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Post-Tooth Extraction Bleeding

Video Author: Alice S.Y. Lee, MD
Published on: 08.31.2017

Alice Lee, MD, and Bill Fulton, MD, review the case of an 80-year-old man bleeding briskly from his gums.

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Creator: Alice S.Y. Lee, MD
Duration: 24:56
Dr. Lee and interventional cardiologist Jas Kahlon, MD, discuss a 60-year-old woman who presents with chest and left arm pain. Watch this video to hear their plan for her care.
Creator: Christine Butts, MD
Duration: 0:03
Christine Butts, MD, writes that many diagnostic tools EPs typically rely on are not practical due to the risk of contamination and the high volume of patients. Instead, turn to ultrasound, which can help diagnose lung and heart findings. This video shows a low-frequency image of normal, air-filled lungs. The pleural line is seen just deep to the rib. Note the repeating horizontal lines, which are A lines. Read more in her column at http://bit.ly/SpeedSound, and watch this video.
Creator: Christine Butts, MD
Duration: 0:04
Christine Butts, MD, writes that many diagnostic tools EPs typically rely on are not practical due to the risk of contamination and the high volume of patients. Instead, turn to ultrasound, which can help diagnose lung and heart findings.

This video shows a low-frequency image of the lungs demonstrating thick, confluent B lines deep to the ribs. Note the more irregular appearance of the pleura. Read more in her column at http://bit.ly/SpeedSound, and watch this video.
Creator: Christine Butts, MD
Duration: 0:06
Christine Butts, MD, writes that many diagnostic tools EPs typically rely on are not practical due to the risk of contamination and the high volume of patients. Instead, turn to ultrasound, which can help diagnose lung and heart findings.

This video shows a high-frequency image of a subpleural consolidation. Note the interruption to the solid pleural line and an irregular hypoechoic area. Read more in her column at http://bit.ly/SpeedSound, and watch this video.
Creator: EMedHome.com
Duration: 20:15
Dr. Woods talks about how to treat neonates with fever.
Creator: Martha Roberts, ACNP
Duration: 3:24
The Roberts discuss how an ear wick inserted between the swollen canal walls can help instill medication and keep the medication around longer to assist with healing. Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 22:02
Dr. Lu discusses how to care for a critically ill obese child.
Creator: Christine Butts, MD
Duration: 0:06
Christine Butts, MD, says a small LV shows promise as an indicator of PE during pulse checks in cardiac arrest. Read more in her column at http://bit.ly/SpeedSound, and watch this video taken just after initial ROSC, and note that the contraction overall appears disorganized and irregular.
Creator: Alice S.Y. Lee, MD
Duration: 23:04
Dr. Lee and Kevin Craig, MD, diagnose a 66-year-old woman with hemoptysis, shortness of breath, and afib who is on Eliquis and has hypertension, congestive heart failure, an implantable cardioverter defibrillator, and sleep apnea. Watch this video to hear their plan for her care.
Creator: Martha Roberts, ACNP
Duration: 8:09
The Roberts focus on arthrocentesis of the wrist with a full video of the procedure, including ultrasound and joint aspiration. Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 45:41
Dr. Marcolini talks about the latest emergency care for neurology cases.
Creator: Alice S.Y. Lee, MD
Duration: 23:22
Dr. Lee and Cristian Patterson, DO, deliberate the case of a 64-year-old man who presented with swelling of his tongue and neck. Watch this video to hear how they treated him. You can also read the article to which Dr. Lee refers, “How Many Physicians Does It Take to Perform a Cricothyrotomy?” on our website at https://bit.ly/2WGBw3K.
Creator: Martha Roberts, ACNP
Duration: 5:43
Tapping a wrist to determine the underlying pathology or relieve pain may be of great value, and analyzing the synovial fluid from the joint space for crystals, infection, and blood may help determine the overall plan and aid in decision-making. Watch this video about performing the procedure, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: Martha Roberts, ACNP
Duration: 6:22
The key to a successful paracentesis starts with identifying landmarks, using ultrasound to determine the evacuation site, and having all the equipment prepped and ready to go. Watch this video about performing the procedure, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 27:55
Dr. Lu explores how to handle challenging pediatric cases.
Creator: Alice S.Y. Lee, MD
Duration: 23:39
Dr. Lee and Salim Rezaie, MD, delve into the case of a 73-year-old woman with acute onset of thoracic back pain.
Creator: Christine Butts, MD
Duration: 0:05
Christine Butts, MD, looks at the pros and cons of early systolic notching to rule in or out massive or submassive PE at the bedside. Read more in her column at http://bit.ly/SpeedSound, and watch this video to see a parasternal short axis view of the base of the heart.
Creator: Martha Roberts, ACNP
Duration: 3:49
Ultrasound can help lower the rate of complications, avoid solid organ or intestine puncture, and help identify which patients are best suited for paracentesis. Watch this video about prepping for this procedure, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 25:06
Dr. Bontempo discusses how to treat the crashing patient.
Creator: Alice S.Y. Lee, MD
Duration: 20:21
Dr. Lee and Greg Henry, MD, discuss a 66-year-old man with diabetes, hypertension, and afib who presented with acute onset of vision problems.



