✅ Indications for Push-Pull Bolus: Typical Fluid Dose: Push-Pull Technique Using a 3-Way Stopcock Equipment Needed: ✅ Steps to Set Up: ✅ Pro Tips: Keep the IV site visible—stop immediately if infiltration is suspected. Use the largest-bore IV possible for effective flow rates. Limit disconnections to maintain sterility and prevent air embolism. Monitor for signs […]
Author: Haroon Shaukat MD
I was born and raised in Silver Spring, Maryland, but with very little knowledge of all things DC. “Crabs and football, that’s what Maryland does”, unfortunately I could only partake in one of those. I grew up with a crab allergy so blue crabs are a make believe creature to me, much like the lochness monster. I decided to take the leap of faith and attend medical school abroad but family and home could not keep me away for too long. Residency took me to New Jersey where I began to cultivate my love for medical education and low tolerance for poor pain control. Did I mention I also learned that I outgrew my crab allergy in NJ! Alas, to the DMV I return! Hopefully to contribute to medical education and quality improvement while feasting on a Maryland blue crab or two.
Nasogastric Tube Placement Guide
✅ Preparation: ✅ Insertion Procedure: ✅ Secure the Tube: ✅ Confirm Placement (Critical Safety Step): ⚠ Safety Tips: ✅ Example: NG Tube Placement Video – OPENPediatrics
Gastrostomy Replacement Guide
Steps to Replace: *Lidocaine jelly can be used to decrease the pain of insertion but there is no literature about the safety or efficacy of its use for this purpose.* ** If a G-tube has been out for several hours, its stoma may have already started to close. If this occurs, a smaller G-tube can […]
Tracheostomy Replacement Guide
Steps to Replace: ** If unable to obtain a tracheostomy of appropriate size, can use 6.0 endotracheal tube cut down to 12 cm; insert no more than 1 cm past the cuff** VISUALIZE with Videos! CHANGING A TRACHEOSTOMY – OPENPediatrics TRACHEOSTOMY TROUBLE SHOOTING – OPENPediatrics
Intraosseous IO Insertion Guide
✅ When to Use an IO Indications (Emergent situations when IV access is delayed or impossible): Consider IO when: ✅ Equipment Needed: ✅ Common IO Insertion Sites: Site Landmark & Notes Proximal Tibia (Most Common) 2 cm below the tibial tuberosity, medial flat surface Distal Femur (Infants) 2–3 cm above the patella, midline Distal Tibia […]