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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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How I Stay Resilient

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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.

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September 2018: EMedHome’s Videos with Sergey Motov, MD

Creator: EMedHome.com

Duration: 40:49

Sergey Motov, MD, discusses non-opioid analgesic modalities in the ED: http://bit.ly/EMN-EMedHomeVideos.

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Maggots in a Wound

Creator: Alice S.Y. Lee, MD

Duration: 22:42

Alice Lee, MD, and Elizabeth Ottney, MD, talk about treating a patient with maggots in a neck wound. Watch to learn more about this fascinating case.

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August 2018: EMedHome’s Videos with Rob Rogers, MD

Creator: EMedHome.com

Duration: 25:22

Rob Rogers, MD, talks about a topic close to home: Don't Let Your Next MI Patient Be You: http://bit.ly/EMN-EMedHomeVideos.

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August 2018: EMedHome’s Videos with Amal Mattu, MD

Creator: EMedHome.com

Duration: 19:01

Amal Mattu, MD, reviews STEMI mimics you can’t afford to miss: http://bit.ly/EMN-EMedHomeVideos.

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A Fall—and a Rash?

Creator: Alice S.Y. Lee, MD

Duration: 26:32

Alice Lee, MD, and Jonathan Graff, MD, dissect the case of a 66-year-old man who fell and couldn’t walk but also has a suspicious incidental rash. Watch to learn more about this intriguing case.

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Mellick’s Multimedia EduBlog: Managing Bursitis, Video 1 of 4, Subacromial Bursitis

Creator: Larry Mellick, MD

Duration: 4:49

There’s more than meets the eye when treating bursitis, and Dr. Larry Mellick has all you need to know about subacromial bursitis in this video and in his blog at http://bit.ly/Mellick.

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Mellick’s Multimedia EduBlog: Managing Bursitis, Video 2 of 4, Housemaid’s Knee

Creator: Larry Mellick, MD

Duration: 4:17

Because the etiologies of the inflammation for deep and superficial bursae are different, the diagnostic modalities and treatments are as well. This video and Dr. Larry Mellick’s blog has all you need to know about housemaid’s knee at http://bit.ly/Mellick.

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Mellick’s Multimedia EduBlog: Managing Bursitis, Video 3 of 4, Pes Anserine Bursitis

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.

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Mellick’s Multimedia EduBlog: Managing Bursitis, Video 4 of 4, Olecranon Bursitis

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.

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Speed of Sound: Vaginal Bleeding in Early Pregnancy, Video 1 of 2

Creator: Christine Butts, MD

Duration: 0:02

Christine Butts, MD, asks you to diagnose a pregnant woman with vaginal bleeding and cramping using ultrasound. This video gives a hint about what is going on. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.

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Speed of Sound: Vaginal Bleeding in Early Pregnancy, Video 2 of 2

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.

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The Almighty Hematoma Block

Creator: Martha Roberts, ACNP

Duration: 02:59

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

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

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: Compartment Syndrome of the Hand, Video 1 of 3

Creator: Larry Mellick, MD

Duration: 4:50

Compartment syndrome of the hand is a rare condition that can have devastating consequences. Watch this video of a man with late-presentation compartment syndrome whose hand was crushed after a fall from a ladder, and read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.

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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

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: Foot Drop in Compartment Syndrome, Video 3 of 3

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.

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July 2018: EMedHome’s Videos with Sergey Motov, MD

Creator: EMedHome.com

Duration: 30:56

Sergey Motov, MD, reviews the top 10 2017 pediatric EM pain articles that might change your practice: http://bit.ly/EMN-EMedHomeVideos

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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

September 2018: EMedHome’s Videos with Sergey Motov, MD

Creator: EMedHome.com

Duration: 40:49

Sergey Motov, MD, discusses non-opioid analgesic modalities in the ED: http://bit.ly/EMN-EMedHomeVideos.

Play Video | + Favorites

August 2018: EMedHome’s Videos with Rob Rogers, MD

Creator: EMedHome.com

Duration: 25:22

Rob Rogers, MD, talks about a topic close to home: Don't Let Your Next MI Patient Be You: http://bit.ly/EMN-EMedHomeVideos.

Play Video | + Favorites

A Fall—and a Rash?

Creator: Alice S.Y. Lee, MD

Duration: 26:32

Alice Lee, MD, and Jonathan Graff, MD, dissect the case of a 66-year-old man who fell and couldn’t walk but also has a suspicious incidental rash. Watch to learn more about this intriguing case.

