Cardiothoracic
The triangle of safety
What is the lateral border of pectoralis major, anterior border of latissimus dorsi, 5th intercostal space, and axilla
Contraindication for intraarticular block
What is coagulopathy
Contraindications to femoral central line
What is pelvic or intraabdominal vascular injury
Steps of infraorbital nerve block
Identify upper 2nd pre-molar, advance needle into buccal space above this tooth approximately 2cm, inject lidocaine as you retract
Suture technique for high-tension area
What are horizontal mattress sutures
US findings indicating need for pericardiocentesis
What is a plethoric IVC, pericardial effusion, and right-sided collapse. Earliest finding is RA systolic collapse, then RV diastolic collapse.
Best reduction technique for an arm stuck superiorly elevated
What is traction/countertraction
Central line site with lowest risk of infection
What is subclavian
Maximum dose of ropivacaine
What is 3 mg/kg alone, 4mg/kg with epi
LP contraindications
What are platelets <50k, overlying cellulitis, spinal abnormality, space-occupying lesions
Absolute contraindications to thoracostomy
What is variant anatomy? Consider coagulopathy, diaphragmatic hernia, loculated effusions as relative contraindications.
Management for elbow dislocation with varus laxity after reduction
What is posterior long arm splint with orthopedics follow-up
Bag pressure for arterial line
What is 250-300mmHg
Best sedative option if you are concerned about potential aspiration
What is Ketamine
Steps of corneal foreign body removal
Two primary reasons for Transvenous pacing
What is symptomatic bradycardias and overdrive pacing
Method with the highest successful reduction rate for hip dislocations
Age the greater tubercle of humerus becomes a reliable landmark
What is after ossification at 5-7 years old
Key consent risks and benefits for nerve block
Risks: bleeding, infection, nerve damage, incomplete block, reaction to medication such as allergic reaction or medication toxicity. Benefits: reduce pain, reduce need for pain medications and their side effects
Anatomic location for wrist arthrocentesis
What is distal to Lister's tubercle and ulnar to extensor pollicis longus tendon
Mode for Transvenous pacing generator
What is asynchronous
Key neurologic exam after reduction of anterior shoulder dislocation
What is axillary nerve sensation
Steps for placing umbilical vein catheter
Cut ~2cm above umbilicus, place catheter advancing 4-5cm, tie at base of umbilicus and secure with H-taping
ASA physical status scores considered for ED procedural sedation
Physical status 1, 2, and 3 generally safe in ED. If 4, 5, 6, consider alternatives or OR sedation with anesthesia
Preferred suture for cartilage repair
What is 4-0 PDS on a taper-point needle