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Harman Gill
I am a proud Indian by ethnicity and Sikh by religion who lives in the lovely upper valley here in New Hampshire. I love to host, cook and engage in health conversations and loud debates where decibels can be raised but respect is never lost! Talk to you soon!
Shyam Murali
Academic Chief Resident at Mercy St. Vincent Medical Center, pursuing a surgical critical care fellowship. His first steps into FOAMed started off with him learning something new each day and sharing it with MedTwitter. Days off include jamming on his saxophone, making EDM remixes, and spending quality time with his wife and puppy.
The essentials (if you really want to know: watch the video!):
- Still want to know: get the kit and ergonomics essentials from the previous videos (Part 1 and Part 2)!
- One hand technique vs having a helping hand to drape the US probe; this is a big area of procedural contamination.
- There are different types of introducer needles – check your kit or watch the video
- Sharp angle for introducer needle entry and then drop the angle when you advance wire
- Confirm wire in two planes with US
- Avoid skin tags
- Once you feel the ‘give’ with the dilator, make sure the wire advances and retracts with no resistance
- Angle of dilation should mimic the angle of introducer needle entry…not sure what this means…watch the video!
