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Battle of the Bulge: Olecranon Bursitis

Video Author: Martha Roberts
Published on: 05.06.2014

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.

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Dr. Lee’s Mystery Case
Creator: Alice S.Y. Lee, MD
Duration: 33:28
Did you miss Dr. Lee trying to stump Seth Collings Hawkins, MD, at our ACEP booth? Watch her screencast this month to see if you can figure out this mystery case yourself!
Play Video | + Favorites
Mellick’s Multimedia EduBlog: The Bronchiolitis Guidelines Mismatch 1
Creator: Larry Mellick, MD
Duration: 2:38
The latest American Academy of Pediatrics guidelines are causing confusion for experienced andinexperienced emergency physicians alike. Dr. Mellick shines some light to make your practice easier. Read more in his blog at http://bit.ly/Mellick.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: The Bronchiolitis Guidelines Mismatch 2
Creator: Larry Mellick, MD
Duration: 4:08
The latest American Academy of Pediatrics guidelines are causing confusion for experienced andinexperienced emergency physicians alike. Dr. Mellick shines some light to make your practice easier. Read more in his blog at http://bit.ly/Mellick.
Play Video | + Favorites
Life-Saving Treatment for Opioid ODs
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 Video | + Favorites
EMedHome’s Videos with Michael Bond, MD: Stay Out of Court
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
Play Video | + Favorites
EMedHome’s Videos with Laura Bontempo, MD: The Drooling, Hypoxic, Crashing Patient
Creator: EMedHome.com
Duration: 17:11
Laura Bontempo, MD, discusses drooling, hypoxic, and crashing: http://bit.ly/EMN-EMedHomeVideos.
Play Video | + Favorites
Acute Angle Closure: Mastering Tonometry
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.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: New Ways to Remove Foreign Bodies, Video 1
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.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: New Ways to Remove Foreign Bodies, Video 2
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.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: New Ways to Remove Foreign Bodies, Video 3
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.
Play Video | + Favorites
EMedHome’s Videos with Sergey Motov, MD: Regional Blocks for Advanced Pain Management
Creator: EMedHome.com
Duration: 24:08
Sergey Motov, MD discusses regional blocks for advanced pain management in the ED: http://bit.ly/EMN-EMedHomeVideos.
Play Video | + Favorites
Bakri Balloons and TXA
Creator: Alice S.Y. Lee, MD
Duration: 27:18
A 60-year-old woman presents with syncope, severe abdominal pain, and vaginal hemorrhage. She had recently been diagnosed with uterine cancer. How do you manage this case? Listen in as Dr. Lee and Chris Lapinski, MD, learn about Bakri balloons and how TXA played a role in this case.
Play Video | + Favorites
The Ring Cutter to the Rescue
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.
Play Video | + Favorites
Speed of Sound: Diagnosing Endocarditis, Video 1 of 2
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.
Play Video | + Favorites
Speed of Sound: Diagnosing Endocarditis, Video 2 of 2
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.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: The Curse of Delusional Parasitosis
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 Video | + Favorites
October 2018: EMedHome’s Videos with Laura Bontempo, MD
Creator: EMedHome.com
Duration: 40:49
Laura Bontempo, D, discusses management of acute hyperkalemia: http://bit.ly/EMN-EMedHomeVideos.
Play Video | + Favorites
Tracheal Decannulation
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!
Play Video | + Favorites
How I Stay Resilient
Creator: Alice S.Y. Lee, MD
Duration: 35:46
Alice Lee, MD, talks in this video about trials and tribulations in her career and life and how she stays resilient.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: My Foley Won’t Deflate
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 Video | + Favorites



Dr. Lee’s Mystery Case
Creator: Alice S.Y. Lee, MD
Duration: 33:28
Show More 
Show Less 
Did you miss Dr. Lee trying to stump Seth Collings Hawkins, MD, at our ACEP booth? Watch her screencast this month to see if you can figure out this mystery case yourself!
Play Video | + Favorites
Mellick’s Multimedia EduBlog: The Bronchiolitis Guidelines Mismatch 1
Creator: Larry Mellick, MD
Duration: 2:38
Show More 
Show Less 
The latest American Academy of Pediatrics guidelines are causing confusion for experienced andinexperienced emergency physicians alike. Dr. Mellick shines some light to make your practice easier. Read more in his blog at http://bit.ly/Mellick.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: The Bronchiolitis Guidelines Mismatch 2
Creator: Larry Mellick, MD
Duration: 4:08
Show More 
Show Less 
The latest American Academy of Pediatrics guidelines are causing confusion for experienced andinexperienced emergency physicians alike. Dr. Mellick shines some light to make your practice easier. Read more in his blog at http://bit.ly/Mellick.
