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The Procedural Pause: Trocar in Times of Trouble

Video Author: Martha Roberts, ACNP
Published on: 03.27.2019

Martha Roberts, ACNP, CEN, and James R. Roberts, MD, look at the trocar and whether it should be used in the ED: http://bit.ly/EMN-ProceduralPause.

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Creator: Martha Roberts, ACNP
Duration: 9:02
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, look at the trocar and whether it should be used in the ED: http://bit.ly/EMN-ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:10
Ganglion cysts are soft tissue, fluid-filled swellings most frequently found in the hand and wrist, but their origin is not always clear. They are common, however, and can occasionally be associated with surprising morbidity despite their benign nature. Tune in to Dr. Mellick’s review, and read more in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 30:32
Michael Winters, MD, delves into post-intubation analgesia and sedation in this fascinating video: http://bit.ly/EMN-EMedHomeVideos.
Creator: EMedHome.com
Duration: 25:04
Sergey Motov, MD, has all you need to know about the euphoria associated with opioids and why it matters: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 31:37
Dr. Lee and Dr. Cristian Patterson look for HINTS in patients who presented with dizziness and ataxia. Watch the video to see how they find this difficult diagnosis that is easy to miss.
Creator: Alice S.Y. Lee, MD
Duration: 30:36
Dr. Lee invites Dr. Marc Zosky to discuss how to treat two elderly patients who fell.
Creator: Larry Mellick, MD
Duration: 1:55
Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed. Watch Dr. Mellick review acute hemorrhagic conjunctivitis, conjunctivitis-otitis syndrome, and parinaud oculoglandular syndrome in the videos, and read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 3:11
Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed. Watch Dr. Mellick review acute hemorrhagic conjunctivitis, conjunctivitis-otitis syndrome, and parinaud oculoglandular syndrome in the videos, and read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 5:34
Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed. Watch Dr. Mellick review acute hemorrhagic conjunctivitis, conjunctivitis-otitis syndrome, and parinaud oculoglandular syndrome in the videos, and read more in his blog at http://bit.ly/Mellick.
Creator: Martha Roberts, ACNP
Duration: 3:35
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, walk you through treating an ankle dislocation and share tips for splinting: http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 16:32
Sergey Motov, MD, has all you need to know about getting patients comfortably numb with intravenous lidocaine in the emergency department: http://bit.ly/EMN-EMedHomeVideos.
Creator: Martha Roberts, ACNP
Duration: 8:18
The slit lamp is a straightforward and user-friendly machine designed to make ocular exams easy. Martha Roberts, ACNP, CEN, and James R. Roberts, MD, show you what all its bells and whistles do: http://bit.ly/EMN-ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:32
Tranexamic acid can be administered topically for epistaxis in multiple ways—dripping TXA into the nostrils with a syringe or the shortened tubing of a butterfly needle. Watch Dr. Mellick demonstrate two other possible options in the videos, and read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 5:26
Tranexamic acid can be administered topically for epistaxis in multiple ways—dripping TXA into the nostrils with a syringe or the shortened tubing of a butterfly needle. Watch Dr. Mellick demonstrate two other possible options in the videos, and read more in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 23:20
Michael Winters, MD, discusses post-arrest care in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 24:05
Abdominal pain is the complaint that most often brings patients to the ED, but these two cases presented by Alice Lee, MD, and Bill Fulton, MD, have some interesting twists.
Creator: Alice S.Y. Lee, MD
Duration: 27:53
Join Dr. Alice Lee and Cristian Patterson, DO, as they diagnose a 53-year-old man with diabetes and hypertension who complains of severe chest pain and shortness of breath.
Creator: Martha Roberts, ACNP
Duration: 7:57
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.
Creator: Larry Mellick, MD
Duration: 6:35
Some medical conditions have signs and symptoms that significantly overlap, making a diagnosis a little more difficult. Epididymitis, testicular torsion, and torsion of the testicular appendage are examples, but orbital and preseptal cellulitis are others that can cause significant diagnostic confusion. Dr. Mellick delves into this topic with cutting-edge information about how to diagnose these patients. Read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 3:35
Some medical conditions have signs and symptoms that significantly overlap, making a diagnosis a little more difficult. Epididymitis, testicular torsion, and torsion of the testicular appendage are examples, but orbital and preseptal cellulitis are others that can cause significant diagnostic confusion. Dr. Mellick delves into this topic with cutting-edge information about how to diagnose these patients. Read more in his blog at http://bit.ly/Mellick.



