The Speed of Sound-March 2013: RADiUS Video 2

Video Author: Christine Butts, MD
Published on: 02.28.2014
Associated with: Emergency Medicine News. 36(3):6, March 2014

Read Dr. Butts’ article, “The RADiUS Focused Cardiac Exam,” in the Breaking News blog, and then view this video that shows parasternal long axis image demonstrating normal contractility.

All Videos
Most Viewed
Most Emailed



Creator: Larry Mellick, MD
Duration: 7:15
Dr. Larry Mellick reviews strategies for managing asthma patients that gets them discharged home instead of admitted to the hospital. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 29:37
Sergey Motov, MD: Top 10 2016 Adult EM Pain Articles that Might Change Your Practice: http://bit.ly/EMN-EMedHomeVideos.
Creator: EMedHome.com
Duration: 40:12
Laura Bontempo, MD: Rabies Postexposure Prophylaxis in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 27:53
Dr. Lee talks with Nicholas F. Vasquez, MD, of Chandler Regional Medical Center and Mercy Gilbert Medical Center, about a patient who presents with abdominal pain but actually has a surprising life-threatening injury.
Creator: Martha Roberts, CEN, ACNP
Duration: 9:03
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, review the basics of splinting and offer pearls and pitfalls for these cases. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: EMedHome.com
Duration: 23:40
Sergey Motov, MD: Pain Management of Pregnant Patients in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 26:22
Dr. Lee talks with Jonathon Graff, DO, the medical director of the Outpatient Observation Unit at Banner Baywood Medical Center in Mesa, AZ, about an elderly patient who triggered a stroke alert.
Creator: Martha Roberts, CEN, ACNP
Duration: 1:51
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, review the case of a patient with a thumb dislocation, offering tips for easy reduction. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:36
Dr. Larry Mellick reviews an unusual cause of abdominal pain. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 4:05
Dr. Larry Mellick says EPs fail patients during cardiopulmonary resuscitation in many ways, so it’s critical to find the resuscitation sweet spot for each patient and to never waver during a CPR event. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 2:39
Too fast or too slow compressions, too shallow or two deep. Find out all the mistakes that EPs make during CPR and why code team leadership is needed in Dr. Larry Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Alice S.Y. Lee, MD
Duration: 24:43
Dr. Lee talks with Paul Beeston, DO, an emergency physician at Maricopa Medical Center in Phoenix about an elderly woman who fell.
Creator: Larry Mellick, MD
Duration: 2:21
A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago, but experience has borne out their effectiveness. Listen in to this video as Dr. Mellick discusses double sickening in this mother’s daughter. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 2:29
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, bring you a clinical pearl from Helen Karellas Bardis, NP, on a less invasive way to administer ocular anesthetics. Don’t forget to visit their blog each month for more pearls and procedure tips at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 2:21
A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago, but experience has borne out their effectiveness. Listen in to this video as Dr. Mellick discusses double sickening in this mother’s daughter. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Christine Butts, MD
Duration: 0:02
Read Dr. Christine Butts’ article, “A New Measure to Single Out High-Risk PE Patients,” in the March 2017 issue, and then watch this video that shows step 1 of the TAPSE measurement.
Creator: Christine Butts, MD
Duration: 0:04
Read Dr. Christine Butts’ article, “A New Measure to Single Out High-Risk PE Patients,” in the March 2017 issue, and then watch this video that shows step 2 of the TAPSE measurement.
Creator: Martha Roberts, CEN, ACNP
Duration: 2:33
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, review the case of a boy who superglued his eye shut. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 1:00
A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago, but experience has borne out their effectiveness. This video shows an oldie but goodie tip for how to position a child properly for ear cleaning. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 44:30
Dr. Nilesh Patel talks about the challenge of acute intermittent porphyria.



Creator: EMedHome.com
Duration: 29:37
Sergey Motov, MD: Top 10 2016 Adult EM Pain Articles that Might Change Your Practice: http://bit.ly/EMN-EMedHomeVideos.
Creator: EMedHome.com
Duration: 40:12
Laura Bontempo, MD: Rabies Postexposure Prophylaxis in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Martha Roberts, CEN, ACNP
Duration: 9:03
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, review the basics of splinting and offer pearls and pitfalls for these cases. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: EMedHome.com
Duration: 23:40
Sergey Motov, MD: Pain Management of Pregnant Patients in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 26:22
Dr. Lee talks with Jonathon Graff, DO, the medical director of the Outpatient Observation Unit at Banner Baywood Medical Center in Mesa, AZ, about an elderly patient who triggered a stroke alert.
