Emergencies: Critical Skills and Procedures

Emergency · Clinical Specialties

How it begins

The Rapid Sequence Intubation (RSI) is the cornerstone of airway management in the emergency department. It consists of the simultaneous administration of a powerful inducing agent and a fast-acting neuromuscular blocking agent to induce unconsciousness and flaccid paralysis, facilitating direct orotracheal intubation or by videolaryngoscopy, minimizing the risk of aspiration of gastric contents.

What it covers

1. Pathophysiology of the Laryngoscopic Reflex
2. The Seven "P's" of the Rapid Intubation Sequence
3. Difficult Airway Prediction: LEMON Criteria
4. Supraglottic Rescue Devices
5. Surgical Anatomy of the Anterior Larynx
6. Three Step Surgical Technique (Bougie Method)
7. Principles of VILI (Ventilator-Induced Lung Injury)
8. Initial Parameters in Assisted-Volume Controlled Ventilation (VCV)
9. Ventilatory Strategies in Critical Pathologies
10. Anatomy of the Three Main Accesses
11. Seldinger's Eco-Guided Technique Step by Step
12. Complications and their Pathophysiological Management
13. Pathophysiology of Intraosseous Circulation
14. Anatomical Insertion Sites
15. Insertion Technique with Motorized Device (EZ-IO)
16. Anatomy of the Radial and Femoral Artery
17. Transfixing Technique vs. Seldinger Direct
18. Pathophysiology of the Pressure Transduction System
19. Pathophysiology of the Pleural Space and Tension Pneumothorax
20. Anatomy of the Safety Triangle
21. Rome Surgical Dissection Technique Step by Step
22. Pathophysiology of Cardiac Tamponade and Beck's Triad
23. Larrey Subxiphoid Approach Technique
24. Approach of Choice: Ultrasound-Guided Pericardiocentesis
25. Strict Physiopathological Indications
26. Surgical Technique of Left Anterolateral Thoracotomy
27. The Four Key Surgical Maneuvers
28. Anatomy of the Lumbar Spine and Tissue Planes
29. Insertion Technique and Aperture Pressure Measurement
30. Interpretation of CSF Results in the Emergency Room
31. Anatomy of the Anterior Abdominal Wall and Puncture Areas
32. "Z" Insertion Technique to Avoid Fistulas
33. Diagnostic Peritoneal Lavage (DPL)
34. Pathophysiology of Urethral Trauma
35. Suprapubic Puncture Technique (Suprapubic Cystostomy)
36. The Windows of the eFAST Protocol (Extended Focused Assessment with Sonography for Trauma)
37. Pleural Extension (eFAST) and Diagnosis of Pneumothorax
38. RUSH Protocol (Rapid Ultrasound in Shock)
39. Pathophysiology of Defibrillation vs. Synchronized Cardioversion
40. Emergency Transcutaneous Pacemaker
41. Safety Checklist in Critical Emergency Procedures
42. Bioethical and Consent Considerations in Emergencies