Resources:
Review Hemodynamic access for the crashing patient: The dirty double [This post recommends the simultaneous placement, in the hemodynamically unstable patient, of a femoral venous catheter (first, since it is most immediately useful) and then next immediately place a femoral arterial catheter) . Dr. Farcas reminds us, as do other experts, that for the hemodynamically unstable patient rapid sequence intubation and positive pressure ventilation can make things worse – sometimes a lot worse.]
March 1, 2015 by Dr. Josh Farkas of Pulmcrit. See About Pulmcare and Pulmcare Table Of Contents. Dr. Farkas’ site is outstanding. Take a few minutes to explore his Table of Contents. You will be rewarded.
Emergency central venous catheterization during trama resuscitation: a safety analysis by site. [PubMed Abstract].
Review every resource in the EmCrit show notes of Podcast 156–The Central Line Show–Part 1: Avoiding Complications.
And then review every resource in the EmCrit show notes of Podcast 157 – Central Lines II – Placement Tips.
Placement of a Femoral Venous Catheter NEJM YouTube video.
Ultrasound Guided Femoral Central Line Insertion YouTube video by Dr. Larry Mellick.