Play Video | + Favorites
Life-Saving Treatment for Opioid ODs
Creator: Martha Roberts, ACNP
Duration: 10:06
Show More 
Show Less 
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 Video | + Favorites
EMedHome’s Videos with Michael Bond, MD: Stay Out of Court
Creator: EMedHome.com
Duration: 20:12
Show More 
Show Less 
Michael Bond, MD, discusses orthopedic risk reduction with tips and tricks to lower your malpractice risk: http://bit.ly/EMN-EMedHomeVideos
Play Video | + Favorites
EMedHome’s Videos with Laura Bontempo, MD: The Drooling, Hypoxic, Crashing Patient
Creator: EMedHome.com
Duration: 17:11
Show More 
Show Less 
Laura Bontempo, MD, discusses drooling, hypoxic, and crashing: http://bit.ly/EMN-EMedHomeVideos.
Play Video | + Favorites
Acute Angle Closure: Mastering Tonometry
Creator: Martha Roberts, ACNP
Duration: 07:45
Show More 
Show Less 
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.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: New Ways to Remove Foreign Bodies, Video 1
Creator: Larry Mellick, MD
Duration: 2:06
Show More 
Show Less 
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.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: New Ways to Remove Foreign Bodies, Video 2
Creator: Larry Mellick, MD
Duration: 6:31
Show More 
Show Less 
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.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: New Ways to Remove Foreign Bodies, Video 3
Creator: Larry Mellick, MD
Duration: 9:36
Show More 
Show Less 
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.
Play Video | + Favorites
EMedHome’s Videos with Sergey Motov, MD: Regional Blocks for Advanced Pain Management
Creator: EMedHome.com
Duration: 24:08
Show More 
Show Less 
Sergey Motov, MD discusses regional blocks for advanced pain management in the ED: http://bit.ly/EMN-EMedHomeVideos.
Play Video | + Favorites
Bakri Balloons and TXA
Creator: Alice S.Y. Lee, MD
Duration: 27:18
Show More 
Show Less 
A 60-year-old woman presents with syncope, severe abdominal pain, and vaginal hemorrhage. She had recently been diagnosed with uterine cancer. How do you manage this case? Listen in as Dr. Lee and Chris Lapinski, MD, learn about Bakri balloons and how TXA played a role in this case.
Play Video | + Favorites
The Ring Cutter to the Rescue
Creator: Martha Roberts, ACNP
Duration: 5:26
Show More 
Show Less 
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.
Play Video | + Favorites
Speed of Sound: Diagnosing Endocarditis, Video 1 of 2
Creator: Christine Butts, MD
Duration: 00:04
Show More 
Show Less 
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.
Play Video | + Favorites
Speed of Sound: Diagnosing Endocarditis, Video 2 of 2
Creator: Christine Butts, MD
Duration: 00:02
Show More 
Show Less 
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.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: The Curse of Delusional Parasitosis
Creator: Larry Mellick, MD
Duration: 8:28
Show More 
Show Less 
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 Video | + Favorites
October 2018: EMedHome’s Videos with Laura Bontempo, MD
Creator: EMedHome.com
Duration: 40:49
Show More 
Show Less 
Laura Bontempo, D, discusses management of acute hyperkalemia: http://bit.ly/EMN-EMedHomeVideos.
Play Video | + Favorites
Tracheal Decannulation
Creator: Alice S.Y. Lee, MD
Duration: 26:42
Show More 
Show Less 
Alice Lee, MD, and Marc Zosky, MD, discuss two cases of tracheal decannulation that came into the ED in the same week!
Play Video | + Favorites
How I Stay Resilient
Creator: Alice S.Y. Lee, MD
Duration: 35:46
Show More 
Show Less 
Alice Lee, MD, talks in this video about trials and tribulations in her career and life and how she stays resilient.
Play Video | + Favorites
Mellick’s Multimedia EduBlog: My Foley Won’t Deflate
Creator: Larry Mellick, MD
Duration: 5:28
Show More 
Show Less 
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 Video | + Favorites
September 2018: EMedHome’s Videos with Sergey Motov, MD
Creator: EMedHome.com
Duration: 40:49
Show More 
Show Less 
Sergey Motov, MD, discusses non-opioid analgesic modalities in the ED: http://bit.ly/EMN-EMedHomeVideos.
