1 07, 2015

Trick of the Trade: DIY Finger Traps

By |July 1st, 2015|Orthopedic, Tricks of the Trade|0 Comments

Fx_RadiusUlnaPadding copyDistal radius fractures are among the most commonly encountered fractures in the emergency department (ED). They have been reported to account for around 25% of pediatric fractures and up to 18% of fractures in the elderly [1]. Reducing minimally displaced distal radius fractures is a procedure that can be greatly facilitated by the presence of finger traps, which help hold traction while you reduce the fracture [2]. Often While working in small 5-bed, free-standing emergency department (ED), I found myself needing to perform this vital procedure and finger traps were unavailable.

29 06, 2015

Blast From the Past: Occult Sepsis, Lactic Acid, and Mortality

By |June 29th, 2015|Critical Care/ Resus, Expert Peer Reviewed (Clinical), Infectious Disease|0 Comments

Occult Sepsis, Lactic Acid, & Mortality-3Severe sepsis and septic shock affect millions of patients worldwide and have high rates of morbidity and mortality as well as high resource utilization. The way we manage sepsis has changed quite a bit since the Rivers et al randomized controlled trial of early goal-directed therapy (EGDT) [1], which had an absolute decrease in mortality from 46% with “usual care” to 31% with EGDT. What we now know is that a proactive approach to septic patients will result in lower mortality rates and better outcomes (i.e. early identification, early intravenous fluids, and early antibiotics). Patients with sepsis are still missed despite the fact that we understand the benefits to morbidity and mortality with early recognition. In this blast from the past study from 2007, Howell et al [2] answered the important question of does elevated lactic acid simply reflect a patient’s hemodynamic status or can it independently predict 28 day in-hospital mortality after controlling for other potential confounders in patients with sepsis.

27 06, 2015

EM Match Advice: Reflections from the 2015 EM Residency Match

By |June 27th, 2015|EM Match Advice|0 Comments|Tags:

EM Match iconA new season is upon us again — the 2016 EM residency match season! This EM Match Advice video has program directors reflecting back on the 2015 match year, lessons learned, and advice for the 2016 applicants. Watch, learn, digest, and send us some comments.

22 06, 2015

Introducing the New ALiEMU Capsules Series

By |June 22nd, 2015|Medical Education, Social Media & Tech, Tox & Medications|0 Comments

aliemu capsulesWe are excited and proud to introduce a new series as part of the recently announced ALiEMU:

Capsules: Practical Pharmacology for the EM Practitioner. The Capsules series’ primary focus is bringing Emergency Medicine pharmacology education to the bedside. Our expert team distills complex pharmacology principles into easy-to-apply concepts. It’s our version of what-you-need-to-know as an EM practitioner. We hope you enjoy it.

20 06, 2015

My ALiEM-EMRA Fellowship: From Finding the FOAM to Lathering the Soap

By |June 20th, 2015|Medical Education, Social Media & Tech|2 Comments

Kobner3 squraeOne of my favorite images of medical education is the renowned Eakin’s painting, The Agnew Clinic. It depicts a gilded age operating theater filled with eager pupils looking on as Dr. Agnew prepares to preform a partial mastectomy. Despite being a cross-section of medical training from the late 1880s, any medical trainee today will experience an unspoken bond with those students dutifully taking notes in the tiers of Dr. Agnew’s operating theater. And there is a certain beauty to this lineage of physicians: all of us familiar with the same rite of passage into medicine but separated by a century’s worth of advances in science and society.