Play Video | + Favorites

Mellick’s Multimedia EduBlog: Managing Bursitis, Video 1 of 4, Subacromial Bursitis

Creator: Larry Mellick, MD

Duration: 4:49

There’s more than meets the eye when treating bursitis, and Dr. Larry Mellick has all you need to know about subacromial bursitis in this video and in his blog at http://bit.ly/Mellick.

Play Video | + Favorites

Mellick’s Multimedia EduBlog: Managing Bursitis, Video 2 of 4, Housemaid’s Knee

Creator: Larry Mellick, MD

Duration: 4:17

Because the etiologies of the inflammation for deep and superficial bursae are different, the diagnostic modalities and treatments are as well. This video and Dr. Larry Mellick’s blog has all you need to know about housemaid’s knee at http://bit.ly/Mellick.

Play Video | + Favorites

Mellick’s Multimedia EduBlog: Managing Bursitis, Video 3 of 4, Pes Anserine Bursitis

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 Video | + Favorites

Mellick’s Multimedia EduBlog: Managing Bursitis, Video 4 of 4, Olecranon Bursitis

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 Video | + Favorites

Speed of Sound: Vaginal Bleeding in Early Pregnancy, Video 1 of 2

Creator: Christine Butts, MD

Duration: 0:02

Christine Butts, MD, asks you to diagnose a pregnant woman with vaginal bleeding and cramping using ultrasound. This video gives a hint about what is going on. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.

Play Video | + Favorites

The Almighty Hematoma Block

Creator: Martha Roberts, ACNP

Duration: 02:59

Watch hematoma block for a wrist fracture.

Play Video | + Favorites

Speed of Sound, The FAST Files: Location Matters in Pericardial Effusions, Video 1 of 2

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.

Play Video | + Favorites

Speed of Sound, The FAST Files: Location Matters in Pericardial Effusions, Video 2 of 2

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.

Play Video | + Favorites

Mellick’s Multimedia EduBlog: Compartment Syndrome of the Hand, Video 1 of 3

Creator: Larry Mellick, MD

Duration: 4:50

Compartment syndrome of the hand is a rare condition that can have devastating consequences. Watch this video of a man with late-presentation compartment syndrome whose hand was crushed after a fall from a ladder, and read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.

Play Video | + Favorites

Mellick’s Multimedia EduBlog: Finding Your Way with the Compass for Compartment Syndrome, Video 2 of 3

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 Video | + Favorites

Mellick’s Multimedia EduBlog: Foot Drop in Compartment Syndrome, Video 3 of 3

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.

Play Video | + Favorites

July 2018: EMedHome’s Videos with Sergey Motov, MD

Creator: EMedHome.com

Duration: 30:56

Sergey Motov, MD, reviews the top 10 2017 pediatric EM pain articles that might change your practice: http://bit.ly/EMN-EMedHomeVideos

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Mellick’s Multimedia EduBlog: Severe Antabuse Reactions

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.

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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

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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Mellick’s Multimedia EduBlog: Small Hairs Make Big Cuts (and Consequences)

Creator: Larry Mellick, MD

Duration: 4:37

How in the world does a hair get wrapped repeatedly and tightly around an appendage of the body? Watch this video and read more in Dr. Larry Mellick’s blog at http://bit.ly/Mellick.

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Why Can’t He Move His Arms?

Creator: Alice S.Y. Lee, MD

Duration: 23:55

Alice Lee, MD, and Bill Fulton, MD, discuss the case of a 62-year-old with a ground-level fall while intoxicated. He is on Plavix, sustained a facial trauma, has a 10 cm laceration and a GCS of 15, and can’t move his arms. What’s his diagnosis? Watch to learn more about this interesting case.

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Speed of Sound, The FAST Files: The Signs of Injury You Don’t Expect, Video 1 of 3

Creator: Christine Butts, MD

Duration: 00:06

Christine Butts, MD, has reviewed more than 9,000 ultrasound scans in her career and has seen many interesting cases, a lot of great diagnoses, and several significant mistakes in that time. Most of them were a result of misinterpretation of the images on screen, and these videos offer great ultrasound pearls. This video shows the sagittal view of the pelvis. The bladder is seen on the left, with a large complex collection extending to the right. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.

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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

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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Speed of Sound, The FAST Files: The Signs of Injury You Don’t Expect, Video 3 of 3

Creator: Christine Butts, MD

Duration: 00:06

This video from Christine Butts, MD, shows the sagittal view of the right upper quadrant. The liver is seen on the left of the image, with a hypoechoic area (C) in the hepatorenal space. Read more in Dr. Butts’ column at http://bit.ly/SpeedSound.