Play Video | + Favorites
A Fall—and a Rash?
Creator: Alice S.Y. Lee, MD
Duration: 26:32
Show More 
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Alice Lee, MD, and Jonathan Graff, MD, dissect the case of a 66-year-old man who fell and couldn’t walk but also has a suspicious incidental rash. Watch to learn more about this intriguing case.
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Mellick’s Multimedia EduBlog: Managing Bursitis, Video 1 of 4, Subacromial Bursitis
Creator: Larry Mellick, MD
Duration: 4:49
Show More 
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There’s more than meets the eye when treating bursitis, and Dr. Larry Mellick has all you need to know about subacromial bursitis in this video and in his blog at http://bit.ly/Mellick.
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Mellick’s Multimedia EduBlog: Managing Bursitis, Video 2 of 4, Housemaid’s Knee
Creator: Larry Mellick, MD
Duration: 4:17
Show More 
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Because the etiologies of the inflammation for deep and superficial bursae are different, the diagnostic modalities and treatments are as well. This video and Dr. Larry Mellick’s blog has all you need to know about housemaid’s knee at http://bit.ly/Mellick.
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Mellick’s Multimedia EduBlog: Managing Bursitis, Video 3 of 4, Pes Anserine Bursitis
Creator: Larry Mellick, MD
Duration: 5:07
Show More 
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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.
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Mellick’s Multimedia EduBlog: Managing Bursitis, Video 4 of 4, Olecranon Bursitis
Creator: Larry Mellick, MD
Duration: 3:04
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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.
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Speed of Sound: Vaginal Bleeding in Early Pregnancy, Video 1 of 2
Creator: Christine Butts, MD
Duration: 0:02
Show More 
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Christine Butts, MD, asks you to diagnose a pregnant woman with vaginal bleeding and cramping using ultrasound. This video gives a hint about what is going on. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
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The Almighty Hematoma Block
Creator: Martha Roberts, ACNP
Duration: 02:59
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Watch hematoma block for a wrist fracture.
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Speed of Sound, The FAST Files: Location Matters in Pericardial Effusions, Video 1 of 2
Creator: Christine Butts, MD
Duration: 00:04
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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.
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Speed of Sound, The FAST Files: Location Matters in Pericardial Effusions, Video 2 of 2
Creator: Christine Butts, MD
Duration: 00:14
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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.
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Mellick’s Multimedia EduBlog: Finding Your Way with the Compass for Compartment Syndrome, Video 2 of 3
Creator: Larry Mellick, MD
Duration: 5:12
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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.
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Mellick’s Multimedia EduBlog: Severe Antabuse Reactions
Creator: Larry Mellick, MD
Duration: 4:50
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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.
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Speed of Sound, Ultrasound Beats Other Imaging in Diagnosing Pneumonia, Video 2 of 2
Creator: Christine Butts, MD
Duration: 0:03
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Christine Butts, MD, notes that chest x-rays are known to have significant deficiencies in diagnosing pneumonia because the radiographic appearance of infection lags behind the onset of symptoms, sometimes by several days. The answer? Ultrasound, of course! Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
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May 2018: EMedHome’s Videos with Sergey Motov, MD
Creator: EMedHome.com
Duration: 20:23
Show More 
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Another practice-changing video of Sergey Motov, MD, talking about ketamine for pain management in the ED: http://bit.ly/EMN-EMedHomeVideos.
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Why Can’t He Move His Arms?
Creator: Alice S.Y. Lee, MD
Duration: 23:55
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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.
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Speed of Sound, The FAST Files: The Signs of Injury You Don’t Expect, Video 2 of 3
Creator: Christine Butts, MD
Duration: 00:06
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This video from Christine Butts, MD, shows the transverse view of the pelvis. The bladder is seen anteriorly as a well-defined anechoic area, with a circular, hypoechoic, complex collection deep to it. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
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Mellick’s Multimedia EduBlog: Foreskin Complications, Video 1
Creator: Larry Mellick, MD
Duration: 1:08
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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.
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Mellick’s Multimedia EduBlog: Foreskin Complications, Video 2
Creator: Larry Mellick, MD
Duration: 3:08
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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.
