Procedures done in the Emergency Department are really painful. Research done in Kenya (READ MORE) showed that we’re doing loads of these but anecdotally the patients received minimal analgesia. Stop the SCREAMING…learn Procedural Sedation and Analgesia…it’s easy and more humane
- The hand is cleaned appropriately with betadine or chlorhexidine and a 25 gauge needle is inserted at the palmar digital crease penetrating through the flexor tendons to the bone.
- The needle is then withdrawn slowly while applying gentle pressure to the plunger of the syringe. Once the needle is in the tendon sheath space, the lidocaine flows easily.
To avoid necrosis at the urethral penile-scrotal junction caused by prolonged catheter pressure, it is recommended to secure urinary catheters to males’ abdomen. The catheter has to be positioned in a soft curve towards the femur and can be fixed with a securing device, tape, velcro™ or a pocket for the bag […] the same principles of stabilisation apply to suprapubic catheters.