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Mellick’s Multimedia EduBlog: Understanding Headache Classifications, Video 2

Creator: Larry Mellick, MD

Duration: 8:07

Headaches can be caused by life-threatening conditions such as aneurysms, like this patient who experienced a posterior communicating artery aneurysm and was taken for emergent aneurysm coiling. Read more in Dr. Mellick’s blog at http://bit.ly/Mellick.

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April 2018: EMedHome’s Videos with Michael Winters, MD

Creator: EMedHome.com

Duration: 19:08

Don’t miss this video of Michael Winters, MD, discussing Critical Care Quickies for the Crashing Patient: http://bit.ly/EMN-EMedHomeVideos.

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Weird and Wild: The Hidden Compartment Syndrome

Creator: Martha Roberts, ACNP, PNP

Duration: 14:40

Compartment syndrome made it on the weird and wild list not only because it is uncommon but also because it is difficult to identify. It presents in strange ways, and is often missed the first time a patient seeks care. Watch this video of Martha Roberts, ACNP, PNP, interviewing Adam Cohen, MD, about how to treat compartment syndrome, and read more in the Procedural Pause blog at http://bit.ly/ProceduralPause.

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EMedHome’s Videos with Haney Mallemat, MD

Creator: EMedHome.com

Duration: 19:25

Haney Mallemat, MD: 2017 Resusfest: http://bit.ly/EMN-EMedHomeVideos.

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Mellick’s Multimedia EduBlog: Tactical Tourniquets to Stop Traumatic Bleeding, Video 3

Creator: Larry Mellick, MD

Duration: 7:41

Dr. Larry Mellick reviews four different tourniquets to manage uncontrolled extremity hemorrhage, but in this one, he demonstrates a simulated SWAT or SRT entry in a building with gunfire and simulated injuries and blood. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.

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Excited Delirium

Creator: Alice S.Y. Lee, MD

Duration: 26:12

Alice Lee, MD, and, Mary Katherine Harper, MD, review the case of a patient with excited delirium.

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Mellick’s Multimedia EduBlog: Preoxygenating with the BVM

Creator: Larry Mellick, MD

Duration: 10:42

Dr. Larry Mellick and colleagues test the bag-valve mask for preoxygenation. You will be surprised by the results! Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.

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The Procedural Pause: Short and Long Posterior Splints for Leg Injuries

Creator: Martha Roberts, ACNP, PNP

Duration: 2:34

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

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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EMedHome’s Videos with Sergey Motov, MD

Creator: EMedHome.com

Duration: 29:11

Sergey Motov, MD, reviews the top 10 2016 pediatric emergency medicine pain articles that might change your practice: http://bit.ly/EMN-EMedHomeVideos

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EMedHome’s Videos with Mike Winters, MD

Creator: EMedHome.com

Duration: 19:28

Tune in for a lecture by Mike Winters, MD, Beyond the Golden Hour: Caring for the ICU Boarder: http://bit.ly/EMN-EMedHomeVideos

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Mellick’s Multimedia EduBlog: Double Simultaneous Defibrillation

Creator: Larry Mellick, MD

Duration: 2:23

Dr. Larry Mellick looks at the evidence for double simultaneous defibrillation, which appears to work in the electrophysiology lab and that anecdotal evidence has shown saves lives in the prehospital setting and in the emergency department. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.

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If the Patient is Sweating, You Should be Too

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.

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Mellick’s Multimedia EduBlog: Not Appenditicits

Creator: Larry Mellick, MD

Duration: 3:36

Dr. Larry Mellick reviews an unusual cause of abdominal pain. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.

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Dr. Lee talks with Paul Beeston, DO, an emergency physician at Banner Baywood Medical Center in Mesa, AZ, about an elderly woman who fell.

Creator: Alice S.Y. Lee, MD

Duration: 24:43

Dr. Lee talks with Paul Beeston, DO, an emergency physician at Maricopa Medical Center in Phoenix about an elderly woman who fell.

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Mellick’s Multimedia EduBlog: Oldie but Goodie Pediatric Clinical Concepts-Double Sickening

Creator: Larry Mellick, MD

Duration: 2:21

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. Listen in to this video as Dr. Mellick discusses double sickening in this mother’s daughter. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.

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Mellick’s Multimedia EduBlog: Oldie but Goodie Pediatric Clinical Concepts-Double Sickening

Creator: Larry Mellick, MD

Duration: 2:21

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. Listen in to this video as Dr. Mellick discusses double sickening in this mother’s daughter. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.