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Speed of Sound, In Defense of the IVC, Video 2
Creator: Christine Butts, MD
Duration: 0:05
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Christine Butts, MD, notes that the IVC can show fluid status. This video shows the same IVC seen in Video 1 after a fluid bolus. Note that it has increased in size. Watch this video of the IVC before the patient received hydrations, and read more in Dr. Butts’ column at http://bit.ly/SpeedSound.
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Mellick’s Multimedia EduBlog: Tactical Tourniquets to Stop Traumatic Bleeding, Video 1
Creator: Larry Mellick, MD
Duration: 7:47
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Dr. Larry Mellick reviews four different tourniquets to manage uncontrolled extremity hemorrhage. In this one, he looks at the SWAT-Tourniquet, the Combat Application Tourniquet (C-A-T), and the SOF Tactical Tourniquet. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.
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Stump Dr. Alice Lee
Creator: Emergency Medicine News
Duration: 18:09
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Teresa Wu, MD, tried to stump Dr. Lee and James Roberts, MD, at the EMN booth at the ACEP Scientific Assembly. Watch as they solve the case!
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The Procedural Pause: Short and Long Posterior Splints for Leg Injuries
Creator: Martha Roberts, ACNP, PNP
Duration: 2:34
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Martha Roberts, ACNP, PNP, and James R. Roberts, MD, delve into splints for immobilizing and stabilizing injuries, alleviating pain and edema, and promoting healing. Read more in their blog at http://bit.ly/ProceduralPause.
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Post-Tooth Extraction Bleeding
Creator: Alice S.Y. Lee, MD
Duration: 26:30
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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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Stroke Alert!
Creator: Alice S.Y. Lee, MD
Duration: 26:22
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Dr. Lee talks with Jonathon Graff, DO, the medical director of the Outpatient Observation Unit at Banner Baywood Medical Center in Mesa, AZ, about an elderly patient who triggered a stroke alert.
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Mellick’s Multimedia EduBlog: Not Appenditicits
Creator: Larry Mellick, MD
Duration: 3:36
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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.
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Mellick’s Multimedia EduBlog: A Dramatic Treatment
Creator: Larry Mellick, MD
Duration: 7:10
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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.
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The Procedural Pause: Simple Solutions for Difficult Problems, Part 3: Pediatric Nail Bed Laceration Basics
Creator: Martha Roberts, CEN, ACNP
Duration: 11:36
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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.
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EMedHome Videos: Sergey Motov, MD
Creator: EMedHome.com
Duration: 31:40
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Ten Commandments of Acute Pain Management in the ED
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The Procedural Pause: Simple Solutions for Difficult Problems, Part 2: Morgan Lens No More!
Creator: Martha Roberts, CEN, ACNP
Duration: 4:13
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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.
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Amal Mattu, MD: Winning at Failure
Creator: EMedHome.com
Duration: 69:11
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Dr. Mattu discusses the modern management of cardiogenic pulmonary edema.
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The Procedural Pause: Simple Solutions for Difficult Problems, Part 1
Creator: Martha Roberts, CEN, ACNP
Duration: 3:02
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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.
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The Procedural Pause:
Creator: Martha Roberts, CEN, ACNP
Duration: 4:46
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James R. Roberts, MD, & Martha Roberts, CEN, ACNP, take on a thrombosed hemorrhoids in the ED. Surprised? You can do it, too. Read more in their blog at http://bit.ly/ProceduralPause.
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Mellick’s Multimedia EduBlog: Ten Ways to Reduce a Shoulder
Creator: Larry Mellick, MD
Duration: 10:02
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Multiple methods are touted for reducing anterior shoulder dislocations, and Dr. Larry Mellick reviews ten ways in this video and blog post, which you can find at http://bit.ly/Mellick.
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Mellick’s Multimedia EduBlog: A Kinder, Gentler Approach for Felons
Creator: Larry Mellick, MD
Duration: 5:30
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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.
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The Procedural Pause: Ultrasound, Part 3: Foreign Body Removal
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration:
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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.
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Mellick’s Multimedia EduBlog: Treating Priapism in the ED, Video 1 of 2
Creator: Larry Mellick, MD
Duration: 2:43
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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.
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PhotographED Videos: The Case of the Missing Tortilla
Creator: Alice S.Y. Lee, MD
Duration: 0:46
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Dr. Alice S.Y. Lee shares the case of a woman with respiratory distress. Read The Case of the Missing Tortilla at http://emn.online/PhotographedEMN, and then watch this video.
