Field Guide to Urgent and Ambulatory Care Procedures

I. THE EYE

Use of the Slit Lamp
Tonometry
Foreign-Body Removal from the Eye

II. THE NOSE

Nasal Foreign-Body Removal
Urgent Management of Nasal Fracture
Epistaxis

III. THE EAR

Management of a Foreign Body in the Ear Canal and Removal of Impacted Cerumen
Lacerations of the Ear
Management of Auricular Hematoma

IV. THE MOUTH

Immediate Management of Tooth Fracture and Avulsion
Lip Laceration and Vermilion Border Repair
Reduction of a Dislocated Mandible
Urgent Management of Dental Abscess
Intraoral Anesthetic Techniques and Supraperiosteal Dental Nerve Block

V. AIRWAY PROCEDURES

Laryngoscopy: Direct, Indirect, and Flexible Fiberoptic Techniques
Rapid-Sequence Intubation
Endotracheal Intubation
Cricothyroidotomy

VI. THE CHEST

Intercostal Nerve Blocks
Needle Thoracentesis Procedures: Tension Pneumothorax and Pleural Effusions
Insertion of a Chest Tube

VII. CARDIOVASCULAR

Intravenous Access Techniques

Peripheral Venous Access Procedures for Limb Veins
Percutaneous Internal Jugular Vein Catheterization
Percutaneous Subclavian Vein Catheterization
Percutaneous Femoral Vein Catheterization
Intraosseous Venous Access
Venous Cutdown Techniques


Arterial Puncture: Radial, Femoral, and Brachial
Pericardiocentesis
Defibrillation and Emergent Cardioversion
Temporary Pacing Techniques: External and Transvenous

VIII. GASTROINTESTINAL

Anoscopy
Nasogastric Tube Placement
Temporary Gastrostomy Tube Replacement with a Foley Catheter
Urgent Management of Thrombosed Hemorrhoids
Incision and Drainage of a Perianal Abscess
Abdominal Paracentesis
Peritoneal Lavage
Incision and Drainage of a Pilonidal Abscess
Urgent Management of Inguinal Hernia

IX. GENITOURINARY

Urgent Management of a Bartholin's Abscess/Cyst, Including Word Catheter Placement
Postcoital Contraception
Foley Catheter Insertion
Urgent Management of Phimosis and Paraphimosis
Urgent Management of Priapism
Suprapubic Bladder Aspiration and Placement of a Suprapubic Catheter

X. THE SKIN

Incision and Drainage of an Abscess
Urgent Management of Minor Burns and Frostbite
Repair of Lacerations
Urgent Management of a Sebaceous Cyst
Regional Anesthetic Techniques: Field Blocks and Peripheral Nerve Blocks
Tick Removal
Fishhook and Skin Foreign-Body Removal

XI. MUSCULOSKELETAL

Aspiration and Injection of a Joint
Casting Techniques
A. The Hand and Wrist

Incision and Drainage of a Paronychia and Felon
Urgent Management of Simple Dislocation or Fracture of a Finger
Ring Removal
Urgent Management of Simple Metacarpal Fractures
Urgent Management of Fingertip Amputations
Urgent Management of Nail and Nailbed Injuries
Urgent Management of Extensor Tendon Injuries of the Hand
B. The Elbow

Management of a Subluxed Radial Head: Nursemaid's Elbow
Urgent Management of a Dislocated Elbow
C. The Shoulder

Urgent Management of a Shoulder Dislocation
D. Pelvis and Hip

Urgent Management of Hip Dislocation
E. The Knee
Urgent Management of a Dislocated Patella
F. The Ankle and Foot
Splinting of Ankle Injuries
Urgent Management of an Ingrown Toenail
Urgent Management of Simple Metatarsal Fractures
Urgent Management of Simple Toe Fractures and Dislocations

XII. ADVANCED PROCEDURES

Lumbar Puncture
Ultrasound Techniques in the Urgent Care Setting
Emergent Childbirth
Conscious Sedation