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The Speed of Sound-March 2017: A New Measure to Single Out High-Risk PE Patients

Creator: Christine Butts, MD

Duration: 0:02

Read Dr. Christine Butts’ article, “A New Measure to Single Out High-Risk PE Patients,” in the March 2017 issue, and then watch this video that shows step 1 of the TAPSE measurement.

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iCubed: Impart, Instruct, Inspire

Creator:

Duration: 26:29

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Procedural Pause: One Squeeze of IO Access

Creator: Martha Roberts, CEN, ACNP

Duration: 2:00

Martha Roberts, CEN, ACNP, and James R. Roberts, MD, with their favorite new ED gadget: the NIO, an intraosseous device that is ready to go in 18 seconds. Read more in their blog at http://bit.ly/ProceduralPause.

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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

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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The Procedural Pause: Simple Solutions for Difficult Problems, Part 2: Morgan Lens No More!

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.

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Mellick’s Multimedia EduBlog: The Importance of Reproducing the Injury

Creator: Larry Mellick, MD

Duration: 4:16

Good advice for EPs from Dr. Larry Mellick and orthopedic surgery: Why it’s so important to recreate the injury mechanism when reducing open ankle fractures and dislocations. Find out more in Dr. Mellick’s blog and video at http://bit.ly/Mellick.

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Amal Mattu, MD: Winning at Failure

Creator: EMedHome.com

Duration: 69:11

Dr. Mattu discusses the modern management of cardiogenic pulmonary edema.

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The Procedural Pause:

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.

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Mellick’s Multimedia EduBlog: Davos Technique Gains Traction for Shoulder Dislocations

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.

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The Procedural Pause: Ultrasound, Part 5: Beside Ultrasound Vital to Early DVT Diagnosis

Creator: Martha Roberts, CEN, ACNP

Duration: 13:30

James R. Roberts, MD, & Martha Roberts, CEN, ACNP, focus on the best way to detect proximal lower extremity DVTs in the emergency department. Read more in their blog at http://bit.ly/ProceduralPause.

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The Procedural Pause: Ultrasound, Part 4: IV Lines

Creator: Martha Roberts, CEN, ACNP

Duration: 2:05

James R. Roberts, MD, & Martha Roberts, CEN, ACNP, say it’s time to be fearless and embrace the true utility — and maybe implement a new policy in your ED — of ultrasound-guided intravenous (IV) line insertion. Read more in their blog at http://bit.ly/ProceduralPause.

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Mellick’s Multimedia EduBlog: A Kinder, Gentler Approach for Felons

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.

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The Procedural Pause: Ultrasound, Part 3: Foreign Body Removal

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.

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Mellick’s Multimedia EduBlog: An Ophthalmic Photo and Video Tool

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.

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The Procedural Pause: Clinical Pearls: Ultrasound, Part 1

Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP

Duration: 9:37

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

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: Clinical Pearls: The JR Knot

Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP

Duration: 8:31

This new bonus feature from James R. Roberts, MD, & Martha Roberts, CEN, ACNP, brings you tips, tricks, and pearls to make your emergency medicine practice easier. This month, their first Clinical Pearl features the JR Knot, invented by its namesake James Roberts. This easy pearl will show you how to secure a central line. Read the Roberts’ blog at http://bit.ly/ProceduralPause.

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Mellick’s Multimedia EduBlog: Triceps Surae Examination Pearls (2 of 2)

Creator: Larry Mellick, MD

Duration: 2:51

Dr. Larry Mellick has tips and tricks for examining and diagnosing patients with calf pain. Read his blog post at http://bit.ly/Mellick, and then watch this video to see how to do the Thompson test for an Achilles tendon injury.

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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

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

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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Mellick’s Multimedia EduBlog: Stiletto Heel Injury

Creator: Larry Mellick, MD

Duration: 1:35

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 stiletto heel injury.

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Mellick’s Multimedia EduBlog: Devastating Leg Injury

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.

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Mellick’s Multimedia EduBlog: Ketamine for Pain-Video 2 of 3

Creator: Larry Mellick, MD

Duration: 3:47

Peripheral and central sensitization of pain pathways are recognized as part of the process of chronic and subacute pain syndromes. Read Dr. Mellick’s blog post at http://bit.ly/Mellick, and then watch this video to hear how ketamine helped this patient with peripheral neuropathy pain.