Creator: Martha Roberts, ACNP
Duration: 9:02
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, look at the trocar and whether it should be used in the ED: http://bit.ly/EMN-ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:10
Ganglion cysts are soft tissue, fluid-filled swellings most frequently found in the hand and wrist, but their origin is not always clear. They are common, however, and can occasionally be associated with surprising morbidity despite their benign nature. Tune in to Dr. Mellick’s review, and read more in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 30:32
Michael Winters, MD, delves into post-intubation analgesia and sedation in this fascinating video: http://bit.ly/EMN-EMedHomeVideos.
Creator: EMedHome.com
Duration: 25:04
Sergey Motov, MD, has all you need to know about the euphoria associated with opioids and why it matters: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 31:37
Dr. Lee and Dr. Cristian Patterson look for HINTS in patients who presented with dizziness and ataxia. Watch the video to see how they find this difficult diagnosis that is easy to miss.
Creator: Alice S.Y. Lee, MD
Duration: 30:36
Dr. Lee invites Dr. Marc Zosky to discuss how to treat two elderly patients who fell.
Creator: Larry Mellick, MD
Duration: 1:55
Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed. Watch Dr. Mellick review acute hemorrhagic conjunctivitis, conjunctivitis-otitis syndrome, and parinaud oculoglandular syndrome in the videos, and read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 3:11
Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed. Watch Dr. Mellick review acute hemorrhagic conjunctivitis, conjunctivitis-otitis syndrome, and parinaud oculoglandular syndrome in the videos, and read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 5:34
Conjunctivitis is a common condition and easy enough to treat, but several uncommon conjunctivitis syndromes require more care and should not be missed. Watch Dr. Mellick review acute hemorrhagic conjunctivitis, conjunctivitis-otitis syndrome, and parinaud oculoglandular syndrome in the videos, and read more in his blog at http://bit.ly/Mellick.
Creator: Martha Roberts, ACNP
Duration: 3:35
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, walk you through treating an ankle dislocation and share tips for splinting: http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 16:32
Sergey Motov, MD, has all you need to know about getting patients comfortably numb with intravenous lidocaine in the emergency department: http://bit.ly/EMN-EMedHomeVideos.
Creator: Martha Roberts, ACNP
Duration: 8:18
The slit lamp is a straightforward and user-friendly machine designed to make ocular exams easy. Martha Roberts, ACNP, CEN, and James R. Roberts, MD, show you what all its bells and whistles do: http://bit.ly/EMN-ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:32
Tranexamic acid can be administered topically for epistaxis in multiple ways—dripping TXA into the nostrils with a syringe or the shortened tubing of a butterfly needle. Watch Dr. Mellick demonstrate two other possible options in the videos, and read more in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 23:20
Michael Winters, MD, discusses post-arrest care in the ED: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 27:53
Join Dr. Alice Lee and Cristian Patterson, DO, as they diagnose a 53-year-old man with diabetes and hypertension who complains of severe chest pain and shortness of breath.
Creator: Martha Roberts, ACNP
Duration: 7:57
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.
Creator: Larry Mellick, MD
Duration: 6:35
Some medical conditions have signs and symptoms that significantly overlap, making a diagnosis a little more difficult. Epididymitis, testicular torsion, and torsion of the testicular appendage are examples, but orbital and preseptal cellulitis are others that can cause significant diagnostic confusion. Dr. Mellick delves into this topic with cutting-edge information about how to diagnose these patients. Read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 3:35
Some medical conditions have signs and symptoms that significantly overlap, making a diagnosis a little more difficult. Epididymitis, testicular torsion, and torsion of the testicular appendage are examples, but orbital and preseptal cellulitis are others that can cause significant diagnostic confusion. Dr. Mellick delves into this topic with cutting-edge information about how to diagnose these patients. Read more in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 28:17
Sergey Motov, MD, discuss cutting-edge care for sickle cell disease: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 33:28
Did you miss Dr. Lee trying to stump Seth Collings Hawkins, MD, at our ACEP booth? Watch her screencast this month to see if you can figure out this mystery case yourself!
Creator: Larry Mellick, MD
Duration: 2:38
The latest American Academy of Pediatrics guidelines are causing confusion for experienced andinexperienced emergency physicians alike. Dr. Mellick shines some light to make your practice easier. Read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 4:08
The latest American Academy of Pediatrics guidelines are causing confusion for experienced andinexperienced emergency physicians alike. Dr. Mellick shines some light to make your practice easier. Read more in his blog at http://bit.ly/Mellick.
Creator: Martha Roberts, ACNP
Duration: 10:06
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, explain how to use an atomizer to administer naloxone for opioid overdoses. Master this easy-to-use device, and hear a bonus interview at the end of Dr. Roberts interviewing Edward Bernstein, MD, about Project ASSERT: http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 20:12
Michael Bond, MD, discusses orthopedic risk reduction with tips and tricks to lower your malpractice risk: http://bit.ly/EMN-EMedHomeVideos
Creator: EMedHome.com
Duration: 17:11
Laura Bontempo, MD, discusses drooling, hypoxic, and crashing: http://bit.ly/EMN-EMedHomeVideos.
