Lumbar Puncture This seemingly simple procedure seems to be the Achilles’s heel or many resus docs! If you have a good baseline knowledge of how to do the lumbar puncture correctly, it is super easy. If you have bad habits, then you will make your poor patient look like a pin cushion.
EMCrit 332 – Procedural Errors I See at the REANIMATE ECPR Course and How to Place an Intra-Arrest Femoral Arterial Line
Today, the errors and procedural missteps I commonly observe while teaching 100 docs per year how to cannulate for ECMO (but the lessons are not about ECMO, they are about all vascular access in the femoral vessels.)
EMCrit 310 – Transvenous Pacemakers
As you might imagine on an EMCrit podcast, there are a ton of logistical details on placing and managing transvenous pacemakers.
EMCrit 255 – Pigtails for Pleural Problems (Percutaneous Thoracostomy)
Pigtails are just plain nicer
EMCrit 254 – Central Line Tips and Tricks with Robby O and Me from EEM 2019
Central Line Tips and Tricks
EMCrit 210.2 – Arterial Lines – Part 2
Part 2 on Art Lines
EMCrit 210.1 – Arterial Lines (Part 1)
All things Arterial Lines-Part 1
EMCrit 157 – Central Lines II – Placement Tips
Part II of the Central Line Series discusses placement tips
EMCrit 156 – Central Lines – Part I: Avoiding Complications and Confirmation
Stop Effing Up Your Central Lines
EMCrit 62 – Needle vs. Knife II: Needle Thoracostomy (Decompression)?
In this podcast, I explain why I don’t think needle compression is such a clever idea. Main points are: most people can’t find anterior target, most angiocaths won’t reach, and if used diagnostically you may not be in the pleura leading to an unidentified pneumo or hemothorax. Also, when used diagnostically, if the chest was negative you just caused a pneumothorax.