Journal Logo

Video Gallery

July 2022: EMedHome’s Video with Robert Feldman, MD: Real Remedies for Real EM Problems

Video Author: EMedHome.com
Published on: 06.30.2022

Dr. Feldman offers solutions for real-world emergency medicine problems.

All Videos
Most Viewed
Most Emailed
Creator: Christine Butts, MD
Duration: 0:06
Christine Butts, MD, shows a cross-section of the gallbladder that demonstrates the WES sign in this video. Read more in her column at http://bit.ly/SpeedSound.
Play
Creator: Larry Mellick, MD
Duration: 8:56
The American Academy of Pediatrics’ bronchiolitis guidelines recommend stopping the mainstays of treatment, leaving physicians with essentially nothing but nasal suctioning, Dr. Mellick says in this month’s video and blog. And, he says, those can have real-life clinical consequences that can be dangerous and devastating. Read more at http://bit.ly/Mellick.
Play
Creator: Larry Mellick, MD
Duration: 6:03
Researchers have described parenteral diarrhea’s association with extraintestinal infections for more than a century, but the evidence is impressively limited, which perpetuates claims that it is a medical myth and not an actual clinical entity, Dr. Mellick says in this month’s video and blog. But the evidence suggesting it is an actual clinical entity is growing stronger. Read more at http://bit.ly/Mellick.
Play
Creator: EMedHome.com
Duration: 28:04
Dr. Falat talks about how to effectively resuscitate drowning victims.
Play
Creator: Christine Butts, MD
Duration: 0:06
Christine Butts, MD, shows a cross-section of the gallbladder that demonstrates the WES sign in this video. Read more in her column at http://bit.ly/SpeedSound.
Play
Creator: EMedHome.com
Duration: 30:54
Dr. Feldman offers solutions for real-world emergency medicine problems.
Play
Creator: Christine Butts, MD
Duration: 0:09
Christine Butts, MD, demonstrates the in-plane (long-axis) visualization of a needle entering the subclavian vein in the supraclavicular approach. Read more in her column at http://bit.ly/SpeedSound
Play
Creator: EMedHome.com
Duration: 46:44
Dr. Lu goes in depth on all that’s new in pediatric emergency medicine.
Play
Creator: Christine Butts, MD
Duration: 00:07

Hip fracture pain management can be challenging, often requiring large doses of narcotics, which can be a problem in older patients. If you’ve been reluctant to try nerve blocks for hip fractures, ultrasound can help. Watch this video of the target area, where the femoral artery and vein are seen initially, but moving the transducer laterally reveals the femoral nerve and iliacus muscle. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.

Play
Creator: Larry Mellick, MD
Duration: 5:22

EPs have known for a long time that they need better options for ventilating through a straw. Dr. Mellick talks in this month’s video and blog about a new manual, single-use, small-lumen ventilation device capable of controlled oxygen insufflation and expiratory ventilator assistance. Read more at http://bit.ly/Mellick.

Play
Creator: EMedHome.com
Duration: 16:16
Dr. Rezaie covers all the nuances of endovascular therapy for LVO acute ischemic stroke.
Play
Creator: Christine Butts, MD
Duration: 00:06
A 25-year-old woman who used heroin presented with a fever and malaise that she had had for a week (COVID negative). Endocarditis is on the rise from opioid use, and this video demonstrates right ventricular inflow view with a mobile vegetation on the tricuspid valve that can be helpful in diagnosing it. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Play
Creator: Larry Mellick, MD
Duration: 7:06
Testicular torsion is a highly time-sensitive event for a patient and the survival of his testicle, and therapeutic nihilism about testicle survival after six to eight hours is widespread, resulting in unnecessary orchiectomies, Dr. Mellick says. Some torsed testicles are salvageable even at 24 hours, sometimes longer, but the clock is ticking the minute the retracting cremasteric muscle starts the spermatic cord twisting. Does that mean an immediate attempt at manual detorsion should become a standard of care? Dr. Mellick explains in this month’s video and blog. Read more at http://bit.ly/Mellick.
Play
Creator: EMedHome.com
Duration: 18:58
Dr. Claudius delves into pediatric trauma from child abuse.
Play
Creator: Larry Mellick, MD
Duration: 2:04

Understanding patella anatomy can help in reducing dislocations, and Dr. Mellick explains in this month’s video and blog how to manage patients with this condition. Read more at http://bit.ly/Mellick.

