Residents have the luxury of using the EMSTAT system to record and store their procedures over their 3 years of training. In addition, off-service procedures can be logged into a database on the New Innovations Website. With these two systems, there is no longer a need for recording procedures on paper. Below is a list of all procedures that residents must complete by the end of their EM residency training, as determined by the RRC, and beside each procedure is the minimum number to be completed, as also determined by the RRC. Our residents usually greatly surpass the required numbers.
AIRWAY MANAGEMENT
1. Naso and Endotracheal Intubation (including rapid sequence) 35
2. Cricothyrotomy 3
3. Thoracostomy (chest tube) 10
4. Fiberoptic Laryngoscopy/Intubation
5. Retrograde catheter guided Intubation
6. Transtracheal Jet Ventillation
7. Conscious sedation 15
CARDIO-PULMONARY
1. Cardioversion/Defibrillation 10
2. Open Chest massage (Thoracotomy)
3. Pericardiocentesis 3
4. CVP catheter placement (including IJ, Suclavian, Femoral, Venous Cutdown. Swan-Ganz, Intraosseous) 20
5. Pacing, External or Transvenous 6
ABDOMINAL
1. Diagnostic peritoneal lavage
SPECIAL PROCEDURES
1. Lumbar puncture 15
2. Laceration repair (including nail bed repair) 50
3. Vaginal delivery 10
4. Arthrocentesis
5. Abscess I&D
6. Abdominal Paracentesis
7. Thoracentesis
8. Emergency Bedside Ultrasound 40
ORTHOPEDIC
1. Closed fracture/reduction/splinting 20
2. Reduction of dislocation 10
RESUSCITATIONS
1. Adult, Medical and non-traumatic surgical 45
2. Adult, Trauma 35
3. Pediatric Medical and non-traumatic surgical 15
4. Pediatric, Trauma 10