Creator: Martha Roberts, CEN, ACNP
Duration: 1:51
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, review the case of a patient with a thumb dislocation, offering tips for easy reduction. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:36
Dr. Larry Mellick reviews an unusual cause of abdominal pain. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 4:05
Dr. Larry Mellick says EPs fail patients during cardiopulmonary resuscitation in many ways, so it’s critical to find the resuscitation sweet spot for each patient and to never waver during a CPR event. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 2:39
Too fast or too slow compressions, too shallow or two deep. Find out all the mistakes that EPs make during CPR and why code team leadership is needed in Dr. Larry Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Alice S.Y. Lee, MD
Duration: 24:43
Dr. Lee talks with Paul Beeston, DO, an emergency physician at Maricopa Medical Center in Phoenix about an elderly woman who fell.
Creator: Larry Mellick, MD
Duration: 2:21
A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago, but experience has borne out their effectiveness. Listen in to this video as Dr. Mellick discusses double sickening in this mother’s daughter. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 2:29
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, bring you a clinical pearl from Helen Karellas Bardis, NP, on a less invasive way to administer ocular anesthetics. Don’t forget to visit their blog each month for more pearls and procedure tips at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 2:21
A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago, but experience has borne out their effectiveness. Listen in to this video as Dr. Mellick discusses double sickening in this mother’s daughter. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Christine Butts, MD
Duration: 0:02
Read Dr. Christine Butts’ article, “A New Measure to Single Out High-Risk PE Patients,” in the March 2017 issue, and then watch this video that shows step 1 of the TAPSE measurement.
Creator: Christine Butts, MD
Duration: 0:04
Read Dr. Christine Butts’ article, “A New Measure to Single Out High-Risk PE Patients,” in the March 2017 issue, and then watch this video that shows step 2 of the TAPSE measurement.
Creator: Martha Roberts, CEN, ACNP
Duration: 2:33
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, review the case of a boy who superglued his eye shut. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 1:00
A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago, but experience has borne out their effectiveness. This video shows an oldie but goodie tip for how to position a child properly for ear cleaning. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 44:30
Dr. Nilesh Patel talks about the challenge of acute intermittent porphyria.
Creator: EMedHome.com
Duration: 20:59
Dr. Sergey Motov talks about pitfalls in pediatric pain management in the ED.
Creator: Martha Roberts, CEN, ACNP
Duration: 2:00
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, with their favorite new ED gadget: the NIO, an intraosseous device that is ready to go in 18 seconds. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 2:47
Varicella cases have markedly declined, and presentations are often atypical since the advent of immunizations, so younger physicians are less aware of the appearance and clinical presentations of this viral infection. This video shows disseminated varicella in an HIV patient. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 42:38
Dr. Laura Bontempo talks about the optimal ED management of hyperkalemia.
Creator: Larry Mellick, MD
Duration: 4:50
Many children are vaccinated against varicella, but breakthrough cases of chickenpox still occur, like in this 6-year-old boy. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 5:03
Many U.S. children are vaccinated against varicella, but in Haiti, vaccination is neither mandatory nor widespread. This video shows several patients with typical varicella presentations. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 9:55
Using pain as a diagnostic tool may seem contrary to the basic tenets of medicine, but it can be a lifesaving maneuver. Dr. Mellick reviews a new test for conversion disorder, created by Mario Soto, MD, in which saline is squirted into the eye of a comatose or seizing patient. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 39:07
Evidence-Based Medicine in the Age of Big Pharma: Dr. Paradis tells it like it is in this video lecture about the influence of pharma on emergency medicine.