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Procedural Pause: The Hugest of the Huge

Creator: James R. Roberts, MD, & Martha Roberts, CEN, ACNP

Duration: 5:12

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

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

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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Mellick’s Multimedia EduBlog: Pediatric Rashes-Shingles. Video 1 of 3

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.

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Mellick’s Multimedia EduBlog: Pediatric Rashes-Strep-Video 2 of 3

Creator: Larry Mellick, MD

Duration: 2:15

Some rashes aren’t difficult to diagnose once you’ve seen a case or two. This video from Dr. Larry Mellick helps with diagnosing strep. Find more information about pediatric rashes in his vlog at http://bit.ly/Mellick.

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Mellick’s Multimedia EduBlog: Pityriasis Rosea-Video 3 of 3

Creator: Larry Mellick, MD

Duration: 2:45

Once you see a case of pityriasis rosea, you won’t forget the rash, says Dr. Larry Mellick. This video shows you what to look for. Find more information about pediatric rashes in his vlog at http://bit.ly/Mellick.

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Emergentology by Graham Walker, MD: Hip Blocks

Creator: Brita Zaia, MD

Duration: 0:10

Dr. Graham Walker discovers another practice-changer for patients with broken hips. Watch this video by Brita Zaia, MD, of a needle popping through the fascia iliaca, and read Dr. Walker’s column in the April issue or in his collection at http://bit.ly/WalkerEmergentology.

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Procedural Pause: Abscess Basics

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.

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Mellick’s Multimedia EduBlog: Inferior Shoulder Reductions-Video 1 of 3

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.

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Procedural Pause: Eyebrow Laceration Repair, If You Dare

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.

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Mellick’s Multimedia EduBlog: Inferior Alveolar Nerve Blocks

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.

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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

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

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

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

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: Petechiae

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.

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Mellick’s Multimedia EduBlog: IV Drug Use and Skin Conditions: Track Marks

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.

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Hypotension and Paradoxical Bradycardia

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.

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The Speed of Sound-July 2014: RADiUS to the Rescue for Patients with SOB

Creator: Christine Butts, MD

Duration: 0:04

Read Dr. Christine Butts’ article, “RADiUS to the Rescue for Patients with SOB,” in the July issue, and then watch this video that shows that the patient has normal lung sliding bilaterally, ruling out a pneumothorax.

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Spontaneous Circulation: Unexpected Turns

Creator: Charles Bruen, MD

Duration: 0:05

Read Dr. Charles Bruen’s blog post at http://bit.ly/BruenSponCirc, and then watch this video to see an LAO-caudal angiographic view showing complete occlusion of RCA.

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Battle of the Bulge: Olecranon Bursitis

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.

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Laboratory Abnormalities and Pyloric Stenosis

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.

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Altered Mental Status and Intussusception - Video 1

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.

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Anaphylaxis and Epinephrine

Creator: Larry Mellick, MD

Duration: 7:50

Treating anaphylaxis can confusing and complex. Dr. Mellick reviews how to recognize and manage these patients.

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Pediatric Nasal Foreign Bodies

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.

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Pediatric Nasal Foreign Bodies

Creator: Larry Mellick, MD

Duration: 3:22

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

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 2. SUPRAclavicular for Subclavian Lines

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.

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Please Poke My Paronychia!

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.

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The Controversy over Video Laryngoscope and Direct Laryngoscopy

Creator: Larry Mellick, MD

Duration: 5:20

New laryngoscopy technology brings with it new problems. Instead of worrying about dead blade handle batteries or burned out light bulbs, EPs have to cope with broken cables, malfunctioning screens, damaged light sources, and missing pieces, says Dr. Mellick. Direct laryngoscopy, therefore, will never disappear from his training program.

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Creator: Graham Walker, MD

Duration: 2:01

See One, Do One. Watch Dr. Walker demonstrate intranasal medication administration.

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Hands On During Defibrillation

Creator: Larry Mellick, MD

Duration: 4:02

Pausing chest compressions for even a few seconds reduces the chances that CPR will be successful, but CPR always screeches to a halt for defibrillation. Dr. Larry Mellick demonstrates why there’s no need to be hands-off during defib.

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Another Arrow for Your Headache Quiver: Cervical Injections

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.

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Emergency Management of Priapism

Creator:

Duration: 5:17

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M²E Too! A Word about Word Catheters

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.

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M²E Too! Tourniquets and Bleeding Varicose Veins

Creator: Larry Mellick, MD

Duration: 7:27

Video from the M²E Too! blog on managing patients with bleeding varicose veins.

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