Interventions & Procedures

Comprehensive guide to airway assessment, equipment selection, technique, and troubleshooting for emergency intubation.

Surgical airway technique, indications, anatomy, step-by-step procedure, and emergency considerations.

Medication selection, dosing strategies, preparation checklist, and common pitfalls in emergency RSI.

Open the airway with positioning, oral and nasal adjuncts and suction, within the contraindications and time limits that keep it safe.

Two-handed seal, one-second breaths to visible chest rise, and rates that change once an advanced airway is placed.

Ventilate without a laryngoscope: size by weight, confirm with EtCO₂ every time, and plan the next step before you need it.

Read the waveform before the number: confirm tube position, track CPR and ROSC, and catch hypoventilation during sedation.

Positive pressure and high-flow oxygen for the failing breather: set it up, titrate it and know when to stop.

Predict the difficult airway before induction, then follow a set plan: bag-mask, supraglottic airway, then surgical airway.

Relieve severe choking fast: 5 back blows and 5 thrusts for adults and children, back blows with chest thrusts for infants.

Clear the tube first, keep oxygen on the face and stoma, and never blindly reinsert a young stoma.

Indications, contraindications, energy selection, procedural steps, and post-cardioversion monitoring.

External cardiac pacing for symptomatic bradycardia — indications, capture confirmation, and troubleshooting.

Shock the shockable rhythm without delay, then resume CPR at once: energies, pad positions and pediatric doses.

Place the electrodes at the standard landmarks, check the tracing for reversal and artifact, then transmit or repeat.

Push hard and fast, let the chest recoil and rotate every 2 minutes: the 2025 AHA technique for every age.

Mechanical compressions for when manual CPR is impractical or unsafe: deploy with short pauses, confirm perfusion, never delay the shock.

Pick a lead that shows the rhythm, watch ST and QTc trends, and check every alarm against the patient.

Modified Valsalva before adenosine for stable regular narrow-complex SVT: the strain, the leg raise and the one-minute check.

Site selection, catheter sizing, insertion technique, troubleshooting, and special populations.

IO insertion sites, device selection, placement technique, and infusion considerations.

Safe bedside blood administration: two-person checks, saline-only lines, the stable-patient 7 g/dL threshold, and early reaction response.

Continuous arterial pressure: site choice, transducer leveling and zeroing, fast-flush test, waveform reading and transport.

Site choice, ultrasound-guided insertion, venous and tip confirmation, the CLABSI bundle and safe removal at the bedside.

Comprehensive reference for hemodialysis principles, vascular access, circuit components, prescription, and complications.

Peritoneal dialysis principles, catheter management, exchange procedure, and troubleshooting for EMS and ICU settings.

Stop life-threatening limb bleeding: tourniquet placement and time limits, hemostatic packing, junctional limits and TXA timing.

Rescue decompression for tension pneumothorax: recognize it, choose the site, decompress without delay, then convert to a chest tube.

Chest drain insertion assist and bedside management: the three-chamber system, tidaling, air leaks, clamping and output limits.

Limit spine movement only when a trigger is present: sized collar, secure device and transfers that keep the head, neck and torso aligned.

Find and stop the life threat first: control bleeding, secure the airway, then survey head to toe and reassess.

Pelvic binder for suspected pelvic fracture: trochanter placement, selective use, the 2025 NAEMSP caution and complications.

Immobilize suspected fractures to control pain and movement: static splint first, traction only after exclusion checks.

Delivery that cannot wait for a hospital: a safe birth, control of bleeding after birth and a newborn ready for handoff.

Shoulder dystocia, breech, cord prolapse and malpresentation at the bedside: what to do, what not to do, and when to transfer.

Bedside medical assessment: primary survey, vital signs, SAMPLE and OPQRST history, focused exam and reassessment.

Focused bedside ultrasound that answers one question at a time: free fluid, lung sliding, heart filling and arrest causes.

Sort fast on scene by walking, breathing, perfusion and mental status. Tag each patient, treat the immediate ones, and re-triage.

Measuring, placing and confirming NG and OG tubes at the bedside, with pH or X-ray confirmation before any feed or medication.

Verify, push at the labeled rate, flush, and watch the site: bedside steps for bolus, piggyback and infusion drugs.

Bedside IM and subcutaneous injection: epinephrine and nerve-agent autoinjectors, sites, needle length and technique.

Mucosal atomizer technique, dead space, device limits and verified intranasal doses for naloxone, glucagon, midazolam and fentanyl.

Nebulizer, MDI with spacer and ventilator in-line technique, with verified asthma doses; COPD dosing is per protocol.

Analgesia first, sedation titrated to effect, and a ready airway at every step of a painful procedure.