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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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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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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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Creator: Larry Mellick, MD
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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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Creator: Larry Mellick, MD
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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.
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.
Creator: Larry Mellick, MD
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Creator: Larry Mellick, MD
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Duration: 0:10
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Creator: Larry Mellick, MD
Duration: 4:45
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Duration: 0:15
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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.
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.
Creator: Larry Mellick, MD
Duration: 4:11
Don’t cringe when you think of giving epinephrine outside of cardiac arrest, says Dr. Larry Mellick. These three videos demonstrate techniques for giving well calibrated and exact doses of epinephrine. This first video shows pulse dosing during intubation. Read his video introduction at http://bit.ly/Mellick, and then watch this video to learn more.
Creator: Larry Mellick, MD
Duration: 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.
Creator:
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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.
Creator: Larry Mellick, MD
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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.
Creator: Larry Mellick, MD
Duration: 0:32
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Creator: Larry Mellick, MD
Duration: 0:56
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Duration: 0:05
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Duration: 1:35
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Creator: Larry Mellick, MD
Duration: 5:50
Pyloric stenosis can occur in adults and children, with almost the same symptoms. Read this blog post and watch a video by Dr. Larry Mellick to recognize the signs when a patient presents in your ED.
Creator: Larry Mellick, MD
Duration: 1:31
Intussusception sometimes does not present with classic symptoms, and the only clue might be a comatose-appearing infant. Dr. Larry Mellick says this presentation has the potential to trip up even the most astute clinician.
Creator: Larry Mellick, MD
Duration: 7:50
Treating anaphylaxis can confusing and complex. Dr. Mellick reviews how to recognize and manage these patients.
Creator: Larry Mellick, MD
Duration: 9:19
Many pediatric patients with nasal foreign bodies present to the emergency department for chief complaints unrelated to the nose. Once the diagnosis is made, however, a variety of techniques can resolve the problem in the ED, but be sure you know when need an ENT consult.
Creator: Larry Mellick, MD
Duration: 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.
Creator: Larry Mellick, MD
Duration: 8:22
Dr. Mellick’s suspicions smoldered for years; he even thought the problem resided with his technique. But one patient made him realize that the textbooks were just wrong: Wire cutters were not going to release a zipper from penile skin.
Creator: Christine Butts, MD
Duration: 0:29
Read Dr. Butts’ article, “Think SUPRAclavicular for Subclavian Lines,” in the July 2013 issue, and then view this video that shows assessment of the venous anatomy as seen under ultrasound. The internal jugular (IJ) vein is seen as the triangular vessel that appears to fluctuate slightly with respiration. As the view progresses inferiorly, the IJ can be seen to join the SCV, which appears tubular in this orientation.
Creator: Larry Mellick, MD
Duration: 1:24
For a fantastic instructive 1:24-minute video on treating paronychia, just watch Dr. Larry Mellick, a professor of emergency medicine at the Medical College of Georgia, at work.
Creator: Larry Mellick, MD
Duration: 5:20
New laryngoscopy technology brings with it new problems. Instead of worrying about dead blade handle batteries or burned out light bulbs, EPs have to cope with broken cables, malfunctioning screens, damaged light sources, and missing pieces, says Dr. Mellick. Direct laryngoscopy, therefore, will never disappear from his training program.
Creator: Graham Walker, MD
Duration: 2:01
See One, Do One. Watch Dr. Walker demonstrate intranasal medication administration.
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.
Creator: Larry Mellick, MD
Duration: 6:53
Patients don’t come to the ED for headache unless the severity and duration are intolerable or the headache is frighteningly different. Emergency physicians need as many therapeutic arrows in their quiver as possible to treat those headaches. The bilateral paraspinous cervical injection with small amounts of bupivacaine in the lower neck is an excellent option for managing tough headache cases.
Creator: Larry Mellick, MD
Duration: 8:16
Video from the M2E Too! blog on inserting a word catheter in a patient with a Bartholin’s gland abscess.