Play
Creator: EMedHome.com
Duration: 61:08
Dr. Bontempo discusses the best evidence for managing digoxin toxicity.
Play
Creator: Christine Butts, MD
Duration: 00:04

A 55-year-old man presented with a complaint of right eye pain after he struck his head on a doorway. Ultrasound demonstrated this uncommon condition that EPs should consider to avoid misdiagnosis. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.

Play
Creator: Christine Butts, MD
Duration: 00:06

A 55-year-old man presented with a complaint of right eye pain after he struck his head on a doorway. Ultrasound demonstrated this uncommon condition that EPs should consider to avoid misdiagnosis. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.

Play
Creator: Larry Mellick, MD
Duration: 6:44

Several small sprays of 4% lidocaine with viscous lidocaine applied to the tube made NG tube placement successful and with markedly less pain and resistance from the child. Dr. Mellick explains the details in this month’s video and blog. Read more at http://bit.ly/Mellick.

Play
Creator: EMedHome.com
Duration: 29:27
Dr. Claudius talks about the challenges of caring for agitation in children.
Play
Creator: Larry Mellick, MD
Duration: 8:56
The American Academy of Pediatrics’ bronchiolitis guidelines recommend stopping the mainstays of treatment, leaving physicians with essentially nothing but nasal suctioning, Dr. Mellick says in this month’s video and blog. And, he says, those can have real-life clinical consequences that can be dangerous and devastating. Read more at http://bit.ly/Mellick.
Play
Creator: EMedHome.com
Duration: 28:04
Dr. Falat talks about how to effectively resuscitate drowning victims.
Play
Creator: Christine Butts, MD
Duration: 0:06
Christine Butts, MD, shows a cross-section of the gallbladder that demonstrates the WES sign in this video. Read more in her column at http://bit.ly/SpeedSound.
Play
Creator: EMedHome.com
Duration: 30:54
Dr. Feldman offers solutions for real-world emergency medicine problems.
Play
Creator: Christine Butts, MD
Duration: 0:09
Christine Butts, MD, demonstrates the in-plane (long-axis) visualization of a needle entering the subclavian vein in the supraclavicular approach. Read more in her column at http://bit.ly/SpeedSound
Play
Creator: Christine Butts, MD
Duration: 00:07

Hip fracture pain management can be challenging, often requiring large doses of narcotics, which can be a problem in older patients. If you’ve been reluctant to try nerve blocks for hip fractures, ultrasound can help. Watch this video of the target area, where the femoral artery and vein are seen initially, but moving the transducer laterally reveals the femoral nerve and iliacus muscle. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.

Play
Creator: EMedHome.com
Duration: 16:16
Dr. Rezaie covers all the nuances of endovascular therapy for LVO acute ischemic stroke.
Play
Creator: Larry Mellick, MD
Duration: 7:06
Testicular torsion is a highly time-sensitive event for a patient and the survival of his testicle, and therapeutic nihilism about testicle survival after six to eight hours is widespread, resulting in unnecessary orchiectomies, Dr. Mellick says. Some torsed testicles are salvageable even at 24 hours, sometimes longer, but the clock is ticking the minute the retracting cremasteric muscle starts the spermatic cord twisting. Does that mean an immediate attempt at manual detorsion should become a standard of care? Dr. Mellick explains in this month’s video and blog. Read more at http://bit.ly/Mellick.
Play
Creator: Larry Mellick, MD
Duration: 2:04

Understanding patella anatomy can help in reducing dislocations, and Dr. Mellick explains in this month’s video and blog how to manage patients with this condition. Read more at http://bit.ly/Mellick.