Creator: Martha Roberts, ACNP
Duration: 07:45
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, explain how to use a tonopen for acute angle closure. Tune in to learns some tips and tricks for mastering this device: http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 24:08
Sergey Motov, MD discusses regional blocks for advanced pain management in the ED: http://bit.ly/EMN-EMedHomeVideos.
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: 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: 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: Alice S.Y. Lee, MD
Duration: 26:09
Alice Lee, MD, and Elisa Dannemiller, MD, discuss the cases of two men who present with flash burns. What is the right management? Watch to learn more about these fascinating cases.
Creator: Larry Mellick, MD
Duration: 4:50
Disulfiram treatment is considered a valuable option for treating alcohol dependence, and more recently, has shown potential benefit for treating other presentations. Just be on the lookout for patients with serious side effects such as refractory hypotension and its associated ischemic complications. Watch this video and read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.
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: Larry Mellick, MD
Duration: 1:08
Uncircumcised boys and men are at increased risk of balanitis, posthitis, balanoposthitis, phimosis, and paraphimosis, says Larry Mellick, MD. This video shows a patient with this complaint and discusses the treatment plan. Read more in Dr. Mellick’s blog at http://bit.ly/Mellick.
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: Larry Mellick, MD
Duration: 2:03
Dr. Larry Mellick looks at the softer side of emergency medicine for a change—how important pets are to patients and how they can help with treatment. In this video, he has insights about that after seeing his daughter interact with her new puppy. Read more in Dr. Mellick’s blog at http://bit.ly/Mellick.
Creator: Alice S.Y. Lee, MD
Duration: 26:12
Alice Lee, MD, and, Mary Katherine Harper, MD, review the case of a patient with excited delirium.
Creator: EMedHome.com
Duration: 27:23
Sergey Motov, MD, with a new lecture, Four Reasons Tramadol Should Not Be Used in the ED. http://bit.ly/EMN-EMedHomeVideos.
Creator: EMedHome.com
Duration: 18:59
Ashley Menne, MD, with a new lecture, Trauma Pearls They Didn’t Teach You in ATLS: http://bit.ly/EMN-EMedHomeVideos.
Creator: Martha Roberts, ACNP, PNP
Duration: 2:34
Martha Roberts, ACNP, PNP, and James R. Roberts, MD, delve into splints for immobilizing and stabilizing injuries, alleviating pain and edema, and promoting healing. Read more in their blog at http://bit.ly/ProceduralPause.
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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: 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: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 10:20
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, delve into the nuances of De Quervain’s tenosynovitis, with tips on managing this easy-to-treat wrist condition. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video for how to diagnose and treat De Quervain’s tenosynovitis.
Creator: Larry Mellick, MD
Duration: 3:39
Whether performing advanced airway procedures or splinting orthopedic fractures, emergency physicians are expert at performing the routine procedures of other specialties. Watch this video, the second of three this month from Dr. Larry Mellick, to see a procedure requiring placement of a nasopharyngoscope. Find more information about procedures 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: 7:16
Each emergency physician has his favorite technique for reducing shoulder dislocations. Watch this video, the third of three from Dr. Larry Mellick this month, to learn tips for reducing dislocations. Find more information about shoulder reductions 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: 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: 1:57
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 second video shows the piloerection that accompanies withdrawal. 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: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 2:34
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.
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: Christine Butts, MD
Duration: 0:06
Read Dr. Butts’ article, “The RADiUS Focused Cardiac Exam,” in the Breaking News blog, and then view this video that shows the subxiphoid view of a pericardial effusion demonstrating mass effect on the right ventricle (RV).
Creator: Martha Roberts
Duration: 1:27
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.
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
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: 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: 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: Martha Roberts
Duration: 0:17
Watch Dr. James Roberts demonstrate the correct technique for patellar relocation.
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: 11:13
High-quality team leadership is central to good code team organization and a well-run resuscitation. It is has never been studied or proven that good code team organization makes a difference in patient outcomes, but personal experience and face validity suggest valuable benefits.
Creator: Christine Butts, MD
Duration: 0:11
Read Dr. Butts’ article, “Think SUPRAclavicular for Subclavian Lines,” in the July 2013 issue, and then view this video that shows the technique to assess the venous anatomy of the neck and to identify the subclavian vein (SCV). The high-frequency transducer should be placed in the transverse orientation just lateral to the trachea. Once the internal jugular (IJ) is identified, it can be followed inferiorly until it is seen to join the SCV. Angling the transducer anteriorly will help to visualize this junction.
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: 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: 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.