Should Fluoro be Your New Go-To?

Part Three in a Three-Part Series   This is the third and final part of our series on foreign bodies and fluoroscopy. Click here for part one and here for part two.   This month, we walk you through a step-by-step guide with bonus video footage to aid in your technique. This progressive procedure is absolutely significant to your practice, and we hope you all get a chance to try it.     The Approach n        Identification of foreign body on plain film or ultrasound n         Saphenous or posterior tibial nerve block n         Enlargement of the wound or entrance site using incision or skin cutting n         Blunt or sharp dissection of the associated tissue n         Foreign body removal using fluoroscopy n         Copious irrigation n         Close follow-up with podiatry n         Infection risk considerations, antibiotic coverage, and proper dressing   The Pause Are you prepared to get leaded up? You need to wear lead protection while doing this procedure. Be sure to remove any excess clothing or equipment before starting, and wear upper and lower lead in the radiology testing area (or even if you are using the portable C-arm). A thyroid protector is always suggested. If you are pregnant, we suggest opting out of performing the procedure, although studies have shown it is safe as long as you are properly covered. The guidelines for lead wear are standard per your facility. Most lead ...
Source: The Procedural Pause - Category: Emergency Medicine Tags: Blog Posts Source Type: blogs