Play
Creator: Larry Mellick, MD
Duration: 6:44

Several small sprays of 4% lidocaine with viscous lidocaine applied to the tube made NG tube placement successful and with markedly less pain and resistance from the child. Dr. Mellick explains the details in this month’s video and blog. Read more at http://bit.ly/Mellick.

Play
Creator: EMedHome.com
Duration: 29:27
Dr. Claudius talks about the challenges of caring for agitation in children.
Play
Creator: Larry Mellick, MD
Duration: 2:24

Removing a ring stuck on a finger can be troublesome, but Dr. Mellick reviews different methods that make it easier in these videos and his blog at http://bit.ly/Mellick.

Play
Creator: EMedHome.com
Duration: 25:31
Dr. Hurst discusses at length the cancer emergencies you don’t want to miss in the ED.
Play
Creator: Christine Butts, MD
Duration: 00:15
Dr. Butts explains how a handful of ultrasound measurements can estimate the degree of venous congestion at the organ level. This video shows how the hepatic veins can sometimes be found from the position used to examine the IVC. If they are not seen in this view, they can also often be found from a right flank approach. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
Play
Creator: EMedHome.com
Duration: 27:48
Dr. Paxton delves into the best evidence for antithrombotic agent reversal in bleeding emergencies.
Play
Creator: Christine Butts, MD
Duration: 00:06
This video demonstrates the “slide sign” in which the visceral and parietal pleural layers slide past each other. Christine Butts, MD, says also note the comet tails, the short vertical lines emanating from the pleural layers that appear and disappear with movement. Read more in her column at http://bit.ly/SpeedSound.
Play
Creator: Martha Roberts, ACNP
Duration: 2:23
Cerumen impaction removal may not be an emergent procedure, but it will bring patients to your ED because loss of hearing is a foreign and uncomfortable sensation, say James and Martha Roberts. Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Play
Creator: Alice S.Y. Lee, MD
Duration: 35:38
Drs. Lee and Cantor figure out what is going on with two toddlers who present with similar symptoms. Watch this video to hear their plan for their care.
Play
Creator: Martha Roberts, ACNP
Duration: 5:53
Fish hook injuries may seem simple at first, but can quickly get complicated, depending on the site of injury and type of hook, say James and Martha Roberts, who show different removal techniques in this video.

Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause
Play
Creator: Martha Roberts, ACNP
Duration: 10:20
Trimalleolar fractures of the ankle are painful, troublesome, and unstable, say James and Martha Roberts, in this video showing how to do a quick and simple reduction and temporary splinting of these injuries.

Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause
Play
Creator: EMedHome.com
Duration: 23:23
Dr. Wilcox focuses on what’s new for treating cardiogenic shock.
Play
Creator: Martha Roberts, ACNP
Duration: 5:22
James and Martha Roberts talk about hematoma block of the ankle using the bimalleolar approach and lidocaine 1% injections. Watch the video here, and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Play
Creator: EMedHome.com
Duration: 17:52
Dr. Edelheit shocks and awes with this talk demystifying the AICD.
Play
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.
Play
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.
Play
Creator: EMedHome.com
Duration: 45:41
Dr. Marcolini talks about the latest emergency care for neurology cases.
Play
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.
Play
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.
Play
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.
Play
Creator: Martha Roberts, ACNP
Duration: 10:48
Fingertip amputations are common in the ED, and simple closure and expert consultation are often required. Watch this video and learn more in their blog at http://bit.ly/EMN-ProceduralPause.
Play
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.
Play
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.
Play
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
Play
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.
Play
Creator: Larry Mellick, MD
Duration: 1:45
Dr. Mellick says don’t treat kids as tiny adults when performing needle thoracostomy. Tune in to watch Dr. Mellick’s videos, and read more in his blog at http://bit.ly/Mellick.
Play
Creator: Alice S.Y. Lee, MD
Duration: 29:00
Dr. Lee and and Nat Kittisarapong, MD, discuss a patient who drove himself to the ED and then became unconscious—because he had a gunshot wound to the chest.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
Creator: Martha Roberts, ACNP
Duration: 02:59
Watch hematoma block for a wrist fracture.
Play
Creator: Larry Mellick, MD
Duration: 5:12
The Compass device is a disposable pressure gauge that efficiently and effectively measures compartment pressure. This video shows how to use the device—on oranges. Read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.
Play
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.
Play
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.
Play
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.
Play
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.
Play
Creator: Larry Mellick, MD
Duration: 4:39
The time for possible salvage and survival of a torsed testicle is commonly thought to be six to eight hours, but Dr. Larry Mellick says survival can actually occur after that. Watch this video of torsion in a 14-year-old. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Play
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.
Play
Creator: Larry Mellick, MD
Duration: 9:55
Using pain as a diagnostic tool may seem contrary to the basic tenets of medicine, but it can be a lifesaving maneuver. Dr. Mellick reviews a new test for conversion disorder, created by Mario Soto, MD, in which saline is squirted into the eye of a comatose or seizing patient. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
Play
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.
Play
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.
Play
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.
Play
Creator: EMedHome.com
Duration: 69:11
Dr. Mattu discusses the modern management of cardiogenic pulmonary edema.
Play
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.
Play
Creator: Larry Mellick, MD
Duration: 5:30
The thought of blindly “slicing and dicing” fingertips leaves Dr. Larry Mellick cold. Instead, he reviews the best approaches for fingertip abscesses in this video and blog post, which you can find at http://bit.ly/Mellick.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
Creator: Charles Bruen, MD
Duration: 0:03
Read Dr. Charles Bruen’s blog post on angioplasty and stents at http://bit.ly/BruenSponCirc, and then watch these videos to see angiograms demonstrating in-stent restenosis of the LAD artery.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
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.
Play
Creator: Martha Roberts
Duration: 1:27
The initial ED management of blisters from burns is controversial, but James Roberts, MD, and Martha Roberts, ACNP, CEN, note that it likely does not matter exactly what is done. Read their blog post on hand burn management at http://bit.ly/ProceduralPause, and then watch this video as Ms. Roberts drains the blister of a large burn.
Play
Creator: Larry Mellick, MD
Duration: 7:50
Treating anaphylaxis can confusing and complex. Dr. Mellick reviews how to recognize and manage these patients.
Play
Creator: Larry Mellick, MD
Duration: 4:53
A tripwire is a wire stretched near ground level that activates a booby trap, and some chief complaints come with their own built-in tripwires. Without a doubt, acute scrotal pain is one of those, and torsion of the testicle is one cause of acute scrotal pain that emergency physicians cannot afford to miss.
Play
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.
Play
Creator: Martha Roberts
Duration: 0:17
Watch Dr. James Roberts demonstrate the correct technique for patellar relocation.
Play
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.
Play
Creator: Christine Butts, MD
Duration: 0:11
Read Dr. Butts’ article, “Think SUPRAclavicular for Subclavian Lines,” in the July 2013 issue, and then view this video that shows the technique to assess the venous anatomy of the neck and to identify the subclavian vein (SCV). The high-frequency transducer should be placed in the transverse orientation just lateral to the trachea. Once the internal jugular (IJ) is identified, it can be followed inferiorly until it is seen to join the SCV. Angling the transducer anteriorly will help to visualize this junction.
Play
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.
Play
Creator: Christine Butts, MD
Duration: 0:05
Read Dr. Butts’ article, “Think SUPRAclavicular for Subclavian Lines,” in the July 2013 issue, and then view this video that shows an “in-plane” approach to a vessel (using a simulator). As the needle is inserted from the end of the transducer, rather than at its mid-point, it traverses the path of the transducer. This enables the entire needle, including the tip, to be visible throughout the procedure, minimizing complications such as arterial puncture or pneumothorax.
Play
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.
Play
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.
Play
Creator:
Duration: 5:17
Play
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.
Play