Subclavian Line Course

Central line placement is indicated in patients who need hemodynamic monitoring, rapid volume resuscitation, therapies such as vasopressors and hypertonic saline and in patients with difficult venous access.  The central line placement course will teach clinicians how to place central venous catheters in the subclavian veins, internal jugular veins and femoral veins using advanced simulation manikins.  The course covers central venous access indications, contraindications, preparation, technique, complications and their management.  Techniques for triple lumen, cordis and hemodialysis catheters will be taught.  The course will cover both landmark-based central line placement and ultrasound-guided central line insertion. The course emphasizes ultrasound-guided vascular access

The HPC Hospitalist and Emergency Procedures course will teach you how to perform central line placement in addition to endotracheal intubation, stylet-guided intubations, laryngeal mask airway (LMA) placement, King tube placement, or fiberoptic intubations. ultrasound-guided peripheral IV access, arterial lines, POCUS exams (RUSH exams and E-FAST exams), thoracentesis, paracentesis, lumbar punctures, chest tube placement, pigtail catheter placement, needle thoracostomy, procedural sedation, and ventilator management.

Our central line placement training is a component of our live Hospitalist and Emergency Procedures CME course which teaches clinicians how to perform the 20 most essential procedures needed to work in the ER, ICU, and hospital wards.

CLICK HERE to find out more about our premier live Hospitalist and Emergency Procedures CME course

Subclavian Line Placement Lab Photos

Subclavian Line Landmarks
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Subclavian Line Video

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Subclavian Line Course trains students in:

  • Indications for a subclavian venous catheter placement
  • Contraindications for subclavian venous catheter placement
  • Complications of a subclavian venous catheter placement
  • Equipment for subclavian venous catheter placement
  • Proper positioning and technique for subclavian venous catheter placement
  • Coding for subclavian venous catheter placement
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Subclavian Line Placement Photos

Central Line Reference Card

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Subclavian Line Placement Blogs

Maneuvers to Assess Fluid Responsiveness in Septic Shock or Vasodilatory Shock

Joseph Esherick, M.D., FAAFP, FHM
Arterial Line, Arterial line insertion, Arterial line placement, Arterial Lines, Featured, HPC Updates, Sepsis, Septic Shock, severe sepsis, shock
Aggressive fluid administration is a hallmark of septic shock management and has been espoused by the Surviving Sepsis Campaign and is a part of the CMS SEP-1 sepsis bundle. The sepsis bundle includes administration of 30 ml/kg crystalloid bolus (LR…
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Do we really need to do a modified Allen’s Test before Radial Arterial Line Insertion?

Joseph Esherick, M.D., FAAFP, FHM
Arterial Line, Arterial line insertion, Arterial line placement, Arterial Lines, Featured Procedure, HPC Updates, Procedure Blog of the Week
It has long been Dogma that an abnormal modified Allen’s test is a contraindication to performing a radial arterial line in that arm.  The theory behind this is that the modified Allen’s test will identify patients who have insufficient collateral circulation…
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Dexmedetomidine and Propofol performed equally well for the sedation of mechanically ventilated patients with sepsis

Joseph Esherick, M.D., FAAFP, FHM
BLOG OF THE WEEK, Delirium, Featured, Fentanyl-Based Ventilator, HPC Updates, Mechanical Ventilation, RASS, Richmond Agitation-Sedation Scale, Sedation, Sepsis, Septic Shock, severe sepsis, Ventilation, Wake-up and Breath Protocol
The Society of Critical Care Medicine (SCCM) recommends that all mechanically ventilated patients receive analgesia, sedation, and delirium assessment and management while intubated. SCCM reinforced these principles in their 2018 clinical practice guideline on the prevention and management of pain,…
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Protocolized Sedation is Recommended Over Usual Care for Mechanical Ventilation

Joseph Esherick, M.D., FAAFP, FHM
Delirium, Featured Procedure, HPC Updates, Mechanical Ventilation, Protocolized Sedation, Sedation, Wake-up and Breath Protocol
A systematic review and meta-analysis of randomized controlled trials was conducted to determine the effects of protocolized sedation in mechanically ventilated adult intensive care unit patients. Six randomized controlled trials and 1243 patients were studied. The results showed that protocolized…
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Review of chest tube drainage of the pleural space

Joseph Esherick, M.D., FAAFP, FHM
Anticoagulants and Procedures, Anticoagulation, Antiplatelet therapy, antiplatelets, Chest tube, chest tube placement, chest tube position, Chest tube removal, chest tube size, chest tubes, Featured, HPC update, HPC Updates, Plavix, pleural effusions, Pleural space, Pneumothorax, POCUS, re-expansion pulmonary edema, Small-bore chest tube, Tension pneumothorax, Thienopyridines, thrombocytopenia, Tube Thoracostomy
This blog summarizes recommended management of chest tube drainage of the pleural space. The blog will cover the recommended size of chest tube for different indications, suggestions for chest tube insertion technique, methods to avoid chest tube complications and when…
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Hospitalist and Emergency Procedures CME Courses Available

Register HERE 21 days before the course to SAVE $50-150 and get the following:

  1. 12 month online access to Online CME course, procedure video bundle, instructional posters
  2. Indefinite online access to PDFs of all course lectures, course handouts, and HPC Adult Critical Care and Emergency Drug Reference Drug
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