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Using the Anoscope for Foreign Bodies

Video Author: Martha Roberts, ACNP
Published on: 12.27.2018

Rectal exams are difficult for the patient and require true expertise. You cannot expect to complete a good rectal exam or remove a rectal foreign body without the correct information, good bedside relationship, and the right equipment, and Martha Roberts, ACNP, CEN, and James R. Roberts, MD, show you the best way to handle these cases: http://bit.ly/EMN-ProceduralPause.

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Creator: Martha Roberts, ACNP
Duration: 3:26
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, say that bedside ultrasound has potential to be the new gold standard for pneumothorax. Learn more in their video at http://bit.ly/EMN-ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:05
Dr. Mellick wonders why racemic epinephrine got such a bad rap, and says it’s an overlooked treatment for asthma and other respiratory complaints. Tune in to watch Dr. Mellick’s videos, and read more in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 29:43
Pain expert Sergey Motov, MD, talks about alternative methods of pain control in this video explaining the protocol he created: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 28:29
Dr. Lee and Elisa Dannemiller, MD, try to determine what’s going on with two patients with memory problems. Watch the video to see how they figure out this diagnosis.
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: Martha Roberts, ACNP
Duration: 3:26
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, say that bedside ultrasound has potential to be the new gold standard for pneumothorax. Learn more in their video at http://bit.ly/EMN-ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:05
Dr. Mellick wonders why racemic epinephrine got such a bad rap, and says it’s an overlooked treatment for asthma and other respiratory complaints. Tune in to watch Dr. Mellick’s videos, and read more in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 29:43
Pain expert Sergey Motov, MD, talks about alternative methods of pain control in this video explaining the protocol he created: http://bit.ly/EMN-EMedHomeVideos.
Creator: Alice S.Y. Lee, MD
Duration: 28:29
Dr. Lee and Elisa Dannemiller, MD, try to determine what’s going on with two patients with memory problems. Watch the video to see how they figure out this diagnosis.
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: 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: 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: 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: 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: 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: 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: Martha Roberts, ACNP
Duration: 02:59
Watch hematoma block for a wrist fracture.
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: 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: Larry Mellick, MD
Duration: 2:48
Many types and etiologies of headache and facial pain afflict ED patients, and sorting through them can be a challenge. Craniofacial experts themselves, in fact, do not attempt to remember the subtle differences between the various conditions causing craniofacial pain, but instead refer to the third edition of the International Classification of Headache Disorders, says Larry Mellick, MD.

