OVMC:Procedure Video Library

Procedure References

These links should serve as a reference for safe and proper techniques on how to perform many common (and some uncommon) procedures in the ED. For some procedures there may be both a longer video explaining in-depth details if this is your first time (eg med students and interns) and a shorter video if it's been a while and you just want to brush up.

Basics

Lumbar Puncture:

• NEJM (10:59) https://www.nejm.org/doi/full/10.1056/NEJMvcm054952
• Mellick (3:14) https://www.youtube.com/watch?v=grpeEDBMrn8

Neonatal Lumbar Puncture:

• Sachetti (5:44) https://www.youtube.com/watch?v=xvVIhFZeUnY&list=UUHaNQfnfpRdsqMdEBLlFaCw&index=21&feature=plcp

Paracentesis:

• NEJM (9:50) https://www.nejm.org/doi/full/10.1056/NEJMvcm062234

NG Tube Placement:

• Tulane (2:55) https://www.youtube.com/watch?v=1OakmxZDa5c

Unclogging NG Tube:

• Providence Health (3:53) https://www.youtube.com/results?search_query=unclogging+g+tube+emergency+medicine

I&D:

• ERCast Loop Abscess Drainage (6:58) https://vimeo.com/19580472
• NEJM (10:12) https://www.youtube.com/watch?v=MwgNdrA18fM&feature=emb_logo

Figure of 8 Suture

• Medical Education Videos (1:33) https://www.youtube.com/watch?v=V8TK0haR0D4

Airway

Cricothyrotomy:

• EMCrit (0:50) https://www.youtube.com/watch?v=Q0RVlgwC9rs&feature=emb_logo
• EMCrit (0:58) https://www.youtube.com/watch?v=WnTBm5f_ihQ&feature=emb_logo
• Henneman (6:59) https://www.youtube.com/watch?v=bIbl6zgWBjg&feature=emb_logo

Jet ventilation:

• MDedge (1:52) https://www.youtube.com/watch?v=F_PV7N2c2pQ

Intubation:

• Hippo ED (12:50) https://www.youtube.com/watch?v=-M3OlfmKjO8

BVM:

• Medscape (1:33) https://www.youtube.com/watch?v=zUGw90iL0Qw

BVM for Covid19:

• WakeMed (1:22) https://www.youtube.com/watch?v=JT4RC1TsTPo

Resuscitation

IO line Placement

• EMRAP (3:12) https://www.youtube.com/watch?v=KHXSfh2ZRDM

US-guided IV Placement

• 5 Min Sono (5:52) https://www.youtube.com/watch?v=4Znd21vJPb8

Art Line

• EMRAP (3:54) https://www.youtube.com/watch?v=EFnUaYRAdro

Central Venous Catheterization

• IJ NEJM (15:28) https://www.nejm.org/doi/full/10.1056/NEJMvcm055053
• Subclavian EM Crit (5:07) https://vimeo.com/16555672
• Femoral NEJM (12:26) https://www.youtube.com/watch?v=MjP_-DlqAO0

Oral/Facial

Peritonsillar Abscess

• CoreEM (1:02) https://vimeo.com/76329369
• EmDocs (pictures/ultrasound guided drainage) http://www.emdocs.net/unlocking-common-ed-procedures-peritonsillar-abscess-drainage/

Facial Nerve Blocks

• Inferior Alveolar Nerve Block: FreeDentalEducation (4:48; procedure at 2:15) https://www.youtube.com/watch?v=kmPqV-dMo98
• Superior alveolar: Latino (1:54) https://www.youtube.com/watch?v=-gbofqoiwtw
• Infraorbital Nerve Block: Brian Lin (2:00) https://www.youtube.com/watch?v=3nzXe_NYKlg
• Mental Nerve Block: The Dental Box (1:06) https://www.youtube.com/watch?v=hPALXAq9pTo
• Auricular block: EMRAP (1:53) https://www.youtube.com/watch?v=6ZiB_9eNpcA&t=13s
• Superior orbital block: Brian Lin (3:11) https://www.youtube.com/watch?v=RXy5SwDn9nw
• Occipital nerve block: CHA (6:03, procedure starts at 3:30) https://www.youtube.com/watch?v=6Dj5zYbvLxo

