EM Skills & Procedures Lab - Dayton, OH

October 27, 2016

The following procedures have been taken from the various Delineation of Privileges and divided into three groups based on how these skills would best be taught to the Midlevel Providers. The first grouping, EM Advanced Skills, will become the syllabus for the Procedures modules and Skills labs. The second group, taught at the bedside, will require one-on-one training. All procedures, I suggest, should be logged by MLP after training is completed.


EM Advanced Skills- Manual skills that require hands-on training in the lab using cadaver or simulation manikins:

  1. Basic and advanced wound care techniques, including I/D abscesses, burn and abrasion debridement and care, and repair of nail bed lacerations, extensor tendon repair
  2. Regional anesthesia
  3. Arthrocentesis
  4. Endotracheal intubation
  5. Cricothyrotomy/surgical airway
  6. Central venous access and central line placement
  7. Intra-osseous device insertion and management
  8. Needle thoracostomy
  9.  Chest tube thoracostomy insertion and management
  10.  Lumbar puncture
  11.  Thoracentesis
  12. Paracentesis


Procedures and manual skills that are taught in the ED by physicians in the ED practice environment with 1:1 supervision of the Midlevel Provider:

  1. Nail trephination for subungual hematoma
  2. Finger or toe nail removal
  3. Procedural sedation and rapid sequence intubation
  4. Administration of medication: oral, IV, IM
  5. Venipuncture and blood collection
  6. Peripheral vascular access techniques
  7. Arterial puncture and AB sampling
  8. Foreign body removal from nose, ears, soft tissue, throat, vagina, rectum
  9. Anoscopy
  10. Fracture reduction, joint reduction, application of splints
  11. Spine immobilization techniques; immobilization device removal
  12. Epistaxis management
  13. Oro-gastric and nasogastric tube insertion and management
  14. Slit lamp examination; corneal foreign body removal; ocular tonometry
  15. Urethral catheter placement and management
  16. Ordering and initial interpretation of EKGs
  17. Ordering and initial interpretation of plain radiographs
  18. Management of obstetric patients for non-obstetric complaints and conditions
  19. Evaluation of obstetric patients for possible labor



Certified skills- Skills that are outsourced to pre-existing courses for certification

  1. PALS
  2. ACLS
  3. EM ultrasonography for vascular access

Target Audience

USACS Physicians & Advanced Practice Providers

Learning Objectives

Providers will be able to demonstrate competency in all identified skills.

Providers will be able to demonstrate knowledge of the correct use of the equipment necessary to perform each of these EM procedures.

Course summary
Available credit: 
  • 7.00 AMA PRA Category 1 Credits™
  • 7.00 Certificate of Participation
Course opens: 
Course expires: 
Event starts: 
10/27/2016 - 7:00am EDT
Event ends: 
10/27/2016 - 5:00pm EDT
Wright State University
Dayton, OH
United States

Joan Kolodzik, MD

Teresita Morales-Yurik, MD

Allex Cook, PA-C

Tim Hall, MD

Rebecca Ruth, PA-C

Keith Benson, PA-C

Available Credit

  • 7.00 AMA PRA Category 1 Credits™
  • 7.00 Certificate of Participation


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