This video shows a 9-year-old boy who crashed his motor bike and had a concussion, forehead contusion, and broken nose. A month later, he was still experiencing pain in his forehead, but rather than go right to CT or MRI, Dr. Mellick tried a different approach. Read more in Dr. Mellick’s blog at http://bit.ly/Mellick.
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: 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: EMedHome.com
Duration: 19:25
Haney Mallemat, MD: 2017 Resusfest: http://bit.ly/EMN-EMedHomeVideos.
Creator: Larry Mellick, MD
Duration: 15:08
Dr. Larry Mellick and colleagues cardiovert the first emergency medicine residency graduate, Bruce Janiak, MD, who narrates most of the procedure in this video! Find out more in Dr. Mellick’s blog and video 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: Larry Mellick, MD
Duration: 10:42
Dr. Larry Mellick and colleagues test the bag-valve mask for preoxygenation. You will be surprised by the results! 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: 29:37
Sergey Motov, MD: Top 10 2016 Adult EM Pain Articles that Might Change Your Practice: http://bit.ly/EMN-EMedHomeVideos.
Creator: Martha Roberts, CEN, ACNP
Duration: 1:51
Martha Roberts, CEN, ACNP, and James R. Roberts, MD, review the case of a patient with a thumb dislocation, offering tips for easy reduction. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:36
Dr. Larry Mellick reviews an unusual cause of abdominal pain. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 2:29
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, bring you a clinical pearl from Helen Karellas Bardis, NP, on a less invasive way to administer ocular anesthetics. Don’t forget to visit their blog each month for more pearls and procedure tips at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 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: 3:02
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, show a nifty way to anesthetize the sensitive ear canal to remove a foreign body. The patient this month is none other than Dr. Roberts! (Celebrities are just like us!) Read more in their blog at http://bit.ly/ProceduralPause.
Creator: 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: 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: 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: 2:43
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, tackle caring for patients with styes. Find out all you need to know about draining this delicate abscess in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 3:48
Dr. Larry Mellick shares tips and tricks that will help emergency physicians repair ear cartilage lacerations with ease. Read his blog post at http://bit.ly/Mellick, and then watch this video to see a laceration repair.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:42
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, train their laser focus on arthrocentesis this month. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video to make sure you know all the basics of tapping a knee.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:02
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, take on traumatic knee injuries this month. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video to make sure you know all the basics of a knee exam.
Creator: Larry Mellick, MD
Duration: 13:14
Dr. Larry Mellick interviews Ricaurte A. Solis, DO, who has created, with input from the FOAM community, a novel way to deliver oxygen during needle cricothyroidotomy. Read Dr. Solis’s blog post at http://bit.ly/Mellick, and then watch this video to hear him demonstrate this innovative technique.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:45
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, note that emergency providers must always consider a procedure’s impact on patient comfort, care, and outcome. Nowhere is that more of a concern than draining a sensitive vaginal abscess. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video for how to treat a broken tooth in the ED.
Creator: Larry Mellick, MD
Duration: 3:07
Ketamine is a fascinating drug with multiple potential applications in the emergency department, but emergency physicians should consider this phencyclidine-like dissociative agent for pain management. Read Dr. Mellick’s blog post at http://bit.ly/Mellick, and then watch this video to hear how ketamine helped this patient with cancer pain.
Creator: Larry Mellick, MD
Duration: 3:47
Peripheral and central sensitization of pain pathways are recognized as part of the process of chronic and subacute pain syndromes. Read Dr. Mellick’s blog post at http://bit.ly/Mellick, and then watch this video to hear how ketamine helped this patient with peripheral neuropathy pain.
Creator: Larry Mellick, MD
Duration: 2:13
Watch Dr. Larry Mellick diagnosis a young girl who presents with a targetoid rash on her arms and legs. Find more information in his vlog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 3:10
Watch as Dr. Larry Mellick figures out the type of rash this child has. Find more information in his vlog at a href="http://bit.ly/Mellick" target="_blank">http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 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: 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: Charles Bruen, MD
Duration: 0:19
Read Dr. Charles Bruen’s blog post at http://bit.ly/BruenSponCirc, and then watch this video to see a limited transthoracic echocardiogram using the subcostal window.
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: 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: 834:00
Dr. Larry Mellick is his own patient this month! Read Dr. Mellick’s blog post at http://bit.ly/Mellick, and then watch this video to learn more about difficult intubations.
Creator: Larry Mellick, MD
Duration: 6:35
Dr. Larry Mellick is his own patient this month! Read his blog post at http://bit.ly/Mellick, and then watch this video to see him receive an interscalene plexus block for rotator cuff surgery.
Creator: Larry Mellick, MD
Duration: 1:32
Cockroaches love to hide in warm, dark places, and living proof is the number of patients presenting with cockroaches in their external ear canals. Read Dr. Mellick’s blog post at http://bit.ly/Mellick, and watch these videos to learn more about removing these cringe-inducing creatures.
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: 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: 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: 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: Tom Cook, MD
Duration: 39:00
Take a virtual trip to Chengdu, China, with Drs. Chris Moore and Thomas Cook. They didn’t just go halfway around the world; they went to a different world where patients pay for care up-front, and a head CT scan costs about $50.
Creator: Larry Mellick, MD
Duration: 1:58
You’ll have much better success with infant spinal taps if you follow these three easy steps, says Dr. Mellick.
Creator: Larry Mellick, MD
Duration: 5:34
New laryngoscopy technology brings with it new problems. Instead of worrying about dead blade handle batteries or burned out light bulbs, EPs have to cope with broken cables, malfunctioning screens, damaged light sources, and missing pieces, says Dr. Mellick. Direct laryngoscopy, therefore, will never disappear from his training program.
Creator: Larry Mellick, MD
Duration: 5:20
New laryngoscopy technology brings with it new problems. Instead of worrying about dead blade handle batteries or burned out light bulbs, EPs have to cope with broken cables, malfunctioning screens, damaged light sources, and missing pieces, says Dr. Mellick. Direct laryngoscopy, therefore, will never disappear from his training program.
Creator: Larry Mellick, MD
Duration: 12:14
Chest tube placement borders on the barbaric, says Dr. Mellick. The use of large-bore chest drainage devices is not supported by most guidelines, and he explains in this month’s EduBlog that needle aspiration is just as effective, with a small-bore chest drain working if needle aspiration fails.
Creator: 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.