Urinary Catheterization

• Female

Female Urethral Catheterization NEJM

• Male

Male Urethral Catheterization NEJM

Peripheral IV

https://www.youtube.com/watch?v=qRWb9CJU0Yk&feature=youtu.be

Nasogastric tube

https://www.youtube.com/watch?v=ARHfqRB3t4M&feature=youtu.be

Intubation

What do you need when intubating a patient?

SOAPME:

• Suction
• Oxygen
  • Bag-valve mask for pre-oxygenation
  • ETT size = age/4 + 4
• Airway Equipment
  • Endotracheal tube (ETT)
  • Laryngoscope blades (Miller, Mac)
  • Airway adjuncts
• People, Positioning, Pharmacy
  • Pain/Memory Control:
    • Narcotic, benzo?
    • Induction agents: ketamine, fentanyl, etomidate
  • Paralysis:
    • Rocuronium, succinylcholine
    • Note: Use caution in neuromuscular disease/renal failure due to hyperkalemia risk
  • Emergency medications:
    • Atropine (for vagal response)
    • Epinephrine
    • Bicarbonate
    • Calcium
• Monitoring