1 03, 2015

I am Dr. Haney Mallemat, ED Intensivist and Lecturer on the Go: How I Travel Smarter

By |March 1st, 2015|How I Work Smarter|1 Comment

How I Work Smarter Logo Dear productivity aficionados, today we have a special treat. Dr. Haney Mallemat (@CriticalCareNow) is our guest. However, he has decided to go rogue and approached ‘how to work smarter’ from a very different angle. We are thrilled he did. Dr. Mallemat is a rising star in the world of critical care and emergency medicine. He started off by securing board certifications in Emergency Medicine, Internal Medicine, Critical Care, and Echocardiography. Now, only 5 years out of his Critical Care fellowship, Dr. Mallemat already has a place among the FOAM greats and a position as Assistant Professor at University of Maryland. Those who have listen to him talk will know he has the rare ability to take complex topics and break them down into understandable concepts. This has earned him the “Outstanding Teaching Award” two years in a row (2012-2013) at his home institution. You can hear his great talks on the RAGE Podcast, EMRAP, Ultrasound Podcast, PHARM Podcast, to name a few. However, it’s not all podcasting. Dr. Mallemat also lectures both nationally and internationally, and today he graciously shares his wisdom about how to get from point A to point B, with style.

27 02, 2015

MEdIC Series | The Case of the Returning Traveller

By |February 27th, 2015|MEdIC series, Medical Education|5 Comments

Many residents and medical students are engaging in international medical activities. Before departing many do (or should) undergo pre-departure training but how prepared are medical learners to return on the other end? Many struggle with “reverse culture shock”.  This month’s ALiEM MEdIC series case considers how we might help a learner returning from an international elective. Please join us in discussing the case this month, we would love your thoughts and advice.

25 02, 2015

PV Card: Focused 1st Trimester Pregnancy Transabdominal Ultrasound

By |February 25th, 2015|Ob/Gyn, PV Card, Ultrasound|0 Comments

Screen Shot 2014-12-31 at 2.24.08 PMAlthough history, physical, and lab tests are obtained for patients with first trimester vaginal bleeding and abdominal pain, none compare to the utility of bedside ultrasonography. Today’s PV card reviews the transabdominal approach to the focused pregnancy ultrasound and was written by Drs. Matt Lipton, Mike Mallon, and Mike Stone.


24 02, 2015

Ultrasound For The Win: 46F with Right Abdominal and Flank Pain #US4TW

By |February 24th, 2015|Expert Peer Reviewed (Clinical), Genitourinary, Ultrasound|0 Comments

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this peer-reviewed case series, we focus on a real clinical case where bedside ultrasound changed the management or aided in the diagnosis. In this case, a 46-year-old woman presents with acute right-sided abdominal and flank pain.

23 02, 2015

Trick of the Trade: Needle-vein alignment in ultrasound guided peripheral IV

By |February 23rd, 2015|Tricks of the Trade, Ultrasound|14 Comments

ultrasound guided peripheral ivPlacing a peripheral IV under ultrasound guidance is often much more challenging than it outwardly appears, especially for novice users. One of the more difficult aspects is in making sure that the target vessel is perfectly in the middle of the screen and then guessing where that corresponds to the middle of the ultrasound probe.

22 02, 2015

I am Dr. Deborah Diercks, Professor and Department Chair at UT Southwestern: How I Work Smarter

By |February 22nd, 2015|How I Work Smarter|0 Comments

How I Work Smarter Logo Over the last 50 years, the rates of women graduating from medical school have increased leaps and bounds, from women representing 7% of US graduates in the 1960s to ~47% in the 2010s [1]. The How I Work Smarter Series has had an appreciable yet still unbalanced number of women participants, with slightly more than 35% of posts from women leaders. However, in the top echelon of medicine, women are still dramatically under represented. According to AAMC, only 15% of department chairs are women [2]. Dr. Deborah Diercks is one of these 15%. As the newly appointed Chair of UT Southwestern Emergency Department, she has not only taken on departmental leadership, but is also playing a key role in the creation of two entirely new hospitals whose emergency departments will be staffed by UT Southwestern. This is pretty much the definition of task overload, yet she still manages to publish regularly and completed her How I work Smarter entry faster than most. Impressive. She kindly took a moment to share a few pearls.

21 02, 2015

ALiEM Bookclub: How to Lie with Statistics

By |February 21st, 2015|ALiEM Book Club|0 Comments

how to lie with stats

Although the title is ostensibly sinister, Darrell Huff’s “How to Lie with Statistics” is anything but. In medicine, we are faced with complicated statistics and “statisticulators” on a daily basis. And as the field of data science and statistics grows, so too does the complexity of these “statisticulations”. A statisticulation, defined by Huff, is “misinforming people with the use of statistical material” and, unfortunately, this is becoming all too common in the profit-driven world of medicine. With carefully crafted “non-inferiority” trials and overpowered industry-funded superiority trials cropping up in the literature, it would easy to give up on statistics altogether; but it’s imperative that we don’t. The key is harnessing the ability to identify the subtleties that statisticians use to misguide. As Huff eloquently states in his book, “The crooks already know these tricks; honest men [and women] must learn them in self-defense.”

20 02, 2015

Should you do a Pediatric Emergency Medicine fellowship?

By |February 20th, 2015|Medical Education, Pediatrics|0 Comments

pediatric emergency medicine fellowship

Each year hundreds of residents apply to Pediatric Emergency Medicine (PEM) fellowships. There are multiple reasons that an EM resident might want to undertake a PEM fellowship, but over the last 15 years, fewer Emergency Medicine (EM) residents are applying for PEM fellowships than Pediatric residents, unpublished data suggesting that Pediatric candidates now outnumber EM candidates 20 to 1.

Recently, a group of PEM Fellowship Program Directors formed the “EM-to-PEM task force” of like-minded individuals desiring to promote PEM fellowships to EM residents. A PEM fellowship is an excellent career move for a resident who has a passion for the emergency care and advocacy of children. In this post, we will discuss and review benefits of EM residents undergoing a PEM fellowship.

19 02, 2015

Malignancy-Associated Hypercalcemia: Which Bisphosphonate is Best?

By |February 19th, 2015|Endocrine-Metabolic, Expert Peer Reviewed (Clinical), Tox & Medications|0 Comments

Calcium-canstockphoto9689385 (1)Malignancy-associated hypercalcemia (MAH) is the most common metabolic derangement encountered in the oncologic population in the ED. It can occur in up to 30% of cancer patients at some point during the disease [1-3]. Clinical manifestations include mental status changes (which may progress to coma) and renal impairment [3]. These patients may be classified based on both type and severity. Therapies for managing MAH emergently should focus on correcting the underlying mechanism, as outlined below with their respective causes [3]:

18 02, 2015

ALiEM Chief Resident Incubator: Mentoring the Future Leaders in EM

By |February 18th, 2015|Medical Education, Social Media & Tech|0 Comments|Tags:

crincubator_logoWe at ALiEM are incredibly excited to publicly announce the 2015-16 ALiEM Chief Resident (CR) Incubator. Every single year, I have seen Chief Residents struggle with their new role as a near-peer leader in the residency program. Because Chief Residents are generally high-functioning individuals, they usually figure it out as the year progresses. Why is it that we can’t we do better and prepare them for what is to come?