - none
* Delayed - wound infection, tetanus

==Documentation Requirements==
* Patient's presenting signs/symptoms, vital signs, and level of consciousness
* Indications for removal
* Time of removal
* Location of dart(s) embedment
* Findings/results of dart removal
* Repeat assessment including vital signs, level of consciousness after removal

==See Also==
[[Conducted Energy Device]]

==External Links==

==References==
<references/>

[[Category:Procedures]]