Creator: Larry Mellick, MD
Duration: 7:10
A young patient with hemiplegic migraine presents to the ED unable to walk or follow commands. Fifteen minutes after Dr. Larry Mellick treated him with paraspinous cervical injections of bupivacaine, the young man was able to move all extremities. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Martha Roberts, CEN, ACNP
Duration: 11:36
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, with tips and tricks for repairing nail bed lacerations in children. Tip #1: Don’t lie to them. Give them just enough details to be able to complete your procedure. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: EMedHome.com
Duration: 31:40
Ten Commandments of Acute Pain Management in the ED
Creator: EMedHome.com
Duration: 27:10
Five Things You Should Stop Doing to Kids
Creator: Larry Mellick, MD
Duration: 2:52
Dr. Larry Mellick admits that post-surgical bleeding following tonsillectomy and adenoidectomy has given him some memorable experiences over the years. And by “memorable,” he means terrifying. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Martha Roberts, CEN, ACNP
Duration: 4:13
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, with an alternative to the Morgan Lens: eye irrigation using IV saline, a nasal cannula, and the connector piece from a Salem Sump kit. This procedure is less invasive and less traumatic for patients and easier for providers. A win-win! Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 4:16
Good advice for EPs from Dr. Larry Mellick and orthopedic surgery: Why it’s so important to recreate the injury mechanism when reducing open ankle fractures and dislocations. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 5:50
How could a Lyme disease lookalike rash and anaphylaxis to meat have anything in common? Find out more as Dr. Larry Mellick reviews their common vector in this video and blog post, which you can find at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 69:11
Dr. Mattu discusses the modern management of cardiogenic pulmonary edema.
Creator: Martha Roberts, CEN, ACNP
Duration: 3:02
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, show a nifty way to anesthetize the sensitive ear canal to remove a foreign body. The patient this month is none other than Dr. Roberts! (Celebrities are just like us!) Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Peter Goldman, MD
Duration: 0:54
Watch Dr. Peter Goldman demonstrate his invention that delivers life-saving oxygen and albuterol to asthma patients in the critical moments between a medical incident and the arrival of medical professionals.
Creator: Larry Mellick, MD
Duration: 2:51
Multiple methods are touted for reducing anterior shoulder dislocations, but the Davos technique is a nontraumatic, patient-controlled, and auto-reduction technique that does not require the use of anesthesia. Dr. Larry Mellick reviews it in this video and blog post, which you can find at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 10:02
Multiple methods are touted for reducing anterior shoulder dislocations, and Dr. Larry Mellick reviews ten ways in this video and blog post, which you can find at http://bit.ly/Mellick.
Creator: Martha Roberts, CEN, ACNP
Duration: 13:30
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, focus on the best way to detect proximal lower extremity DVTs in the emergency department. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Martha Roberts, CEN, ACNP
Duration: 2:05
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, say it’s time to be fearless and embrace the true utility — and maybe implement a new policy in your ED — of ultrasound-guided intravenous (IV) line insertion. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 5:30
The thought of blindly “slicing and dicing” fingertips leaves Dr. Larry Mellick cold. Instead, he reviews the best approaches for fingertip abscesses in this video and blog post, which you can find at http://bit.ly/Mellick.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 3:21
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, bring you pearls for how to code your use of ultrasound. Watch this video to learn how to make sure you document everything you do and use to receive full reimbursement. Don’t forget to visit their blog at http://bit.ly/ProceduralPause. James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Creator: Christine Butts, MD
Duration: 0:01
Dr. Christine Butts provides tips and tricks for assessing tendons using ultrasound, as shown in this video of anisotropy. Read her May 2016 column at http://emn.online/SoundEMN, and then watch this video.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration:
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, look at ocular ultrasound in this video, sharing tips for assessing the eye and diagnosing retinal detachment, which in the past required a referral to an ophthalmologist and often delayed therapy. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 2:43
Dr. Larry Mellick says emergency physicians have mental blocks when it comes to managing priapism. He helps dispel some of the performance anxiety associated with this condition by teaching how to mix up the phenylephrine used for intracavernosal blocks, which means this penile compartment syndrome doesn’t languish while EPs wait for the urologist. Read his blog post at http://bit.ly/Mellick, and then watch this video.
Creator: Larry Mellick, MD
Duration: 2:01
Dr. Larry Mellick says emergency physicians have mental blocks when it comes to managing priapism. He helps dispel some of the anxiety demonstrating how to set up an aspiration and irrigation system, which dramatically simplifies the entire process. Read his blog post at http://bit.ly/Mellick, and then watch this video.
Creator: Alice S.Y. Lee, MD
Duration: 0:46
Dr. Alice S.Y. Lee shares the case of a woman with respiratory distress. Read The Case of the Missing Tortilla at http://emn.online/PhotographedEMN, and then watch this video.
