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The Ring Cutter to the Rescue

Video Author: Martha Roberts, ACNP
Published on: 09.28.2018

Martha Roberts, ACNP, CEN, and James R. Roberts, MD, have all you need to know about ring cutters and removing a stuck ring from a patient’s hand. This video shows how to use the ring cutter, and the blog post reviews techniques and tips: http://bit.ly/EMN-ProceduralPause.

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Creator: Martha Roberts, ACNP
Duration: 5:26
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, have all you need to know about ring cutters and removing a stuck ring from a patient’s hand. This video shows how to use the ring cutter, and the blog post reviews techniques and tips: http://bit.ly/EMN-ProceduralPause.
Creator: Christine Butts, MD
Duration: 00:04
Christine Butts, MD, explains how to diagnose endocarditis with ultrasound. The parasternal long axis view demonstrating mitral regurgitation (blue jet in left atrium) demonstrates mobile vegetation on the anterior leaflet in this video. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Christine Butts, MD
Duration: 00:02
Christine Butts, MD, explains how to diagnose endocarditis with ultrasound. This video shows the right ventricular inflow view with the left ventricle seen to the left with right atrium, ventricle, and tricuspid valve on the right. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Larry Mellick, MD
Duration: 8:28
Delusional parasitosis is a rare condition, but it is more common where methamphetamine and cocaine abuse are high. It is a fascinating condition to witness, says Dr. Larry Mellick, who shows you how this condition manifests in this video and in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 40:49
Laura Bontempo, D, discusses management of acute hyperkalemia: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 26:42
Alice Lee, MD, and Marc Zosky, MD, discuss two cases of tracheal decannulation that came into the ED in the same week!
Creator: Alice S.Y. Lee, MD
Duration: 35:46
Alice Lee, MD, talks in this video about trials and tribulations in her career and life and how she stays resilient.
Creator: Larry Mellick, MD
Duration: 5:28
Sometimes when it’s time to remove a Foley catheter, the balloon won’t deflate. Then what? Dr. Larry Mellick has all the techniques you need in this video and in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 40:49
Sergey Motov, MD, discusses non-opioid analgesic modalities in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 22:42
Alice Lee, MD, and Elizabeth Ottney, MD, talk about treating a patient with maggots in a neck wound. Watch to learn more about this fascinating case.
Creator: EMedHome.com
Duration: 25:22
Rob Rogers, MD, talks about a topic close to home: Don't Let Your Next MI Patient Be You: http://bit.ly/EMN-EMedHomeVideos.
Creator: EMedHome.com
Duration: 19:01
Amal Mattu, MD, reviews STEMI mimics you can’t afford to miss: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 26:32
Alice Lee, MD, and Jonathan Graff, MD, dissect the case of a 66-year-old man who fell and couldn’t walk but also has a suspicious incidental rash. Watch to learn more about this intriguing case.
Creator: Larry Mellick, MD
Duration: 4:49
There’s more than meets the eye when treating bursitis, and Dr. Larry Mellick has all you need to know about subacromial bursitis in this video and in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 4:17
Because the etiologies of the inflammation for deep and superficial bursae are different, the diagnostic modalities and treatments are as well. This video and Dr. Larry Mellick’s blog has all you need to know about housemaid’s knee at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 5:07
Osteoarthritis of the knee commonly causes pes anserine bursitis, and this video and Dr. Larry Mellick’s blog shows how to inject the joint at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 3:04
Watch the needle aspiration of a patient with olecranon bursitis in this video, and read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.
Creator: Christine Butts, MD
Duration: 0:02
Christine Butts, MD, asks you to diagnose a pregnant woman with vaginal bleeding and cramping using ultrasound. This video gives a hint about what is going on. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Christine Butts, MD
Duration: 0:02
Christine Butts, MD, asks you to diagnose a pregnant woman with vaginal bleeding and cramping using ultrasound. A video of that test reveals a clue to the diagnosis. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Martha Roberts, ACNP
Duration: 02:59
Watch hematoma block for a wrist fracture.



Creator: Martha Roberts, ACNP
Duration: 5:26
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, have all you need to know about ring cutters and removing a stuck ring from a patient’s hand. This video shows how to use the ring cutter, and the blog post reviews techniques and tips: http://bit.ly/EMN-ProceduralPause.
