Harbor:Procedures Videos

Airway Management

• Bag-mask ventilation

• Orotracheal intubation
  • Cricoid pressure as advised by the video is no longer recommended
  • However, bimanual laryngoscopy will definitely enhance your view!

• Surgical airway (cricothyroidotomy)
  • Scott Weingart Overview
  • Seldinger technique with kit
  • Using a Bougie
  • Video with a cadaver (no kit)

• Procedural sedation
  • Dr. Birnbaumer (start at minute 25) https://www.youtube.com/watch?v=wvHXYr3j1y0

Vascular Access

• Internal jugular central venous catheter (CVC) insertion

• Subclavian central venous catheter (CVC) insertion

• Femoral central venous catheter (CVC) insertion
  • Non-ultrasound guided ("blind") procedure
  • Introduces sheath introducer catheter (large-bore, Cordis)

• Interosseous line placement

• Umbilical central line placement
  • Umbilical vein (more likely to be used in ED) and umbilical artery

• Transvenous pacemaker insertion
  • Drexel video
  • EM:RAP HD video

• External jugular peripheral IV placement

• Ultrasound-guided peripheral IV placement

• Arterial line insertion

Wound Care

• Basic laceration repair

• Additional suture techniques for complex lacerations
  • Buried sutures, vertical and horizontal mattress sutures, running sutures
  • Video produced by the Duke plastic surgery program

• Corner stitch
  • For stellate or V-shaped lacerations

• Figure-of-eight suture
  • To achieve hemostasis of superficial vascular bleeding

• Abscess incision and drainage

• Paronychia drainage

Draining Body Fluids

• Paracentesis

• Lumbar puncture

• Needle aspiration of pneumothorax

• Thoracentesis

• Pigtail catheter thoracostomy
  • Step-by-step instructions
  • Procedure on a real patient
  • Can be considered for spontaneous or small traumatic pneumothorax

• Pericardiocentesis

Trauma

• Chest tube insertion

• Surgeon's knots
  • One- and two- handed ties

• ED Thoracotomy

• Lateral canthotomy
  • EM:RAP HD video
  • Another video

• Corneal foreign body removal

Orthopedic

• Basic splinting techniques

• Anterior shoulder dislocation reduction
  • Davos technique
  • Ten techniques including Stimson, Cunningham, Fares

• Arthrocentesis of knee
• Arthrocentesis of wrist

Nerve Blocks

• Digital nerve block

• HEENT Blocks
  • Supraorbital nerve
  • Infraorbital nerve
  • Inferior alveolar nerve
  • Supraperiosteal nerve (single tooth)
  • Auricular nerve

Other

• Blakemore tube
  • Written instructions from emcrit
  • Explanation from LITFL

• Modified Valsalva technique for SVT
  • RebelEM REVERT trial review