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The Procedural Pause:

Video Author: Martha Roberts, CEN, ACNP
Published on: 07.19.2016

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.

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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: 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: 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: 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: Larry Mellick, MD
Duration: 2:06
Pediatric patients frequently put foreign bodies into their mouths, noses, and ears, and Dr. Mellick shows you in these three videos some techniques for removal plus some interesting experiments you may like to try. Read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 6:31
Pediatric patients frequently put foreign bodies into their mouths, noses, and ears, and Dr. Mellick shows you in these three videos some techniques for removal plus some interesting experiments you may like to try. Read more in his blog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 9:36
Pediatric patients frequently put foreign bodies into their mouths, noses, and ears, and Dr. Mellick shows you in these three videos some techniques for removal plus some interesting experiments you may like to try. Read more in his blog at http://bit.ly/Mellick.
Creator: Alice S.Y. Lee, MD
Duration: 27:18
A 60-year-old woman presents with syncope, severe abdominal pain, and vaginal hemorrhage. She had recently been diagnosed with uterine cancer. How do you manage this case? Listen in as Dr. Lee and Chris Lapinski, MD, learn about Bakri balloons and how TXA played a role in this case.
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: 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: 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: 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: 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: 4:50
Compartment syndrome of the hand is a rare condition that can have devastating consequences. Watch this video of a man with late-presentation compartment syndrome whose hand was crushed after a fall from a ladder, and read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.
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: Larry Mellick, MD
Duration: 4:37
How in the world does a hair get wrapped repeatedly and tightly around an appendage of the body? Watch this video and read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.
Creator: Christine Butts, MD
Duration: 00:06
This video from Christine Butts, MD, shows the transverse view of the pelvis. The bladder is seen anteriorly as a well-defined anechoic area, with a circular, hypoechoic, complex collection deep to it. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Larry Mellick, MD
Duration: 8:07
Headaches can be caused by life-threatening conditions such as aneurysms, like this patient who experienced a posterior communicating artery aneurysm and was taken for emergent aneurysm coiling. Read more in Dr. Mellick’s blog at http://bit.ly/Mellick.
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: 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: Martha Roberts, ACNP, PNP
Duration: 5:12
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.
Creator: Martha Roberts, ACNP, PNP
Duration: 7:32
Martha Roberts, ACNP, PNP, and James R. Roberts, MD, say scalp abscesses and kerions can be tricky and complicated. They can appear small and harmless, but require immediate attention. Read more in their blog at http://bit.ly/ProceduralPause.
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: Larry Mellick, MD
Duration: 4:02
Dr. Larry Mellick is the guinea pig in this video testing different magnets for removing a foreign body from the ear. 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: Martha Roberts, CEN, ACNP
Duration: 12:19
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, review the diagnosis and treatment of lateral epicondylitis, also known as tennis elbow. 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: 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: 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: 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: 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: 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: 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: 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: 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: 2:15
Some rashes aren’t difficult to diagnose once you’ve seen a case or two. This video from Dr. Larry Mellick helps with diagnosing strep. 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: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 12:34
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.
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: 4:25
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: 8:56
The reported failure rate for inferior alveolar nerve blocks can range as high as 30-45 percent of cases, 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 alveolar nerve blocks.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 3:51
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 set up a sterile field in this video.
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: 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: 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: 0:02
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: 0:04
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 severely decreased 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: 0:04
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: 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: Christine Butts, MD
Duration: 0:29
Read Dr. Butts’ article, “Think SUPRAclavicular for Subclavian Lines,” in the July 2013 issue, and then view this video that shows assessment of the venous anatomy as seen under ultrasound. The internal jugular (IJ) vein is seen as the triangular vessel that appears to fluctuate slightly with respiration. As the view progresses inferiorly, the IJ can be seen to join the SCV, which appears tubular in this orientation.
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: Graham Walker, MD
Duration: 2:01
See One, Do One. Watch Dr. Walker demonstrate intranasal medication administration.
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.