Pearls for Diagnostics and Procedures
1. Follow your local guidelines and policies.
2. Ask for help if needed.
3. Testing should not come before resuscitation.
Appendix
- Airway and Endotracheal Tubes
- Mechanical Ventilators, Non-Invasive Positive Pressure Ventilation (NIPPV) and High-Flow Nasal Cannula
- Invasive Hemodynamics
- Vascular Access
- Diagnostic Swabs & Blood Draws
- Gastric Tube Insertion
- Managing Multiple Infusions
Airway and Endotracheal Tubes
Suctioning an Endotracheal Tube
Mechanical Ventilators, NIPPV, High-Flow Nasal Cannula
Invasive Hemodynamics
Arteral Line Setup
Vascular Access
Central Venous Catheter Access
This video is for pediatrics; however, it is a similar process for adults.
Peripheral IV Insertion
Diagnostic Swabs & Blood Draws
Nasophrayngeal Swab
Follow your local PPE guidelines!
Peripheral Blood Draw for Blood Work
Gastric Tube Insertion
Nasogastric Tube Insertion
In Critical Care, the standard is to confirm placement of any gastric tube with an abdominal x-ray.
This patient is awake; however, the same procedure applies for an intubated patient.
Orogastric Tube Insertion
It is more common to see nurses insert the orogastric tube without the aid of the second ETT in this video; however, the failure rate is fairly high without the second ETT. We recommend this technique from ALiEM but as always, please follow your local guidelines.