Built for the front lines-this fully revised edition delivers concise, practical, image-rich procedural content where time matters most

Fast, practical, and image-rich, this essential reference streamlines procedural skill-building for emergency, urgent, and primary care clinicians. The new edition featuresfully updated content,clinical tips, andbest-practice guidancefrom expert educators. This core resource coversover 70 key procedures-from injections and splints to laceration repair and diagnostics-with tools to supportcompetent, efficient care. Faculty reviewers consistently praise the text for itsbroad procedural scope,clear visuals, andpractical clinical utilityacross emergency, urgent, and primary care. Users of previous editions highlighted itswell-organized format,step-by-step guidance, and value as ago-to referencefor both students and practicing providers learning or refining essential procedures.

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What's New:

• Expanded focus on urgent and primary careincluding otolaryngology, ophthalmology, cardiology, and musculoskeletal systems
• New chapters on ultrasound, wound care, and IV accessreflect evolving practice standards and point-of-care skills
• Updated airway management contentto include advanced procedural guidance for diverse emergency scenarios
• Revised pharmacology references and protocolsaligned with current prescribing practices and clinical guidelines
• Enhanced visual aids and procedural photosfor clearer step-by-step guidance in critical skills and interventions

Key Features:

• Covers70+ essential procedureswithstep-by-step instructions,clinical pearls,full-color images, andupdated urgent care content
• Builds the confidence and competence needed toperform common procedures safely,improve clinical efficiency, and deliverhigh-quality patient care
• Featuresclear visuals,clinical pearls, andstep-by-step guidancethat support rapid learning, skill retention, and real-world procedural readiness
• Authored byhighly experienced emergency and urgent care clinicianswho translate complex procedures intopractical, accessible guidance
• Instructor Resourcesinclude a Test Bank, and Mapping to the AACN Essentials

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Contributors

Foreword Robert McNamara, MD, MAAEM â

Foreword K. Sue Hoyt, PhD, RN, FNP-BC, ENP-C, FAEN, FAANP, FAAN â

Foreword Travis Kaufman, DMSc, PA-C, FIBODM

Preface

Acknowledgments â

List of Videos

Section I: Introduction

Chapter 1: The Basics of Patient Procedures: Standard Precautions, Infection Control, Patient Preparation, and Education

Chapter 2: Consent, Documentation, and Reimbursement

Chapter 3: Interprofessional Approach to Performing Procedures

Section II: Introduction to Sonography

Chapter 4: Introduction to Ultrasound and Knobology

Chapter 5: Introduction to Diagnostic Ultrasound

Section III: Procedures for Airway Management

Chapter 6: Procedures for Basic Airway Management and Foreign-Body Removal

Chapter 7: Advanced Airway Management

Chapter 8: Cricothyrotomy

Section IV: Procedures for the Heart and Lungs

Chapter 9: Pneumothorax

Chapter 10: Pleural Effusion

Chapter 11: Pericardial Effusion

Chapter 12: Cardiac Pacing

Chapter 13: Electrical Cardioversion

Section V: Intravenous Access

Chapter 14: Ultrasound-Guided Peripheral Venous Access

Chapter 15: Intraosseous Access and Infusion

Chapter 16: Ultrasound-Guided Central Venous Access

Chapter 17: Arterial Line Placement

Section VI: Managing Pain Using Injectable Anesthetics

Chapter 18: Anesthetic Agents and Procedures for Local and Field Infiltration

Chapter 19: Regional Anesthesia With Ultrasound Guidance

Chapter 20: Procedures for Performing Digital Anesthesia

Chapter 21: Procedures for Performing Auricular Anesthesia

Section VII: Skin and Wound Management Procedures

Chapter 22: Overview of Wound Healing and Soft-Tissue Ultrasound

Chapter 23: Procedures for Managing Puncture Wounds

Chapter 24: Procedures for Removing a Soft-Tissue Foreign Body

Chapter 25: Animal and Human Bites

Chapter 26: Procedures for Wound Closure

Chapter 27: Tendon Repair

Chapter 28: Managing Minor Burns

Section VIII: Procedures for the Management of Nail and Nail Bed Injuries

Chapter 29: Procedures for Managing Ingrown Toenails

Chapter 30: Procedures for Treating Subungual Hematoma

Chapter 31: Procedures for Managing Paronychia

Chapter 32: Procedures for Treating Felons

Chapter 33: Procedure for Nail Avulsion

Section IX: Incision and Drainage Procedures

Chapter 34: Abscess Overview and the Use of Sonography

Chapter 35: Procedures for Managing Pilonidal Cyst/Abscess

Chapter 36: Bartholin Abscess

Section X: Procedures for Examination and Management of Common Eye Injuries

Chapter 37: Eye Examination

Chapter 38: Eye Injuries

Chapter 39: Ocular Ultrasound

Section XI: Procedures for Managing Common Nasal Conditions

Chapter 40: Procedures for Controlling Epistaxis

Chapter 41: Procedures for Removing Nasal Foreign Body

Section XII: Procedures for Managing Common Ear Injuries

Chapter 42: Procedures for Cerumen Removal

Chapter 43: Procedures for Foreign-body Removal from Ear Canal and Lobe

Chapter 44: Procedures for Managing an Auricular Hematoma

Section XIII: Procedures for Examination and Management of Common Oral Injuries

Chapter 45: Dental Anatomy, Examination, and Anesthetics

Chapter 46: Dental Injuries

Chapter 47: Peritonsillar Abscess

Chapter 48: Reducing Mandibular Dislocations

Section XIV: Procedures for Managing Common Musculoskeletal Conditions and Injuries