Creator: Larry Mellick, MD
Duration: 5:36
Dr. Larry Mellick waxes poetic about the Eidolon Photo Bluminator, which can take excellent still photographs and high-quality videos of the external surface of the eye. Read his blog post at http://bit.ly/Mellick, and then watch this video.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 6:29
This month, James R. Roberts, MD, & Martha Roberts, CEN, ACNP, explore using ultrasound for removing foreign bodies. Find out all you need to know by watching this video. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 9:37
This month James R. Roberts, MD, & Martha Roberts, CEN, ACNP, start a series on ultrasound with a look at the basic functionality of the machine and how to look for foreign bodies in the extremities. Find out all you need to know by watching this video. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 15:11
Dr. Larry Mellick interviews Richard Gordon, MD, whose step-by-step presentation shows how to safely perform peritoneal taps. Read his blog post at http://bit.ly/Mellick, and then watch this video.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 2:44
This bonus feature from James R. Roberts, MD, & Martha Roberts, CEN, ACNP, brings you tips, tricks, and pearls to make your emergency medicine practice easier. This month, their second Clinical Pearl features how to diagnose and treat a mallet finger. Find out all you need to know by watching this video. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 2:43
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, tackle caring for patients with styes. Find out all you need to know about draining this delicate abscess in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:48
Dr. Larry Mellick shares tips and tricks that will help emergency physicians repair ear cartilage lacerations with ease. Read his blog post at http://bit.ly/Mellick, and then watch this video to see a laceration repair.
Creator: Larry Mellick, MD
Duration: 6:12
Dr. Larry Mellick recently spent a week in Jamaica providing care under relatively harsh conditions. Read his blog post at http://bit.ly/Mellick, and then watch this video to see the dental team demonstrate the elemental steps of pulling a tooth.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 8:31
This new bonus feature from James R. Roberts, MD, & Martha Roberts, CEN, ACNP, brings you tips, tricks, and pearls to make your emergency medicine practice easier. This month, their first Clinical Pearl features the JR Knot, invented by its namesake James Roberts. This easy pearl will show you how to secure a central line. Read the Roberts’ blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:12
Dr. Larry Mellick has tips and tricks for examining and diagnosing patients with calf pain. Read his blog post at http://bit.ly/Mellick, and then watch this video to see how to examine an injured soleus muscle.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:54
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, note that foreign body removal may not be emergent, but it can be urgent. And your secret weapon for removing these items is fluoroscopy. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video to make sure you know all the basics.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:42
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, train their laser focus on arthrocentesis this month. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video to make sure you know all the basics of tapping a knee.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:02
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, take on traumatic knee injuries this month. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video to make sure you know all the basics of a knee exam.
Creator: Larry Mellick, MD
Duration: 13:14
Dr. Larry Mellick interviews Ricaurte A. Solis, DO, who has created, with input from the FOAM community, a novel way to deliver oxygen during needle cricothyroidotomy. Read Dr. Solis’s blog post at http://bit.ly/Mellick, and then watch this video to hear him demonstrate this innovative technique.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:45
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, note that emergency providers must always consider a procedure’s impact on patient comfort, care, and outcome. Nowhere is that more of a concern than draining a sensitive vaginal abscess. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video for how to treat a broken tooth in the ED.
Creator: Larry Mellick, MD
Duration: 3:07
Ketamine is a fascinating drug with multiple potential applications in the emergency department, but emergency physicians should consider this phencyclidine-like dissociative agent for pain management. Read Dr. Mellick’s blog post at http://bit.ly/Mellick, and then watch this video to hear how ketamine helped this patient with cancer pain.
Creator: Larry Mellick, MD
Duration: 2:13
Watch Dr. Larry Mellick diagnosis a young girl who presents with a targetoid rash on her arms and legs. Find more information in his vlog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 3:10
Watch as Dr. Larry Mellick figures out the type of rash this child has. Find more information in his vlog at a href="http://bit.ly/Mellick" target="_blank">http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 1:51
EPs are frequently heard to say that they aren’t good at diagnosing pediatric rashes, but this video from Dr. Larry Mellick will help with identifying shingles in children. Find more information about rashes in his vlog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 2:45
Once you see a case of pityriasis rosea, you won’t forget the rash, says Dr. Larry Mellick. This video shows you what to look for. Find more information about pediatric rashes in his vlog at http://bit.ly/Mellick.
Creator: Brita Zaia, MD
Duration: 0:10
Dr. Graham Walker discovers another practice-changer for patients with broken hips. Watch this video by Brita Zaia, MD, of a needle popping through the fascia iliaca, and read Dr. Walker’s column in the April issue or in his collection at http://bit.ly/WalkerEmergentology.