Creator: Christine Butts, MD
Duration: 00:04
Christine Butts, MD, explains how to diagnose endocarditis with ultrasound. The parasternal long axis view demonstrating mitral regurgitation (blue jet in left atrium) demonstrates mobile vegetation on the anterior leaflet in this video. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Christine Butts, MD
Duration: 00:02
Christine Butts, MD, explains how to diagnose endocarditis with ultrasound. This video shows the right ventricular inflow view with the left ventricle seen to the left with right atrium, ventricle, and tricuspid valve on the right. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Larry Mellick, MD
Duration: 8:28
Delusional parasitosis is a rare condition, but it is more common where methamphetamine and cocaine abuse are high. It is a fascinating condition to witness, says Dr. Larry Mellick, who shows you how this condition manifests in this video and in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 40:49
Laura Bontempo, D, discusses management of acute hyperkalemia: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 26:42
Alice Lee, MD, and Marc Zosky, MD, discuss two cases of tracheal decannulation that came into the ED in the same week!
Creator: Alice S.Y. Lee, MD
Duration: 35:46
Alice Lee, MD, talks in this video about trials and tribulations in her career and life and how she stays resilient.
Creator: Larry Mellick, MD
Duration: 5:28
Sometimes when it’s time to remove a Foley catheter, the balloon won’t deflate. Then what? Dr. Larry Mellick has all the techniques you need in this video and in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 40:49
Sergey Motov, MD, discusses non-opioid analgesic modalities in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 26:32
Alice Lee, MD, and Jonathan Graff, MD, dissect the case of a 66-year-old man who fell and couldn’t walk but also has a suspicious incidental rash. Watch to learn more about this intriguing case.
Creator: Larry Mellick, MD
Duration: 4:49
There’s more than meets the eye when treating bursitis, and Dr. Larry Mellick has all you need to know about subacromial bursitis in this video and in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 5:07
Osteoarthritis of the knee commonly causes pes anserine bursitis, and this video and Dr. Larry Mellick’s blog shows how to inject the joint at http://bit.ly/Mellick.
Creator: Christine Butts, MD
Duration: 0:02
Christine Butts, MD, asks you to diagnose a pregnant woman with vaginal bleeding and cramping using ultrasound. This video gives a hint about what is going on. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Christine Butts, MD
Duration: 0:02
Christine Butts, MD, asks you to diagnose a pregnant woman with vaginal bleeding and cramping using ultrasound. A video of that test reveals a clue to the diagnosis. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Martha Roberts, ACNP
Duration: 02:59
Watch hematoma block for a wrist fracture.
Creator: Christine Butts, MD
Duration: 00:04
Christine Butts, MD, opens her FAST Files again to show how important location is in diagnosing pericardial effusions. This video shows the subxiphoid view and how nothing appears between the liver and heart. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Larry Mellick, MD
Duration: 4:42
It is rare when patients present with a lower extremity compartment syndrome. Watch this video to see a patient who developed a foot drop as a result of compartment syndrome. Read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 30:56
Sergey Motov, MD, reviews the top 10 2017 pediatric EM pain articles that might change your practice: http://bit.ly/EMN-EMedHomeVideos
Creator: EMedHome.com
Duration: 98:51
Sergey Motov, MD, reviews the top 10 2017 adult EM pain articles that could change your practice: http://bit.ly/EMN-EMedHomeVideos
Creator: Christine Butts, MD
Duration: 0:03
Christine Butts, MD, notes that chest x-rays are known to have significant deficiencies in diagnosing pneumonia because the radiographic appearance of infection lags behind the onset of symptoms, sometimes by several days. The answer? Ultrasound, of course! Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: EMedHome.com
Duration: 20:23
Another practice-changing video of Sergey Motov, MD, talking about ketamine for pain management in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 23:55
Alice Lee, MD, and Bill Fulton, MD, discuss the case of a 62-year-old with a ground-level fall while intoxicated. He is on Plavix, sustained a facial trauma, has a 10 cm laceration and a GCS of 15, and can’t move his arms. What’s his diagnosis? Watch to learn more about this interesting case.