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PhotographED Videos: The Case of the ‘Rum’ Maneuver
Creator: Alice S.Y. Lee, MD
Duration: 0:17
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Dr. Alice S.Y. Lee shares the case of a woman with a hip dislocation and how she treated it. Read The Case of the ‘Rum’ Maneuver at http://emn.online/PhotographedEMN, and then watch this video.
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Mellick’s Multimedia EduBlog: An Ophthalmic Photo and Video Tool
Creator: Larry Mellick, MD
Duration: 5:36
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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.
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The Procedural Pause: Clinical Pearls: Ultrasound, Part 1
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 9:37
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This month James R. Roberts, MD, & Martha Roberts, CEN, ACNP, start a series on ultrasound with a look at the basic functionality of the machine and how to look for foreign bodies in the extremities. Find out all you need to know by watching this video. Read more in their blog at http://bit.ly/ProceduralPause.
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Mellick’s Multimedia EduBlog: The Daunting Ear Cartilage Laceration Repair
Creator: Larry Mellick, MD
Duration: 3:48
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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.
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The Procedural Pause: Tap that Knee! Basics of Arthrocentesis?
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:42
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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.
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Mellick’s Multimedia EduBlog: Open Airway-Neutral Cervical Spine
Creator: Larry Mellick, MD
Duration: 1:48
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Pediatric trauma patients on backboards and in cervical collars often have their airways partially compromised. Dr. Larry Mellick advocates for teaching EMTs how to maintain an open airway and neutral cervical spine. Read his blog post at http://bit.ly/Mellick, and then watch this video to see how to perform this simple technique.
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Procedural Pause: Can I Tap That?
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:02
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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.
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Mellick’s Multimedia EduBlog: Dr. Ric Solis’s Innovative Idea
Creator: Larry Mellick, MD
Duration: 13:14
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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.
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Mellick’s Multimedia EduBlog: Ketamine for Pain-Video 2 of 3
Creator: Larry Mellick, MD
Duration: 3:47
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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.
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Spontaneous Circulation: A Struggle for Openness: Video 1 of 2
Creator: Charles Bruen, MD
Duration: 0:03
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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.
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Procedural Pause: The Hugest of the Huge
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 5:12
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James R. Roberts, MD, & Martha Roberts, CEN, ACNP, give you a step-by-step primer for how to treat a hematoma. Read their blog post at http://bit.ly/ProceduralPause, and then watch this video for how to drain what might be the biggest hematoma you’ve ever seen.
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Mellick’s Multimedia EduBlog: Targetoid Rashes-Video 1 of 2
Creator: Larry Mellick, MD
Duration: 2:13
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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.
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Mellick’s Multimedia EduBlog: The Urticaria Multiforme Rash-Video 2 of 2
Creator: Larry Mellick, MD
Duration: 3:10
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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.
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Procedural Pause: De Quervain’s Tenosynovitis
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 10:20
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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.
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Emergentology by Graham Walker, MD: Hip Blocks
Creator: Brita Zaia, MD
Duration: 0:10
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Dr. Graham Walker discovers another practice-changer for patients with broken hips. Watch this video by Brita Zaia, MD, of a needle popping through the fascia iliaca, and read Dr. Walker’s column in the April issue or in his collection at http://bit.ly/WalkerEmergentology.
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Mellick’s Multimedia EduBlog: Tracheostomy Tube Replacement-Video 1 of 3
Creator: Larry Mellick, MD
Duration: 4:11
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Emergency medicine has continuously redefined itself by absorbing expertise traditionally owned by other specialties. The tracheostomy is a case in point. Watch this video, the first of three this month from Dr. Larry Mellick, to see replacement of a tracheostomy tube. Find more information about procedures in his vlog at http://bit.ly/Mellick.
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Mellick’s Multimedia EduBlog: Inferior Shoulder Reductions-Video 1 of 3
Creator: Larry Mellick, MD
Duration: 4:45
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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.
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Mellick’s Multimedia EduBlog: Posterior Shoulder Reduction-Video 2 of 3
Creator: Larry Mellick, MD
Duration: 3:21
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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.
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Mellick’s Multimedia EduBlog: Shoulder Dislocation Emergency-Video 3 of 3
Creator: Larry Mellick, MD
Duration: 7:16
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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.
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Mellick’s Multimedia EduBlog: Inferior Alveolar Nerve Blocks
Creator: Larry Mellick, MD
Duration: 4:25
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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.
