This video demonstrates one patient's experience with intravenous adenosine for supraventricular tachycardia. Follow-up: An electrophysiology study was performed which was remarkable for AVNRT which was successfully ablated without complications.
Просмотров: 154978 Larry Mellick
This dramatic video of a tension pneumothorax being relieved by a needle thoracostomy was taken by Dr. Oleksandr Linchevskyy, medical director, Patriot Defense, Ukraine. Also, be sure to check out www.nonapps.com for adult and pediatric rapid reference materials. https://www.youtube.com/watch?v=qzj0iPc96GA https://www.youtube.com/watch?v=MzfbeRgffFM
Просмотров: 211374 Larry Mellick
This patient with end stage renal disease and Goodpasture syndrome may have missed dialysis. She presented in extremis with a "sine wave" EKG consistent with hyperkalemia. Her EKG normalized in 3-5 minutes with insulin therapy followed by glucose. Calcium and bicarbonate were also given but the tightening of her QRS was due to the insulin therapy.
Просмотров: 74387 Larry Mellick
In this video we demonstrate a little known method of reducing a shoulder dislocation (at least we didn't know about it)! Our residents and a rotating maxillofacial surgery resident helped make this video during a morning training conference in the ER. It is a SIMULATION and not a real patient!! This channel is dedicated to teaching emergency medicine procedures and displaying unique and interesting medical conditions. This channel is only possible because our patients collaborate with us and give permission for their stories to be told so that others might learn.
Просмотров: 54953 Larry Mellick
VIEWER DISCRETION ADVISED: This video is very graphic. An open thoracotomy is performed on a motorcycle accident victim who was initially talking at the scene and became unresponsive and lost his vital signs in the ambulance minutes away from the hospital. A heroic attempt was made to save his life. Unfortunately, despite return of spontaneous circulation the patient died in the operating room.
Просмотров: 687824 Larry Mellick
This short video demonstrates how to place an ear wick for the treatment of otitis externa or swimmers ear. In theory it helps hold the medication in the canal and up tight against the infected tissues. The wick is generally changed every 24 hours.
Просмотров: 48574 Larry Mellick
Endotracheal tube exchange over a bougie is demonstrated in this video. The patient had a persistent air leak that was only fixed with a larger endotracheal tube. This video has previously been posted. However, the special effects were removed in this version.
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A young teenage mother was assaulted by the father of her children during an event of domestic violence. She was choked during the 30 minute assault and lost consciousness for an unknown period of time. Her head was struck against the sharp edge of furniture and she sustained a deep 3 cm forehead laceration. I apologize for having to turn off the comments, but even though most comments were constructive, a trend of judgmental comments were started and I felt that it was not appropriate to allow the opportunity for these comments to continue.
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In this video a patient with cranial nerve III palsy presents for evaluation. Work-up was extensive with a CT scan and MRI/MRA and all was negative. No evidence of an aneurysm was noted. The associated headache was most likely due to the ischemia of the nerve. The underlying and contributing co-morbidity was diabetes mellitus.
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In this video we present a young girl with sickle cell disease who presented to the Children's Hospital of Georgia emergency department with a life threatening episode of acute splenic sequestration. This condition must be recognized and treated early in order to prevent death from hypovolemic shock.
Просмотров: 10451 Larry Mellick
In this video I demonstrate my approach to isolating out an injured or strained soleus muscle. Uphill running and long distance running can cause this overuse injury. However, it can be confused for a gastrocnemius muscle injury unless you isolate it out during the examination. My demonstrated technique explains how to do that.
Просмотров: 21153 Larry Mellick
A rare eye saving procedure (lateral canthotomy) is started by an emergency medicine resident and attending physician and the ophthalmology team finishes by performing the other components of the procedure, upper and lower lateral cantholysis. Together they successfully prevent an elderly gentleman with a retrobulbar hematoma from losing complete vision in his right eye.
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This video demonstrates a large leg wound following a chainsaw accident that cut directly through the calf carrying clothing and plant debris straight through the leg. A tourniquet was applied to stop bleeding. The patient was transported by helicopter to our trauma center where he underwent several surgeries to repair the injury.
Просмотров: 334870 Larry Mellick
In this video a 21 year old with a large spontaneous pneumothorax is treated with a TRU-CLOSE® Thoracic Vent instead of chest tube. This technique effectively treats a pneumothorax while avoiding the degree of pain and incapacitation associated with chest tubes. http://journals.lww.com/em-news/blog/M2E/pages/post.aspx?PostID=9
Просмотров: 1781436 Larry Mellick
In this video we review the the various fishhook removal techniques described in the literature and actually name a new technique, the needle barb release technique, used in this video to remove three hooks from a teenager's face. This channel is dedicated to teaching emergency medicine procedures and displaying unique and interesting medical conditions. This channel is only possible because our patients collaborate with us and give permission for their stories to be told so that others might learn.
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In this video we demonstrate a patient presenting with new onset cranial nerve VI palsy. Laboratory testing and MRI were not successful in elucidating the cause. We discuss the various causes, evaluation and treatment of CN VI palsy in this video.
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This video demonstrates how to set up a 3 way stopcock system that allows you to use the same needle for aspiration and irrigation of the penis in the treatment of priapism. This is just one of several ways to approach priapism aspiration and irrigation.
Просмотров: 23242 Larry Mellick
This video demonstrates how to apply Raney Clips to severe scalp lacerations. Viewer discretion is advised because this video contains graphic images.
Просмотров: 16627 Larry Mellick
In this 10 minute video we show you how to reduce a dislocated shoulder 10 different ways. A pediatric and EM intern and an emergency medicine resident team up to demonstrate multiple techniques for reducing a dislocated shoulder in a single video.
Просмотров: 173459 Larry Mellick
Dr. Bruce Janiak, a 74 year old full-time emergency medicine physician, allows a video of his cardioversion from atrial fibrillation in order to demonstrate both the ease and safety of this procedure. Dr. Janiak holds the distinction of being the first ever emergency medicine residency graduate in the world.
Просмотров: 69417 Larry Mellick
In this video we demonstrate how to insert a pigtail catheter into the left chest of a patient with a traumatic pneumothorax. Pigtail catheters are markedly less painful for the patient to be inserted through the chest wall. This video demonstrates that point as well as the technique for inserting one of these catheters.
Просмотров: 47006 Larry Mellick