Creator: Christine Butts, MD
Duration: 00:06
This video from Christine Butts, MD, shows the sagittal view of the right upper quadrant. The liver is seen on the left of the image, with a hypoechoic area (C) in the hepatorenal space. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: EMedHome.com
Duration: 19:08
Don’t miss this video of Michael Winters, MD, discussing Critical Care Quickies for the Crashing Patient: http://bit.ly/EMN-EMedHomeVideos.
Creator: Martha Roberts, ACNP, PNP
Duration: 14:40
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.
Creator: Larry Mellick, MD
Duration: 3:08
Circumcised boys and men can also experience complications, says Larry Mellick, MD. Meatal stenosis can be caused by diaper irritation and penile glans inflammation. See a case in this video. Read more in Dr. Mellick’s blog at http://bit.ly/Mellick.
Creator: Christine Butts, MD
Duration: 0:05
Ultrasound assessment of the IVC has fallen out of favor, but Christine Butts, MD, said it’s not time to give up on the IVC. Watch this video of the IVC in almost full collapse during respiration before the patient received hydration, and read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Christine Butts, MD
Duration: 0:05
Christine Butts, MD, notes that the IVC can show fluid status. This video shows the same IVC seen in Video 1 after a fluid bolus. Note that it has increased in size. Watch this video of the IVC before the patient received hydrations, and read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: EMedHome.com
Duration: 19:25
Haney Mallemat, MD: 2017 Resusfest: http://bit.ly/EMN-EMedHomeVideos.
Creator: EMedHome.com
Duration: 35:25
Sergey Motov, MD, with a new lecture, History of the Opioid Epidemic in the United States: From “Wonder” Drugs to “Killer” Drugs: http://bit.ly/EMN-EMedHomeVideos.
Creator: EMedHome.com
Duration: 22:22
Sergey Motov, MD, with a new lecture, Are Morphine Equivalence Scores Useful in the ED? http://bit.ly/EMN-EMedHomeVideos.
Creator: Larry Mellick, MD
Duration: 2:35
Dr. Larry Mellick notes that children’s predilection for placing small objects in body cavities and orifices often brings them to the ED. Magnets, which haven’t received the respect they deserve, can come to the rescue. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Alice S.Y. Lee, MD
Duration: 26:30
Alice Lee, MD, and Bill Fulton, MD, review the case of an 80-year-old man bleeding briskly from his gums.
Creator: EMedHome.com
Duration: 29:11
Sergey Motov, MD, reviews the top 10 2016 pediatric emergency medicine pain articles that might change your practice: http://bit.ly/EMN-EMedHomeVideos
Creator: EMedHome.com
Duration: 25:32
Laura Bontempo, MD, discusses treating and diagnosing facial trauma in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 22:00
Alice Lee, MD, points out that Dr. Amal Mattu, MD, always says if your patient is sweating, you should be too. In this month’s screencast, she and Scott Megna, MD, discuss and diagnose a 36-year-old man who presents with burning pain and shortness of breath.
Creator: EMedHome.com
Duration: 40:12
Laura Bontempo, MD: Rabies Postexposure Prophylaxis in the ED: http://bit.ly/EMN-EMedHomeVideos.
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: 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: 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: 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: 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: EMedHome.com
Duration: 42:38
Dr. Laura Bontempo talks about the optimal ED management of hyperkalemia.
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: 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: EMedHome.com
Duration: 69:11
Dr. Mattu discusses the modern management of cardiogenic pulmonary edema.
Creator: Martha Roberts, CEN, ACNP
Duration: 4:46
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, take on a thrombosed hemorrhoids in the ED. Surprised? You can do it, too. Read more in their blog at http://bit.ly/ProceduralPause.
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: 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:
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: 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: Alice S.Y. Lee, MD
Duration: 0:03
Dr. Alice S.Y. Lee shares the case of a man with severe abdominal pain and hypotension. Read The Case of the Unbelievable AAA at http://emn.online/PhotographedEMN, and then watch this video.
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: 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: 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: Larry Mellick, MD
Duration: 2:51
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 do the Thompson test for an Achilles tendon injury.
