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Видео добавленное пользователем “Larry Mellick”
The Romberg and Pronator Drift Signs
The Romberg and Pronator Drift signs are demonstrated in this video.
Просмотров: 137270 Larry Mellick
Treating SVT with Adenosine
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
Finger Dislocation & Metacarpal Block
In this video we demonstrate a metacarpal block and the reduction of a dislocated fifth finger.
Просмотров: 1263547 Larry Mellick
Kussmaul Breathing in Diabetic Ketoacidosis
In this video we present a patient with DKA who is exhibiting the Kussmaul breathing pattern associated with metabolic acidosis.
Просмотров: 191225 Larry Mellick
Intraosseous Needle Placement During CPR
This video shows intraosseous (IO) needle placement during CPR on both an adult and newborn using the EZ IO drill.
Просмотров: 53456 Larry Mellick
Pediatric Jaw Dislocation Reduction
This video demonstrates the reduction of a teenager's jaw dislocation.
Просмотров: 458997 Larry Mellick
Tension Pneumothorax and Needle Thoracostomy
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
Severe Hyperkalemia Emergency
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
Ventricular Tachycardia Emergency
In this video we demonstrate the management of a patient with recurrent ventricular tachycardia resistant to repeated attempts at cardioversion.
Просмотров: 113647 Larry Mellick
The Davos Method of Shoulder Dislocation Reduction
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
Open Thoracotomy (Viewer Discretion Advised)
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
Ear Wick Placement for Otitis Externa
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
SVT or Supraventricular Tachycardia
This video demonstrates the treatment of a patient with supraventricular tachycardia (SVT) using adenosine.
Просмотров: 165933 Larry Mellick
Kawasaki Disease
This video demonstrates the physical findings of Kawasaki Disease (KD) in a two year old child.
Просмотров: 57238 Larry Mellick
Emergency Cardioversion
Probable AVNRT causing extremely fast heart rate and hypotension cardioverted in the emergency department.
Просмотров: 371321 Larry Mellick
External Jugular Vein Cannulation
In this video we demonstrate the technique for inserting an intravenous catheter into the external jugular vein.
Просмотров: 55361 Larry Mellick
Flash Pulmonary Edema Emergency
In this video a patient presented to the emergency department with flash pulmonary edema. We review the life threatening condition of flash pulmonary edema and its management.
Просмотров: 136205 Larry Mellick
Hallpike Test and Epley Maneuver
This video demonstrates the Hallpike Test and the Epley Maneuver
Просмотров: 438761 Larry Mellick
Endotracheal Tube Exchange Over a Bougie
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.
Просмотров: 12830 Larry Mellick
Emergency Suprapubic Catheter Placement
A senior urology resident teaches us how to place a suprapubic catheter in a patient with severe urinary retention secondary to bladder outlet obstruction.
Просмотров: 83200 Larry Mellick
Conventional CPR Physiology
This is one of two videos used with permission by ZOLL Medical Corporation that nicely explains the physiology of conventional CPR.
Просмотров: 53450 Larry Mellick
A Victim of Domestic Violence
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.
Просмотров: 123614 Larry Mellick
CN III Palsy
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.
Просмотров: 20706 Larry Mellick
Reducing the Dislocated Jaw
This video shows how a dislocated jaw is reduced.
Просмотров: 1806332 Larry Mellick
The Diagnosis and Treatment of Croup
In this video we present a patient who came to the pediatric emergency department with the signs and symptoms of croup. We review the etiology and treatment of this condition.
Просмотров: 23810 Larry Mellick
Sickle Cell Splenic Sequestration Emergency
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
How to Examine for the Injured Soleus Muscle
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
Nursemaid's Elbow
This video demonstrates an infant with nursemaid's elbow and the pediatric emergency department management of radial head subluxation.
Просмотров: 195706 Larry Mellick
Emergency Lateral Canthotomy and Cantholysis
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.
Просмотров: 53182 Larry Mellick
Catastrophic Chainsaw Accident (Viewer Discretion Advised)
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
Bougie Intubation with the Kiwi Grip
Dr. Ric Solis demonstrates the Kiwi Grip for endotracheal intubation using a bougie.
Просмотров: 26073 Larry Mellick
Peritonsillar Abscess Needle Aspiration
This video demonstrates how to perform a needle aspiration of a peritonsillar abscess.
Просмотров: 50978 Larry Mellick
Spontaneous Pneumothorax Emergency
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
A Pediatric Patient with a Wide QRS Tachycardia
This video presents a pediatric patient with wide QRS tachycardia. The diagnostic considerations are ventricular tachycardia or supraventricular tachycardia with aberrant conduction.
Просмотров: 13096 Larry Mellick
Fishhook Emergency Release Techniques
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.
Просмотров: 5808 Larry Mellick
Cranial Nerve VI Palsy Emergency
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.
Просмотров: 7409 Larry Mellick
A Priapism Aspiration and Irrigation System
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
Inferior Shoulder Dislocation Reduction
This video demonstrates the management and reduction of an inferior shoulder dislocation. The patient who was a patron at the 2014 Master's Golf Tournament, fell while running to his car during a rain storm in Augusta Georgia.
Просмотров: 136111 Larry Mellick
"Saturday Night Palsy"
This older female presents with new onset palsy of the radial nerve after alcohol intake and falling asleep on the couch. The examination and management of this condition is demonstrated.
Просмотров: 75686 Larry Mellick
Hip Dislocation Reduction and Traction Pinning
This video demonstrates the reduction of a dislocated hip and the insertion of a traction pin. The video was posted several years ago and has been quite popular. I have reworked the video and improved its quality.
Просмотров: 32820 Larry Mellick
Severe Scalp Injury and Raney Clip Application (Viewer Discretion Advised)
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
How to Remove a Toothpick Impaled in the Foot
This video demonstrates one technique for removing a toothpick impaled in the foot.
Просмотров: 138206 Larry Mellick
Ten Ways To Reduce A Dislocated Shoulder
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
Tracheostomy Replacement Procedure
This video demonstrates how to replace a cuffless tracheostomy tube.
Просмотров: 44121 Larry Mellick
Dr. Bruce Janiak's Cardioversion from Atrial Fibrillation
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
Removing the King LT Airway Device
This video demonstrates how to remove the King LT Airway Device.
Просмотров: 8737 Larry Mellick
The String Ring Removal Trick
One of our pediatric ER nurses demonstrates the string trick for removing a tight ring from the finger of one of our pediatric ER clerks.
Просмотров: 931694 Larry Mellick
Lunate or Perilunate Dislocation?
It's possible to have confusion about the type of carpal dislocation one is seeing in a patient. Is it a lunate or perilunate dislocation? In this video we demonstrate such a patient as well as the reduction and splinting procedures.
Просмотров: 20226 Larry Mellick
Henoch--Schönlein Purpura
A young girl with Henoch--Schönlein purpura presents to the emergency room with pain in her ankles and knees.
Просмотров: 70724 Larry Mellick
Pigtail Catheter Placement for Traumatic Pneumothorax
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