___ Fracture/Dislocation Reduction The patient gave verbal consent for this procedure knowing all risks, benefits and alternatives. A time out was taken to ensure that the proper patient and proper procedure were accounted for. A traction/countertraction technique was used to reduce the ___ fracture to an anatomical position. There were excellent neurovascular qualities intact prior … More Fracture/Dislocation Reduction Procedure

Flu, COVID & Viral Syndrome MDM Last reviewed: March 2026Contents MDM Templates Viral Syndrome Influenza COVID-19 Clinical Education Antiviral Selection Paxlovid Pearls High-Risk Populations Steroids in Viral Illness Bacterial Superinfection References MDM Templates Viral Syndrome Patient with suspected Viral Syndrome given fever, cough, sore throat, myalgias, and malaise. They do not demonstrate high risk comorbid … More Viral Syndromes (Flu, COVID, etc) MDM

The patient required procedural sedation for ___ Pre-Sedation _X_ Procedure and sedation options, risks, and benefits explained _X_ Pre-sedation assessment performed Full written and verbal consent were obtained prior to sedation. Generally speaking, procedures and procedural sedation performed in the ED are undertaken in an emergent fashion. Although NPO status is always a consideration, the … More Procedural Sedation Procedure

Patient’s ___ volar wrist was prepped and cleansed the usual sterile fashion. A time out was undertaken to determine that this was the correct patient and the correct procedure for this patient. The radial pulse was palpated and the needle provided in the kit was used to cannulate the radial artery without complication. Using the … More A-Line Procedure

Tibial IO The patient was clearly in need of venous access and the team including nursing and physician were unable to immediately establish a peripheral IV. Therefore, an intraosseous line was chosen as the preferred venous access. The patient’s ___ tibia was prepped and cleansed in the usual sterile fashion. The ___ blue IO needle … More IO Procedure

LVAD Problems LVAD Problems MDM Last reviewed: March 2026 Contents MDM Templates LVAD Hypotension LVAD Altered Mental Status / Intracranial Hemorrhage LVAD General Approach Clinical Education Device Basics and Normal Parameters ECHO-Guided Management Algorithm Pump Thrombosis and Device Malfunction Bleeding Complications and Anticoagulation BLS/ACLS Modifications with LVAD Blood Pressure Measurement in LVAD Arrhythmias and Management … More LVAD Problems MDM

HPI: presenting after GSW that occurred just prior to arrival. Patient complains of pain in the ___ Patient states that the injury occurred at ___ Pain is described as moderate in nature and worse with movement. Patient states assault was unprovoked. Patient states that they do not know the assailant. Denies head trauma. Denies loss … More GSW Note

The patient’s nurses had difficulty establishing a peripheral IV, so I have been asked to assist in this procedure. A time out was undertaken to determine that this was the correct patient and the correct procedure for this patient. The patient’s right upper extremity was addressed. Ultrasound guidance was used though no images or videoclips … More Peripheral IV US Guided Procedure

Aortic Dissection MDM Last reviewed: March 2026Contents MDM Templates Aortic Dissection Critical Care Time Clinical Education Stanford Classification Anti-Impulse Therapy Malperfusion Syndromes ADD-RS & D-Dimer Rule-Out Complications Exam & Presentation Pearls References MDM Templates Aortic Dissection Patient with acute aortic dissection identified on CTA. Stanford Type: *** (ascending / descending). No signs of tamponade, malperfusion … More Aortic Dissection MDM

Cardiopulmonary ECHO Trauma FAST AAA r/o Retinal Detachment r/o   Cardiopulmonary ECHO Due to this patient’s [Shortness of Breath/Chest Pain], a focused bedside sonography for pulmonary and cardiac function was indicated. Bedside ultrasonography was utilized to complete this procedure. Cardiac evaluation: Both the parasternal and subxiphoid approaches were used to visualize the heart and pericardial … More Bedside Ultrasound Procedure