Creator: Alice S.Y. Lee, MD
Duration: 24:56
Dr. Lee and interventional cardiologist Jas Kahlon, MD, discuss a 60-year-old woman who presents with chest and left arm pain. Watch this video to hear their plan for her care.
Creator: Christine Butts, MD
Duration: 0:03
Christine Butts, MD, writes that many diagnostic tools EPs typically rely on are not practical due to the risk of contamination and the high volume of patients. Instead, turn to ultrasound, which can help diagnose lung and heart findings. This video shows a low-frequency image of normal, air-filled lungs. The pleural line is seen just deep to the rib. Note the repeating horizontal lines, which are A lines. Read more in her column at http://bit.ly/SpeedSound, and watch this video.
Creator: EMedHome.com
Duration: 20:15
Dr. Woods talks about how to treat neonates with fever.
Creator: Martha Roberts, ACNP
Duration: 3:24
The Roberts discuss how an ear wick inserted between the swollen canal walls can help instill medication and keep the medication around longer to assist with healing. Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 22:02
Dr. Lu discusses how to care for a critically ill obese child.
Creator: Christine Butts, MD
Duration: 0:06
Christine Butts, MD, says a small LV shows promise as an indicator of PE during pulse checks in cardiac arrest. Read more in her column at http://bit.ly/SpeedSound, and watch this video taken just after initial ROSC, and note that the contraction overall appears disorganized and irregular.
Creator: Alice S.Y. Lee, MD
Duration: 23:04
Dr. Lee and Kevin Craig, MD, diagnose a 66-year-old woman with hemoptysis, shortness of breath, and afib who is on Eliquis and has hypertension, congestive heart failure, an implantable cardioverter defibrillator, and sleep apnea. Watch this video to hear their plan for her care.
Creator: Martha Roberts, ACNP
Duration: 8:09
The Roberts focus on arthrocentesis of the wrist with a full video of the procedure, including ultrasound and joint aspiration. Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 45:41
Dr. Marcolini talks about the latest emergency care for neurology cases.
Creator: Alice S.Y. Lee, MD
Duration: 23:22
Dr. Lee and Cristian Patterson, DO, deliberate the case of a 64-year-old man who presented with swelling of his tongue and neck. Watch this video to hear how they treated him. You can also read the article to which Dr. Lee refers, “How Many Physicians Does It Take to Perform a Cricothyrotomy?” on our website at https://bit.ly/2WGBw3K.
Creator: Martha Roberts, ACNP
Duration: 5:43
Tapping a wrist to determine the underlying pathology or relieve pain may be of great value, and analyzing the synovial fluid from the joint space for crystals, infection, and blood may help determine the overall plan and aid in decision-making. Watch this video about performing the procedure, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 27:55
Dr. Lu explores how to handle challenging pediatric cases.
Creator: Alice S.Y. Lee, MD
Duration: 23:39
Dr. Lee and Salim Rezaie, MD, delve into the case of a 73-year-old woman with acute onset of thoracic back pain.
Creator: Christine Butts, MD
Duration: 0:05
Christine Butts, MD, looks at the pros and cons of early systolic notching to rule in or out massive or submassive PE at the bedside. Read more in her column at http://bit.ly/SpeedSound, and watch this video to see a parasternal short axis view of the base of the heart.
Creator: EMedHome.com
Duration: 25:06
Dr. Bontempo discusses how to treat the crashing patient.
Creator: Alice S.Y. Lee, MD
Duration: 20:21
Dr. Lee and Greg Henry, MD, discuss a 66-year-old man with diabetes, hypertension, and afib who presented with acute onset of vision problems.
Creator: Larry Mellick, MD
Duration: 5:01
Dr. Mellick delves into cricothyrotomies, focusing on the three variations for the surgical techniques. Watch this video, and learn more in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 23:27
Dr. Mallemat features highlights from the 25th Annual Scientific Assembly of the American Academy of Emergency Medicine.
Creator: Alice S.Y. Lee, MD
Duration: 25:50
Dr. Lee and Evie Marcolini, MD, discuss an elderly woman with concerning symptoms for stroke, but is she really having a stroke?
Creator: Larry Mellick, MD
Duration: 1:53
Dr. Mellick has been seeing a lot of second disease and fifth disease—it’s that time of year. Watch this video of a patient with a positive rapid strep test and prominent red lips, and learn more about all the rashes in his blog at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 72:27
Dr. Patel explores current evaluation and management of complications of cirrhosis.
Creator: Alice S.Y. Lee, MD
Duration: 26:15
Jonathan Graff, MD, presents the case of a 66-year-old with an acute amitriptyline ingestion to Dr. Lee and James Roberts, MD.
Creator: EMedHome.com
Duration: 28:06
Dr. Moore explores cutting-edge resuscitation, including head-up CPR, eCPR, and more.
Creator: Martha Roberts, ACNP
Duration: 6:07
Subungual hematomas can be a terror, the Roberts say. They are painful, ugly-looking, and sometimes confusing, but a few tips make draining the accumulated blood and relieving the pressure simple. Learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: Alice S.Y. Lee, MD
Duration: 23:30
Dr. Lee and Jonathan Graff, MD, diagnose a 29-year-old diabetic brought to the ED for an anxiety attack. He has shortness of breath, nausea, and stomach pain. What’s really going on here?
Creator: Christine Butts, MD
Duration: 00:04
Christine Butts, MD, says POCUS is meant to augment clinical decision-making, not be a treatment in and of itself. The history, exam, and most importantly, clinical judgment are the bedrock of caring for patients.