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Mellick’s Multimedia EduBlog: Alveolar Nerve Blocks
Creator: Larry Mellick, MD
Duration: 8:56
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The reported failure rate for inferior alveolar nerve blocks can range as high as 30-45 percent of cases, says Dr. Larry Mellick. These two videos demonstrate techniques for giving these blocks. Read his video introduction at http://bit.ly/Mellick, and then watch this video to learn how to do alveolar nerve blocks.
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Procedural Pause: Golden Rules for Lumbar Puncture, Video 2
Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP
Duration: 0:06
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James R. Roberts, MD, & Martha Roberts, CEN, ACNP, wrap up their lumbar puncture series with some pearls for LP patients. Read the blog post, “Lumbar Puncture: Golden Rules” at http://bit.ly/ProceduralPause, and then watch how to do a needle insertion in this video.
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Mellick’s Multimedia EduBlog: Pulse Dose Pressors for Children and Adults
Creator: Larry Mellick, MD
Duration: 4:11
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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.
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Mellick’s Multimedia EduBlog: Pulse Dose Pressors for Children and Adults
Creator: Larry Mellick, MD
Duration: 5:49
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The videos this month explain how to mix and administer pulse dose epinephrine, says Dr. Larry Mellick. This second video shows how to mix epinephrine for pulse dosing. Read his video introduction at http://bit.ly/Mellick, and then watch this video to learn more.
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Mellick’s Multimedia EduBlog: Pulse Dose Pressors for Children and Adults
Creator:
Duration: 5:03
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Pediatric pulse dosing employs the same concentration used for adults, says Dr. Larry Mellick. This third video shows how to administer it to a child. Read his video introduction at http://bit.ly/Mellick, and then watch this video to learn more.
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Mellick’s Multimedia EduBlog: IV Drug Use and Skin Finding: Piloerection
Creator: Larry Mellick, MD
Duration: 1:57
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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.
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Mellick’s Multimedia EduBlog: IV Drug Use and Skin Finding: Petechiae
Creator: Larry Mellick, MD
Duration: 2:24
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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.
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Mellick’s Multimedia EduBlog: IV Drug Use and Skin Conditions: Track Marks
Creator: Larry Mellick, MD
Duration: 0:32
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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.
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Hypotension and Paradoxical Bradycardia
Creator: Larry Mellick, MD
Duration: 0:56
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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.
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Battle of the Bulge: Olecranon Bursitis
Creator: Martha Roberts
Duration: 1:35
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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.
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The Speed of Sound-March 2013: RADiUS Video 1
Creator: Christine Butts, MD
Duration: 0:06
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Read Dr. Butts’ article, “The RADiUS Focused Cardiac Exam,” in the Breaking News blog, and then view this video that shows the subxiphoid view of a pericardial effusion demonstrating mass effect on the right ventricle (RV).
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Feel the Burn
Creator: Martha Roberts
Duration: 1:27
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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.
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Cannabinoid Hyperemesis Syndrome
Creator: Larry Mellick, MD
Duration: 5:57
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Cannabinoid hyperemesis syndrome isn’t life- or limb-threatening, but it remains diagnostically elusive for many EPs. Dr. Larry Mellick says the next time you see a patient with severe cyclic nausea and vomiting that is relieved by hot showers, ask about marijuana use.
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Testicular Torsion Tripwires
Creator: Larry Mellick, MD
Duration: 4:53
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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.
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Pediatric Nasal Foreign Bodies
Creator: Larry Mellick, MD
Duration: 9:19
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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.
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The Zipper-Release Myth
Creator: Larry Mellick, MD
Duration: 8:22
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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.
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The Speed of Sound: Video 3. SUPRAclavicular for Subclavian Lines
Creator: Christine Butts, MD
Duration: 0:05
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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.
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Please Poke My Paronychia!
Creator: Larry Mellick, MD
Duration: 1:24
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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.
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Chest Tubes Deserve an Unnecessary Roughness Penalty
Creator: Larry Mellick, MD
Duration: 12:14
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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.
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Trigger Point Therapy in the Emergency Department
Creator: Larry Mellick, MD
Duration: 7:41
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Patients with myofascial pain conditions or trigger point pain commonly present to the ED therapeutic relief. Dr. Larry Mellick presents hard-hitting therapeutic interventions that rapidly and effectively relieve trigger points and their associated symptoms.
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M2E Too! A Word about Word Catheters
Creator: Larry Mellick, MD
Duration: 8:16
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Video from the M2E Too! blog on inserting a word catheter in a patient with a Bartholin’s gland abscess.
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