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: Larry Mellick, MD
Duration: 1:48
Pediatric trauma patients on backboards and in cervical collars often have their airways partially compromised. Dr. Larry Mellick advocates for teaching EMTs how to maintain an open airway and neutral cervical spine. Read his blog post at http://bit.ly/Mellick, and then watch this video to see how to perform this simple technique.
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: 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: 2:06
FDA withdrew levamisole from the human market in 1999. Once used to treat cancer, various skin conditions, and immunological renal diseases, this veterinary medicine has found a fairly widespread role as an adulterant in illicit cocaine since 2003. This video from Dr. Larry Mellick shows the devastating effects it can have on cocaine users. Find more information in his vlog at http://bit.ly/Mellick.
Creator: Christine Butts, MD
Duration: 0:05
Read Dr. Christine Butts’ article, “Ultrasound Critical in Saving Patient with Aortic Dissection,” in the May 2015 issue, and then watch this video that shows a transverse image of the aorta, seen just superficial to the vertebral body on the patient's left. An intimal flap can be seen as a hyperechoic lucency within the lumen of the aorta.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 6:31
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, continue their series on abscess care with this video showing an I&D of an axillary abscess. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video for how to drain an abscess.
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: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 0:15
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, turn their attention to eyebrow lacerations repair. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video of an eyebrow laceration repair.
Creator: Larry Mellick, MD
Duration: 3:47
Hesitating for even seconds during an open thoracotomy will guarantee failure or a poor patient outcome. Nevertheless, no matter how grisly and stressful this procedure may be, it has real potential for saving lives. Watch this video from Dr. Larry Mellick, and find more information in his vlog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 2:33
There is no higher stress or professionally memorable procedure than the open thoracotomy. This is one of the most time-sensitive procedures, and is unquestionably the most invasive procedure in emergency medicine. Watch this video from Dr. Larry Mellick, and find more information in his vlog at http://bit.ly/Mellick.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 0:06
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, wrap up their lumbar puncture series with some pearls for LP patients. Read the blog post, “Lumbar Puncture: Golden Rules” at http://bit.ly/ProceduralPause, and then watch how to do a needle insertion in this video.
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: 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: Larry Mellick, MD
Duration: 0:32
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 first video shows the track marks associated with repeated intravenous injection. Read his video introduction at http://bit.ly/Mellick, and then watch this video to learn more.
Creator: Larry Mellick, MD
Duration: 0:56
Relative bradycardia in the face of severe blood loss and hypotension contradicts what EPs have been taught about the body’s response to hemorrhage, but Dr. Larry Mellick sets the record straight. Read his blog post at http://bit.ly/Mellick, and then watch this video to learn more about hypotension and paradoxical bradycardia.
Creator: Christine Butts, MD
Duration: 0:06
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 IVC is enlarged, changing little with respiration. These findings correlate with an elevated central venous pressure.
Creator: Larry Mellick, MD
Duration: 13:47
It’s such a simple concept, yet has so many potential life-saving applications. The Abdominal Aortic and Junctional Tourniquet may be the future of advanced cardiac life support. Read Dr. Mellick’s blog post at http://bit.ly/Mellick, and then watch this video to learn more about how the AAJT, fresh from the battlefield, is saving lives in the ED.
Creator: Martha Roberts
Duration: 1:35
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.
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: 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: 0:04
Read Dr. Butts’ article, “Comet Tails and Lung Sliding: Evaluating for Pneumothorax,” in the December 2013 issue, and then view this video that demonstrates lack of lung sliding associated with a pneumothorax. A rib is seen to the right of the image as the structure casting a large shadow. Just beneath the rib, the pleura is seen as a hyperechoic horizontal line. Careful observation reveals that the pleura is not sliding nor are comet tails visible.
Creator: Larry Mellick, MD
Duration: 9:19
Many pediatric patients with nasal foreign bodies present to the emergency department for chief complaints unrelated to the nose. Once the diagnosis is made, however, a variety of techniques can resolve the problem in the ED, but be sure you know when need an ENT consult.
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: Larry Mellick, MD
Duration: 1:24
For a fantastic instructive 1:24-minute video on treating paronychia, just watch Dr. Larry Mellick, a professor of emergency medicine at the Medical College of Georgia, at work.
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: 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: 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.