Nasal Foreign Body Removal

• BVM for Complete Occlusion: Robert Dudas (0:51) https://www.youtube.com/watch?v=PacvHiJFhNA
• Katz Extractor for Partial Occlusion: Larry Mellick (3:22) https://www.youtube.com/watch?v=rQpIOdJrYIc

Ear foreign body Don't Forget the Bubbles (2:10) https://www.youtube.com/watch?v=Vd3F3RAzjpg

Nasal Packing

• EMRAP (2:14) https://www.youtube.com/watch?v=4EaEYx2iHqM

Thoracic

Thoracotomy:

• EMCrit (28:38) https://www.youtube.com/watch?v=7CfSToBqgAY

Thoracostomy:

• Cut Down: EMRAP (4:31) https://www.youtube.com/watch?v=IdmMR8JxmFo
• Pigtail: EMCrit (9:11) https://www.youtube.com/watch?v=FDxZyR9abAs
• Needle Aspiration: NEJM (13:02) https://www.youtube.com/watch?v=j_UGBS-Kp2I
• Additional chest tube tips: EMRAP(1:48) https://www.youtube.com/watch?v=dRogaMm0tbw

Thoracentesis:

• NEJM (8:51) https://www.youtube.com/watch?v=ivTyH09BcHg

Cardiac

Pericardiocentesis:

• Cardio Guide (4:02) https://www.youtube.com/watch?v=f5cZCP8oaLE

Transvenous cardiac pacing:

• EMRAP (7:03) https://www.youtube.com/watch?v=00-T8PcbStE&t=1s

Defibrillation/cardioversion synchronized cardioversion

• Synchronized Cardioversion: Sachetti (starting at 0:39) https://www.youtube.com/watch?v=rSusgpskmzk&feature=emb_logo
• Defibrillation: Merck (3:25) https://www.youtube.com/watch?v=ZO_G0-jBVH8

Overdrive pacing/transcutaneous pacing

• PPPulf (2:29) https://www.youtube.com/watch?v=qkSGaJkNqvg

Pacemaker Magnet:

• CoreEM (5:38) https://www.youtube.com/watch?v=XV0eJdAQJys&feature=emb_logo

GI

Balloon Tamponade

• Minnesota: EMRAP (5:08) https://www.youtube.com/watch?v=4FHIiA_doWU
• Blakemore: EMRAP (4:47) https://www.youtube.com/watch?v=NHelCd5Jtp4

Rectal prolapse reduction

• Brown EM (1:50) https://www.youtube.com/watch?v=yqCeFZRTABc

Hemorrhoid excision

• Sarratt (1:56) https://www.youtube.com/watch?v=nyziecEn_1E

Digits

Digital Block

• CORE EM (2:34) https://www.youtube.com/watch?v=i51y6t1YRNQ

Paronychia

• Brian Lin (3:35) https://www.youtube.com/watch?v=G9CBKoKEvRM

Subungual Hematoma Drainage

• EMRAP (1:02) https://www.youtube.com/watch?v=G_7eKSYLfxY

Rongeurs

• EMRAP (2:30) https://www.youtube.com/watch?v=zBmsrGzPk40

Ingrown nail

• Healthy Foot Podiatry (1:57) https://www.youtube.com/watch?v=CjYUtRgA-G0

Ring Removal

• FindingKing (0:49) https://www.youtube.com/watch?v=JQfFnPw5EjA
• AliEM (3:23) https://www.aliem.com/trick-of-trade-ring-removal-using/