A case in point in these videos: Assessing for RV enlargement and pericardial fluid. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound, and watch these videos to see.
Creator: Martha Roberts, ACNP
Duration: 7:10
The Roberts say the figure-of-eight suture is a fascinating technique, often used in unique cases. Plus the stitch is extremely secure and easy to place. Learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Creator: EMedHome.com
Duration: 23:19
Dr. Levine talks about easy-to-overlook orthopedic injuries in this riveting video.
Creator: Christine Butts, MD
Duration: 00:04
Christine Butts, MD, says the subxiphoid view of the heart gets a lot of love from scanning protocols such as the FAST exam, but a good parasternal long axis view can also yield a large amount of helpful info in just a few seconds. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound, and watch this video to see her perform the ultrasound.
Creator: EMedHome.com
Duration: 20:04
Dr. Ahn describes how to find the subarachnoid in this illuminating video.
Creator: Martha Roberts, ACNP
Duration: 7:14
The Roberts explain how to repair a laceration between the toes, a delicate procedure. Learn more in their video at http://bit.ly/EMN-ProceduralPause
Creator: Martha Roberts, ACNP
Duration: 5:26
The Roberts explain how to remove a punctual plug when it is irritating a patient’s eye. Learn more in their video at http://bit.ly/EMN-ProceduralPause.
Creator: Martha Roberts, ACNP
Duration: 6:43
Martha Roberts, ACNP, CEN, and James R. Roberts, MD, talk about punctual plugs that go astray, and how EPs can help patients when they start to irritate their eye. Learn more in their video at http://bit.ly/EMN-ProceduralPause.
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: 23:20
Michael Winters, MD, discusses post-arrest care in the ED: http://bit.ly/EMN-EMedHomeVideos.
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: 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: 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: 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: 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: 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: 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: Christine Butts, MD
Duration: 00:14
Christine Butts, MD, opens her FAST Files again to show how important location is in diagnosing pericardial effusions. This video shows a hypoechoic area between the heart and pericardium, an important clue. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Creator: Larry Mellick, MD
Duration: 4:42
It is rare when patients present with a lower extremity compartment syndrome. Watch this video to see a patient who developed a foot drop as a result of compartment syndrome. Read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.
Creator: 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: 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: 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: 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: 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: 26:30
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: 22:00
Alice Lee, MD, points out that Dr. Amal Mattu, MD, always says if your patient is sweating, you should be too. In this month’s screencast, she and Scott Megna, MD, discuss and diagnose a 36-year-old man who presents with burning pain and shortness of breath.
Creator: Larry Mellick, MD
Duration: 1:00
A number of older clinical concepts may be unfamiliar to younger clinicians, but these clinical concepts are useful in pediatric medicine. Some of these concepts showed up in the medical literature for the first time nearly a century ago, but experience has borne out their effectiveness. This video shows an oldie but goodie tip for how to position a child properly for ear cleaning. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
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: Larry Mellick, MD
Duration: 2:52
Dr. Larry Mellick admits that post-surgical bleeding following tonsillectomy and adenoidectomy has given him some memorable experiences over the years. And by “memorable,” he means terrifying. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Creator: Martha Roberts, CEN, ACNP
Duration: 4:13
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, with an alternative to the Morgan Lens: eye irrigation using IV saline, a nasal cannula, and the connector piece from a Salem Sump kit. This procedure is less invasive and less traumatic for patients and easier for providers. A win-win! Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 5:50