Creator: Larry Mellick, MD
Duration: 4:11
Emergency medicine has continuously redefined itself by absorbing expertise traditionally owned by other specialties. The tracheostomy is a case in point. Watch this video, the first of three this month from Dr. Larry Mellick, to see replacement of a tracheostomy tube. Find more information about procedures in his vlog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 4:59
Emergency physicians, expert at a wide variety of procedures, will continue to play an important rill in performing the procedures traditionally done by other specialties. Watch this video, the third of three this month from Dr. Larry Mellick, to see a needle aspiration of a peritonsillar abscess. Find more information about prcoedures in his vlog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 4:45
Shoulder dislocations are fairly common orthopedic emergencies presenting to the emergency department. Watch this video, the first of three from Dr. Larry Mellick this month, to learn tips for reducing an inferior shoulder reduction. Find more information about shoulder reductions in his vlog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 3:21
Posterior shoulder dislocations are rare, and factors such as the dislocation duration, patient comorbidities, prior dislocation events, and associated fractures or bony lesions will determine the specific technique used. Watch this video, the second of three from Dr. Larry Mellick this month, to learn tips for reducing a posterior shoulder reduction. Find more information about shoulder reductions in his vlog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 4:25
Oral nerve blocks are technically more difficult than most EPs realize or admit, says Dr. Larry Mellick. These two videos demonstrate techniques for giving these blocks. Read his video introduction at http://bit.ly/Mellick, and then watch this video to learn how to do an inferior alveolar nerve block.
Creator: Larry Mellick, MD
Duration: 4:11
Don’t cringe when you think of giving epinephrine outside of cardiac arrest, says Dr. Larry Mellick. These three videos demonstrate techniques for giving well calibrated and exact doses of epinephrine. This first video shows pulse dosing during intubation. Read his video introduction at http://bit.ly/Mellick, and then watch this video to learn more.
Creator: Larry Mellick, MD
Duration: 5:49
The videos this month explain how to mix and administer pulse dose epinephrine, says Dr. Larry Mellick. This second video shows how to mix epinephrine for pulse dosing. Read his video introduction at http://bit.ly/Mellick, and then watch this video to learn more.
Creator:
Duration: 5:03
Pediatric pulse dosing employs the same concentration used for adults, says Dr. Larry Mellick. This third video shows how to administer it to a child. Read his video introduction at http://bit.ly/Mellick, and then watch this video to learn more.
Creator: Larry Mellick, MD
Duration: 2:24
Diseases and complications associated with intravenous drug use are many and varied, says Dr. Larry Mellick. These three videos demonstrate three skin findings associated with drug addiction and IV drug use. This third video shows the diffuse petechiae from septic emboli of life-threatening infective endocarditis. Read his video introduction at http://bit.ly/Mellick , and then watch this video to learn more.
Creator: Christine Butts, MD
Duration: 0:03
Read Dr. Christine Butts’ article, “RADiUS to the Rescue for Patients with SOB,” in the July issue, and then watch this video that shows that the patient’s overall left ventricular function is severely decreased.
Creator: Larry Mellick, MD
Duration: 834:00
Dr. Larry Mellick is his own patient this month! Read Dr. Mellick’s blog post at http://bit.ly/Mellick, and then watch this video to learn more about difficult intubations.
Creator: Christine Butts, MD
Duration: 0:02
Read Dr. Butts’ article, “The RADiUS Focused Cardiac Exam,” in the Breaking News blog, and then view this video that shows parasternal long axis image demonstrating normal contractility.
Creator: Christine Butts, MD
Duration: 0:03
Read Dr. Butts’ article, “The RADiUS Focused Cardiac Exam,” in the Breaking News blog, and then view this video that shows parasternal long axis image demonstrating septal bowing, with the septal wall bowing toward the left ventricle.
Creator: Larry Mellick, MD
Duration: 5:50
Pyloric stenosis can occur in adults and children, with almost the same symptoms. Read this blog post and watch a video by Dr. Larry Mellick to recognize the signs when a patient presents in your ED.
Creator: Christine Butts, MD
Duration: 0:06
Read Dr. Butts’ article, “Comet Tails and Lung Sliding: Evaluating for Pneumothorax,” in the December 2013 issue, and then view this video that demonstrates a normal “sliding” motion of the pleura back and forth. Comet tail artifacts are also seen to appear and disappear, emanating from the pleural border. The combination of the presence of sliding and comet tail artifacts virtually excludes a pneumothorax.
