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The Procedural Pause Videos by James R. Roberts, MD, and Martha Roberts, ACNP, CEN

  • Creator:   Editor
  • Updated:   11/30/2020
  • Contains:  70 items
Videos accompanying the Procedural Pause blog.

Creator: Martha Roberts, ACNP
Duration: 4:03
Emergency Medicine News
Procedural equipment will help you make accurate diagnoses and formulate treatment plans, and Dr. Roberts and Ms. Roberts explain why you should break out this nifty tool for more than just ear exams. Watch their video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
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Creator: Martha Roberts, ACNP
Duration: 2:23
Emergency Medicine News
Cerumen impaction removal may not be an emergent procedure, but it will bring patients to your ED because loss of hearing is a foreign and uncomfortable sensation, say James and Martha Roberts. Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
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Creator: Martha Roberts, ACNP
Duration: 5:53
Emergency Medicine News
Fish hook injuries may seem simple at first, but can quickly get complicated, depending on the site of injury and type of hook, say James and Martha Roberts, who show different removal techniques in this video.

Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause
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Creator: Martha Roberts, ACNP
Duration: 3:09
Emergency Medicine News
Many anglers arrive with a hook in the arm, hand, or scalp, unable to remove it themselves, say James and Martha Roberts, who show the removal of a hook from a patient’s ear in this video.

Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
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Creator: Martha Roberts, ACNP
Duration: 10:20
Emergency Medicine News
Trimalleolar fractures of the ankle are painful, troublesome, and unstable, say James and Martha Roberts, in this video showing how to do a quick and simple reduction and temporary splinting of these injuries.

Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause
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Creator: Martha Roberts, ACNP
Duration: 5:43
Emergency Medicine News
Tapping a wrist to determine the underlying pathology or relieve pain may be of great value, and analyzing the synovial fluid from the joint space for crystals, infection, and blood may help determine the overall plan and aid in decision-making. Watch this video about performing the procedure, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
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Creator: Martha Roberts, ACNP
Duration: 6:22
Emergency Medicine News
The key to a successful paracentesis starts with identifying landmarks, using ultrasound to determine the evacuation site, and having all the equipment prepped and ready to go. Watch this video about performing the procedure, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
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Creator: Martha Roberts, ACNP
Duration: 3:49
Emergency Medicine News
Ultrasound can help lower the rate of complications, avoid solid organ or intestine puncture, and help identify which patients are best suited for paracentesis. Watch this video about prepping for this procedure, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
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Creator: Martha Roberts, ACNP
Duration: 6:07
Emergency Medicine News
Subungual hematomas can be a terror, the Roberts say. They are painful, ugly-looking, and sometimes confusing, but a few tips make draining the accumulated blood and relieving the pressure simple. Learn more in their blog at http://bit.ly/EMN-ProceduralPause.
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Creator: Martha Roberts, ACNP
Duration: 7:58
Emergency Medicine News
The Roberts note that repairing multiple lacerations from chainsaws can be a delicate process. Corner suturing utilizing half-buried horizonal mattress sutures relieves additional tension and yields better cosmetic results. Learn more in their blog at http://bit.ly/EMN-ProceduralPause.
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Creator: Martha Roberts, ACNP
Duration: 7:57
Emergency Medicine News
Rectal exams are difficult for the patient and require true expertise. You cannot expect to complete a good rectal exam or remove a rectal foreign body without the correct information, good bedside relationship, and the right equipment, and Martha Roberts, ACNP, CEN, and James R. Roberts, MD, show you the best way to handle these cases: http://bit.ly/EMN-ProceduralPause.
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Creator: Martha Roberts, ACNP, PNP
Duration: 14:40
Emergency Medicine News
Compartment syndrome made it on the weird and wild list not only because it is uncommon but also because it is difficult to identify. It presents in strange ways, and is often missed the first time a patient seeks care. Watch this video of Martha Roberts, ACNP, PNP, interviewing Adam Cohen, MD, about how to treat compartment syndrome, and read more in the Procedural Pause blog at http://bit.ly/ProceduralPause.
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Creator: Martha Roberts, ACNP, PNP
Duration: 5:12
Emergency Medicine News
Martha Roberts, ACNP, PNP, and James R. Roberts, MD, ask, what do you do when something weird and wild comes into your emergency department? This month, they we mean lacerations over tattoos or body piercings. Cosmetic repair of injuries involving tattoos and piercings are important to patients, and here’s how you can ensure proper wound closure while preserving the underlying body art.

Read more in their blog at http://bit.ly/ProceduralPause.
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Creator: Martha Roberts, CEN, ACNP
Duration: 4:13
Emergency Medicine News
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.
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Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 3:21
Emergency Medicine News
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
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Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 9:37
Emergency Medicine News
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.
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Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 2:44
Emergency Medicine News
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.
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Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 8:31
Emergency Medicine News
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.
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Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:45
Emergency Medicine News
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.
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Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 2:33
Emergency Medicine News
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, note that EPs aren’t dentists, but they can help patients with dental fractures until they can see a dentist. The best part about this particular procedure is that anyone can do it, and it only takes a few minutes. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video for how to treat a broken tooth in the ED.
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Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 12:34
Emergency Medicine News
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, start a new series on abscess care in the emergency department with their first full-length tutorial on abscess drainage. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video for how to set up to drain an abscess.
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Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 2:34
Emergency Medicine News
A single but precise nerve injection allows the practitioner to spread a large area of anesthesia to specific parts of the face for suture repair. Read the blog post, “Go Mental: Head and Neck Anesthesia” at http://bit.ly/ProceduralPause by James R. Roberts, MD, & Martha Roberts, CEN, ACNP, and then watch Dr. Roberts demonstrate a mental nerve block in this video.
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Creator: Martha Roberts
Duration: 1:35
Emergency Medicine News
Olecranon bursitis can be painless or an irritating condition involving the bursa of the ulna in the elbow. James Roberts, MD, and Martha Roberts, ACNP, CEN, review the best way to treat this condition in their blog post. Read that at http://bit.ly/ProceduralPause, and then watch this video showing aspiration of a patient’s elbow.
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Creator: Martha Roberts
Duration: 1:27
Emergency Medicine News
The initial ED management of blisters from burns is controversial, but James Roberts, MD, and Martha Roberts, ACNP, CEN, note that it likely does not matter exactly what is done. Read their blog post on hand burn management at http://bit.ly/ProceduralPause, and then watch this video as Ms. Roberts drains the blister of a large burn.
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