EM Cases · Central and arterial lines
Ultrasound-guided central line — procedure station
ACEM Fellowship procedure OSCE on consent, sterile barrier, US-guided IJ Seldinger, and arterial line checks.
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Study tools
Target exams
ACEMFRCEMABEMFRCPCCCFPEMEBEEM
Prompt
A septic shocked patient needs a vasopressor central line and an arterial line.
Station brief
Format. Clinical-management (resus) station, 11 minutes total — 4 minutes reading, 7 minutes active assessment. You are the Emergency Medicine consultant leading care.
Candidate instructions. Manage the patient from handover. State actions and reasoning aloud. The examiner plays the nursing and specialty team.[1]
References2ShowHide
- [1]McGee DC, Gould MK. Preventing complications of central venous catheterization. N Engl J Med, 2003.PMID 12646670
- [2]Brass P, Hellmich M, Kolodziej L, et al. Ultrasound guidance versus anatomical landmarks for internal jugular vein catheterization. Cochrane Database Syst Rev, 2015.PMID 25575244