Creator: Christine Butts, MD
Duration: 0:04
An indirect method for assessing proper placement of the ET tube is to watch the pleura for the presence of the slide sign. The pleura are easily identified from the anterior chest wall utilizing the high-frequency transducer. The transducer should be placed just inferior to the clavicle in the mid-clavicular line. Pointing the indicator toward the patient’s head will produce an image that is easy to interpret. Once the skin, soft tissue, and ribs have been identified, the pleura will be seen as a hyperechoic (white) line running just deep to the rib. In real time, the pleura slide back and forth with respiration.
Creator: Larry Mellick, MD
Duration: 4:53
A tripwire is a wire stretched near ground level that activates a booby trap, and some chief complaints come with their own built-in tripwires. Without a doubt, acute scrotal pain is one of those, and torsion of the testicle is one cause of acute scrotal pain that emergency physicians cannot afford to miss.
Creator: Larry Mellick, MD
Duration: 8:22
Dr. Mellick’s suspicions smoldered for years; he even thought the problem resided with his technique. But one patient made him realize that the textbooks were just wrong: Wire cutters were not going to release a zipper from penile skin.
Creator: Christine Butts, MD
Duration: 0:05
Read Dr. Butts’ article, “Think SUPRAclavicular for Subclavian Lines,” in the July 2013 issue, and then view this video that shows an “in-plane” approach to a vessel (using a simulator). As the needle is inserted from the end of the transducer, rather than at its mid-point, it traverses the path of the transducer. This enables the entire needle, including the tip, to be visible throughout the procedure, minimizing complications such as arterial puncture or pneumothorax.
Creator: Larry Mellick, MD
Duration: 5:34
New laryngoscopy technology brings with it new problems. Instead of worrying about dead blade handle batteries or burned out light bulbs, EPs have to cope with broken cables, malfunctioning screens, damaged light sources, and missing pieces, says Dr. Mellick. Direct laryngoscopy, therefore, will never disappear from his training program.
Creator: Larry Mellick, MD
Duration: 5:20
New laryngoscopy technology brings with it new problems. Instead of worrying about dead blade handle batteries or burned out light bulbs, EPs have to cope with broken cables, malfunctioning screens, damaged light sources, and missing pieces, says Dr. Mellick. Direct laryngoscopy, therefore, will never disappear from his training program.
Creator: Larry Mellick, MD
Duration: 12:14
Chest tube placement borders on the barbaric, says Dr. Mellick. The use of large-bore chest drainage devices is not supported by most guidelines, and he explains in this month’s EduBlog that needle aspiration is just as effective, with a small-bore chest drain working if needle aspiration fails.
Creator: Graham Walker, MD
Duration: 2:01
See One, Do One. Watch Dr. Walker demonstrate intranasal medication administration.
Creator: Larry Mellick, MD
Duration: 4:02
Pausing chest compressions for even a few seconds reduces the chances that CPR will be successful, but CPR always screeches to a halt for defibrillation. Dr. Larry Mellick demonstrates why there’s no need to be hands-off during defib.
Creator: Christine Butts, MD
Duration: 0:02
Watch the bedside echocardiogram performed on the patient featured in Dr. Christine Butts’ December 2012 column, “Identifying Right Ventricular Strain with Bedside ECHO.”
Creator: Christine Butts, MD
Duration: 0:03
Watch the bedside echocardiogram performed on the patient featured in Dr. Christine Butts’ December 2012 column, “Identifying Right Ventricular Strain with Bedside ECHO.”
Creator: Larry Mellick, MD
Duration: 4:02
Most emergency physicians are comfortable with using IO needles during the resuscitation of moribund or unconscious patients, but their skills and experience in using IO needles in awake patients are not quite as sharp. Dr. Larry Mellick shares his past mistakes to help EPs learn which pitfalls to avoid.
Creator: Larry Mellick, MD
Duration: 6:53
Patients don’t come to the ED for headache unless the severity and duration are intolerable or the headache is frighteningly different. Emergency physicians need as many therapeutic arrows in their quiver as possible to treat those headaches. The bilateral paraspinous cervical injection with small amounts of bupivacaine in the lower neck is an excellent option for managing tough headache cases.
Creator: Larry Mellick, MD
Duration: 8:16
Video from the M2E Too! blog on inserting a word catheter in a patient with a Bartholin’s gland abscess.