Chapter 49: Arthrocentesis

Chapter 50: Therapeutic Joint Injection

Chapter 51: Shoulder Dislocation

Chapter 52: Elbow Dislocation

Chapter 53: Digit Dislocations

Chapter 54: Hip Dislocation

Chapter 55: Patellar Dislocation

Chapter 56: Ankle Dislocations

Chapter 57: Nursemaid's Elbow

Chapter 58: Procedures for Splinting Extremities

Chapter 59: Unstable Pelvic and Femur Fracture Reduction and Immobilization Techniques

Section XV: Procedures for Managing Common Gastrointestinal and Genitourinary Conditions

Chapter 60: Managing Thrombosed Hemorrhoids

Chapter 61: Pelvic Organ Prolapse

Chapter 62: Gastrointestinal Tube Insertion

Chapter 63: Hernia Reduction

Chapter 64: Procedures for Removing a Hair Tourniquet

Chapter 65: Phimosis and Paraphimosis

Chapter 66: Priapism

Chapter 67: Placement and Management of Urinary Bladder Catheters

Chapter 68: Paracentesis

Chapter 69: Removal of Rectal and Vaginal Foreign Body

Chapter 70: Esophageal/Gastric Ballon Insertion for Upper Gastrointestinal Bleeding

Section XVI: Miscellaneous Procedures

Chapter 71: Skin Biopsy

Chapter 72: Lumbar Puncture

Chapter 73: Emergency Childbirth

Theresa M. Campo, DNP, APRN, FAANP, FAAN,is vice president of accreditation, conference, & education for the American Association of Nurse Practitioners. Previously, she was chair of the Department of Emergency Medical Services (EMS), director of the Emergency Nurse Practitioner Track, and an associate clinical professor at Drexel University. Clinically, she is board-certified as a family nurse practitioner and worked part-time as a nurse practitioner in southern New Jersey.

Keith A. Lafferty, MD, FAAEM, received his BA in biology cum laude from Holy Family University in 1989 and his MD from the Medical College of Pennsylvania in 1994. At the completion of his training, his colleagues bestowed upon him the "Senior Resident Teaching" award. Following his residency in emergency medicine and a faculty fellowship in critical care, he spent ten years in full-time academia as a medical student director and a critical care director. Dr. Lafferty is the former co-director of emergency medicine at Gulf Coast Medical Center, director of fire-based EMS in Fort Myers, Florida, adjunct assistant professor of emergency medicine at Temple University, board member of the Holy Family University Pre-Medical Committee, board member of the Holy Family University President's Advisory Committee and Board of Trustees member elect. As a physician, Dr. Lafferty specializes in emergency medicine and practices in both Philadelphia and Fort Myers, Florida. As an author, he has written numerous chapters and manuscripts, mostly having to do with critical care, emergency medicine and procedures dealing with both specialties. He has presented many of his research papers at the local and national levels. Because of his training, practice, and teaching in both emergency and critical care medicine, he passionately advocates the hybridization of these specialties in caring for the sickest of patients. 

Thomas G. Costantino, Jr., MD, FAAEM, received his BS in anthropology-zoology from the University of Michigan, graduating magna cum laude. He received his MD from the University of Michigan Medical School. He completed his emergency medicine residency at the Medical College of Pennsylvania and stayed to become their first emergency ultrasound fellow. He is board certified in Emergency Medicine and Advanced Emergency Medicine Ultrasonography through the American Board of Emergency Medicine. He previously worked at Drexel University College of Medicine and is currently a Professor of Emergency Medicine at the Lewis Katz School of Medicine at Temple University where he is Chief of the Division of Emergency Ultrasound. Dr. Costantino has had the privilege of receiving several awards for excellence in teaching as well as serving in different leadership positions in different national medical organizations and peer-reviewed journals. He has published numerous scholarly articles relating to the field of emergency point-of-care ultrasound. He would like to extend a special thanks to Katie for her video and photo editing assistance.

Jacob W. Ufberg, MD, received his BA in the biological basis of behavior from the University of Pennsylvania, graduating magna cum laude. He received his MD from the Lewis Katz School of Medicine at Temple University. He completed his emergency medicine residency at the Medical College of Pennsylvania and then returned to Temple to join the Department of Emergency Medicine. Dr. Ufberg is a professor of emergency medicine at Temple and served as the director of the Temple University Hospital Emergency Medicine Residency Program for 18 years. Dr. Ufberg currently serves as the Associate Dean for Admissions at the Lewis Katz School of Medicine at Temple University. Dr. Ufberg has published extensively in the emergency medicine literature and has lectured broadly on numerous emergency medicine topics. He has held national leadership positions related to emergency medicine education and is a past recipient of the Honored Professor Award from the Lewis Katz School of Medicine Alumni Association and the Program Director of the Year Award from the American Academy of Emergency Medicine Resident and Student Association.

Tenell Zahodnik,DMSc, MPAS, PA-C, CAQ-EMearned her BS in Biology from Abilene Christian University, graduating magna cum laude. She completed her Master of Science in Physician Assistant Studies at the University of Texas Medical Branch and later obtained her Doctor of Medical Science from Rocky Mountain University of Health Professions, with a focus in Healthcare Professions Education. She also holds a Certificate of Added Qualifications (CAQ) in Emergency Medicine. Dr. Zahodnik currently serves as the Lead APP for the Emergency Department at Hendrick Health in Abilene, Texas. She is an Assistant Professor and active clinical preceptor with the Hardin-Simmons University (HSU) PA Program, and she additionally serves on faculty for the HSU Doctor of Medical Science (DMSc) program. A committed member of the Society of Emergency Medicine PAs (SEMPA) since 2017, she is, at the time of this publication, the Immediate Past President of SEMPA and the co-chair of its Education Committee.