GU

Priapism

• Larry Mellick (9:07) https://www.youtube.com/watch?v=KWf5MAobWoM

Paraphimosis

• Surin Hospital (1:13) https://www.youtube.com/watch?v=xBE8UmREne0

Bartholin’s cyst

• Sarrat (2:18) https://www.youtube.com/watch?v=amWXtfc5gbY

Suprapubic cystostomy

• Mellick (7:18) https://www.youtube.com/watch?v=yTFS3FILWGY

Dorsal penile nerve block

• Mellick (2:34) https://www.youtube.com/watch?v=3p0qEfISggs

Obstetrics

Emergency delivery

• Anderson (3:13) https://www.youtube.com/watch?v=dkoOB1MEaBI&feature=emb_logo

Shoulder Dystocia

• Merck (4:07) https://www.youtube.com/watch?v=dRogaMm0tbw

Breech

• Merck (4:04) https://www.youtube.com/watch?v=d9pU_6LDVUM

Perimortem c-section

• EMCrit (18:32) https://www.youtube.com/watch?v=IwDWv2iyAos

Ultrasound

Fascia iliaca block

• Temple EM (3:23) https://www.youtube.com/watch?v=OePw_dFXbhQ

Posterior tibial nerve block

• 5 min SONO (5:09) https://www.coreultrasound.com/posterior-tibial-nerve-block/

Serratus block

• Temple EM (2:32) https://www.youtube.com/watch?v=3Qlo5MIdtEc

Shoulder injection

• Paul K (3:31) https://www.youtube.com/watch?v=GULpSrtZVeM

Retinal vs. vitreal detachment EMRAP (4:05) https://www.youtube.com/watch?v=gNLTZipajwM&feature=emb_rel_pause

MSK

Arthrocentesis/injection

• Knee- Mellick (2:33) https://www.youtube.com/watch?v=cLmfIvdToPE
• Elbow- ACMC EM (1:33) https://www.youtube.com/watch?v=DVQ9Jv1LHXo
• Ankle- Mellick (6:01) https://www.youtube.com/watch?v=Du1dy6nkAlU&feature=emb_logo
• Wrist- EMRAP (1:39) https://www.youtube.com/watch?v=6eyUl6HDv-g
• Hip- AEUS (20:09) https://vimeo.com/216722169
• Shoulder- SGH (0:48) https://www.youtube.com/watch?v=52dLCmM2bVw (anterior), Medical Skills Courses (1:00) https://www.youtube.com/watch?v=f1iO3laXaxs (posterior)

Dislocation reductions

• Shoulder- Mellick (10:02) https://www.youtube.com/watch?v=HtOnreM7heg
• Hip- HealthPartnersMedEd (4:56) https://www.youtube.com/watch?v=VYl6M87Uh68
• Finger- Mellick (2:09) https://www.youtube.com/watch?v=OwnZDABFlj8
• Elbow- MidAmerica Orthopaedics (2:28) https://www.youtube.com/watch?v=mlAOGgocRnk
• TMJ- CoreEM (2:21) https://www.youtube.com/watch?v=_9Vy1QsZ7k0
• Ankle- TraumaPro (12:13) https://www.youtube.com/watch?v=8hodXLUHwLw
• Patella- Mellick (2:32) https://www.youtube.com/watch?v=j7wCOSO8nQU
• Nursemaid’s- ORTHOfilms (0:29) https://www.youtube.com/watch?v=U8Q1oS85T0k

Compartment Pressure measurement:

• EMRAP (6:13) https://www.youtube.com/watch?v=XXp0EtKtlF8

Splinting basics:

• NEJM (12:50) https://www.youtube.com/watch?v=O_bsrtXVpTA

Trigger point injection:

• EMRAP (1:18) https://www.youtube.com/watch?v=oOmjRUmbLnM

Pelvic Binder:

• EMRAP (1:18) https://www.youtube.com/watch?v=8dCntKAExBk

Neurologic

Tap VP shunt

• Mellick (5:41) https://www.youtube.com/watch?v=PiKc_MFp_4E

Ophthalmologic

Slit lamp:

• Doctor Eyeball MD (16:52) https://www.youtube.com/watch?v=SQAbhoj82Po

FB removal:

• Cronin (1:10) https://www.youtube.com/watch?v=rm_nAafFszs

IOP measurement:

• Gorrell (1:40) http://morancore.utah.edu/basic-ophthalmology-review/intraocular-pressure/

Lateral Canthotomy:

• EMRAP (2:10) https://www.youtube.com/watch?v=tgQaKVGynFA&feature=emb_logo

Irrigation for chemical exposure:

• Hardgrindcoffeeyo (6:01) https://www.youtube.com/watch?v=nefq2XvyZxU

Figure 8 stitch https://www.youtube.com/watch?v=V8TK0haR0D4 I&D https://vimeo.com/19580472 , https://www.youtube.com/watch?v=MwgNdrA18fM&feature=emb_logo

FOAMed Resources

• CORE EM: https://coreem.net/procedures/
• EMRAP videos: https://www.youtube.com/user/EMRAPMEDICAL/playlists
• CORD: https://cordemblog.com/2018/04/05/em-procedure-resources-for-medical-students/
• Highland US: http://highlandultrasound.com/