Performing incision and drainage on an abscess is painful for the patient. I realize that is as obvious a statement as I could possibly make. I wanted to briefly touch on some of the many interventions that you can use to decrease pain during I&D.
Check out these resources that reinforce concepts taught in a recent education session at Cincinnati Childrens.
Check out a brief video on how to reduce a dislocated finger.
I've recently shared posts on Loop abscess and drainage as well as on the utility and need for packing abscesses. I've concluded, for the time being, that it is likely appropriate to pack abscesses greater than 5cm. But, is there something other than stuffing a [...]
When I was first taught how to drain an abscess I was taught to pack most with ¼ inch gauze. Initially it was iodoform gauze, later just plain old ribbon gauze. As with many things I felt like it worked and had no impetus to change. [...]
This excellent article comes courtesy of Cincinnati Children's Hospital Medical Center senior resident Landon Krantz, MD - who performed a thorough literature review and wrote a concise, informative review of the titular technique. Subcutaneous abscesses are a common presenting problem in pediatric emergency rooms, and [...]
This post was written by Meredith Posner Shuch, a senior resident at Cincinnati Children's Hospital Medical Center as a component of the Emergency Department Procedure Elective. Digital nerve blocks provide anesthesia for many procedures in the ED, including finger lacerations, paronychia drainage, finger reductions, and [...]
In adults calculating the ankle-brachial index (ABI) is a relatively simple way to confirm the clinical suspicion of lower extremity arterial occlusive disease. In pediatric lower extremity limb injury patients where vascular compromise is a concern (think bad fractures, lawnmower calamities) it may also be a helpful test. [...]
Do you have 7 minutes and 22 seconds to learn more about endotracheal intubation? Of course your do! Watch this brief video I originally made for AAP's PediaLink educational portal that reviews the basic technique of direct laryngoscopy for endotracheal intubation. Edit: [...]
Another informative post by Lauren Riney, one of the excellent Pediatric Emergency Medicine Fellows at Cincinnati Children's Hospital Medical Center. When is ketamine ABSOLUTELY contraindicated? Age younger than 3 months (primarily for risk of airway complications) Schizophrenia (studies show this condition may be exacerbated with ketamine administration) The list of relative [...]