By Rahul Jandial

Embarking at the first medical rotation in a sanatorium is a frightening adventure for clinicians, as textbook wisdom doesn't unavoidably correlate with the knowledge that's useful ''''in the trenches'''' on the hospital.Whether you're a nurse tending to a principal venous line or an intern putting that line, Code Blue is an vital addition on your arsenal of emergency care wisdom. placed this guide in Read more...

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Code Blue: Bedside Procedures and Critical Information

Embarking at the first medical rotation in a sanatorium is a frightening adventure for clinicians, as textbook wisdom doesn't unavoidably correlate with the information that's beneficial ''''in the trenches'''' on the clinic. no matter if you're a nurse tending to a principal venous line or an intern placing that line, Code Blue is an integral addition in your arsenal of emergency care wisdom.

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Extra resources for Code Blue: Bedside Procedures and Critical Information

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Inflate the tracheostomy tube cuff and bag ventilate the patient’s lungs with 100% oxygen. • Auscultate the chest fields for clear breath sounds bilaterally. • If the patient is less than 12 years of age, a needle cricothyroidotomy should be performed. Fig. 8-2 08_Jandial-r4_029-032:Layout 1 8/2/12 3:26 PM Page 31 Cricothyroidotomy 31 • Insert a 12-gauge angiocatheter with a 5 ml syringe inferiorly at 45 degrees to the skin into the cricothyroid membrane (Fig. 8-3). • Advance the catheter while aspirating with the syringe.

11-4). Enter the pleural space by rolling over the sixth rib. This avoids the neurovascular bundle on the inferior aspect of the ribs. When a rush of air is encountered, the clamp should not be advanced any farther. Spread the clamp to widen the tract, allowing for sufficient space to advance the tonsillar clamp and chest tube. Insert your index finger into the tract and pleural space. Rotate a flexed finger tip circumferentially to free up any adhesions. Fig. 11-3 Fig. 11-4 11_Jandial-r5_045-050:Layout 1 48 8/2/12 3:20 PM Page 48 Cardiothoracic • • • • • Place one Kelly clamp on the distal end of the chest tube.

The J-wire will be in the peritoneal space and the IV catheter can be removed. • Nick the skin adjacent to the entry point of the J-wire and dilate the skin, abdominal tissue, and peritoneum (do insert the dilator past the peritoneum) using the dilator over the J-wire. • Remove the dilator and place a 16-gauge central line catheter over the J-wire and into the peritoneal space. • Remove the J-wire and connect the central line catheter to IV tubing and to a vacuum or drainage bag. Fig. 4-3 04_Jandial-r4_015-018:Layout 1 18 8/2/12 3:34 PM Page 18 Abdominal PEARLS • Oblique needle entry allows the abdominal wall to collapse when the needle is removed.

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