How could a Lyme disease lookalike rash and anaphylaxis to meat have anything in common? Find out more as Dr. Larry Mellick reviews their common vector in this video and blog post, which you can find at http://bit.ly/Mellick.
Creator: EMedHome.com
Duration: 69:11
Dr. Mattu discusses the modern management of cardiogenic pulmonary edema.
Creator: Martha Roberts, CEN, ACNP
Duration: 4:46
James R. Roberts, MD, & Martha Roberts, CEN, ACNP, take on a thrombosed hemorrhoids in the ED. Surprised? You can do it, too. Read more in their blog at http://bit.ly/ProceduralPause.
Creator: Larry Mellick, MD
Duration: 2:51
Multiple methods are touted for reducing anterior shoulder dislocations, but the Davos technique is a nontraumatic, patient-controlled, and auto-reduction technique that does not require the use of anesthesia. Dr. Larry Mellick reviews it in this video and blog post, which you can find at http://bit.ly/Mellick.
Creator: 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: 2:01
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: 5:36
Dr. Larry Mellick waxes poetic about the Eidolon Photo Bluminator, which can take excellent still photographs and high-quality videos of the external surface of the eye. Read his blog post at http://bit.ly/Mellick, and then watch this video.
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 6:29
This month, James R. Roberts, MD, & Martha Roberts, CEN, ACNP, explore using ultrasound for removing foreign bodies. 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: 3:19
Dr. Larry Mellick acknowledges the bad blood that sometimes exists between emergency medicine and surgery, but says there are many times he is grateful for his surgical colleagues, like in this video. Read Dr. Mellick’s blog post at http://bit.ly/Mellick, and then watch this video to see him talk about a patient with a devastating leg injury.
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: 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: 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: 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: 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: 3:47
Hesitating for even seconds during an open thoracotomy will guarantee failure or a poor patient outcome. Nevertheless, no matter how grisly and stressful this procedure may be, it has real potential for saving lives. Watch this video from Dr. Larry Mellick, and find more information in his vlog at http://bit.ly/Mellick.
Creator: Larry Mellick, MD
Duration: 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: 1:29
The management of sucking chest wounds and open pneumothorax has changed. Dr. Larry Mellick explains the current guidelines for treatment, whether on the battlefield or off. Read his blog post 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: Martha Roberts
Duration: 1:35
Olecranon bursitis can be painless or an irritating condition involving the bursa of the ulna in the elbow. James Roberts, MD, and Martha Roberts, ACNP, CEN, review the best way to treat this condition in their blog post. Read that at http://bit.ly/ProceduralPause, and then watch this video showing aspiration of a patient’s elbow.
Creator: 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: 1:31
Intussusception sometimes does not present with classic symptoms, and the only clue might be a comatose-appearing infant. Dr. Larry Mellick says this presentation has the potential to trip up even the most astute clinician.
Creator: Larry Mellick, MD
Duration: 7:50
Treating anaphylaxis can confusing and complex. Dr. Mellick reviews how to recognize and manage these patients.
Creator: Larry Mellick, MD
Duration: 9:19
Many pediatric patients with nasal foreign bodies present to the emergency department for chief complaints unrelated to the nose. Once the diagnosis is made, however, a variety of techniques can resolve the problem in the ED, but be sure you know when need an ENT consult.
Creator: Larry Mellick, MD
Duration: 8:22
Dr. Mellick’s suspicions smoldered for years; he even thought the problem resided with his technique. But one patient made him realize that the textbooks were just wrong: Wire cutters were not going to release a zipper from penile skin.
Creator: 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: 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: Graham Walker, MD
Duration: 2:01
See One, Do One. Watch Dr. Walker demonstrate intranasal medication administration.
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.