27 03, 2015

MEdIC Series | The Case of the Financial Fiasco

By |March 27th, 2015|MEdIC series|4 Comments

Canadian money -canstockphoto2110984Many residents and medical students are making career decisions that will last a lifetime. Some are aware of the financial considerations while others avoid discussing the topic for fear of being seen as shallow. This month’s ALiEM MEdIC series case considers how we might help a learners as they consider money in medicine. Please join us in discussing the case this month, we would love your thoughts and advice.

26 03, 2015

Diagnose on Sight: Swollen gums

By |March 26th, 2015|ENT|1 Comment

ANUGCase: A 19 year old male with no past medical history presented with 4 days of painful oral lesions, swollen gums that bled easily, and fever. His temperature was 38.5C. What is the following is true regarding this patient’s diagnosis?



24 03, 2015

Author Insight: Ultrasonography versus CT for suspected nephrolithiasis | NEJM

By |March 24th, 2015|Genitourinary, Radiology, Ultrasound|2 Comments|Tags:

Kidney Stone canstockphoto19503829Are you getting a CT or bedside ultrasound as your first-line diagnostic approach to patients with undifferentiated abdominal or flank pain in whom you suspect kidney stones? In a landmark 15-center, multidisciplinary study published in the New England Journal of Medicine in September 2014, Dr. Rebecca Smith-Bindman (UCSF Department of Radiology) and her research team looked at exactly this question for emergency department patients. In the paper, “Ultrasonography versus CT for suspected nephrolithiasis,” Dr. Smith-Bindman and Dr. Ralph Wang (UCSF Department of Emergency Medicine) kindly joined us on a quick discussion about her paper.

22 03, 2015

I am Dr. Resa Lewiss, Director of Point-of-Care Ultrasound at University of Colorado: How I Work Smarter

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

How I Work Smarter Logo Today we are back with Dr. Resa Lewiss (@ultrasoundREL), ultrasound guru and pioneer. She has championed ultrasound via each of the three pillars of academics. She is a clinical master of ultrasound, has taught its use worldwide, and has published extensively on the topic. To top is all off, she has taken institutional leadership as the past President of the Academy of Emergency Ultrasound of the Society of Academic Emergency Medicine and the current chair for the Ultrasound Section of the American College of Emergency Physicians. Plus, she has a TEDMed talk. Nominated by Dr. John Bailitz, Dr. Lewiss offers some pointers how she transduces work to success.

21 03, 2015

ALiEM BookClub: Being Mortal

By |March 21st, 2015|ALiEM Book Club, Medical Education|2 Comments

being-mortal1-199x300“Death, of course, is not a failure. Death is normal. Death may be the enemy, but it is also the natural order of things. I knew these truths abstractly, but I didn’t know them concretely – that they could be truths not just for everyone but also for this person right in front of me, for this person I was responsible for.” Atul Gawande, Being Mortal.

18 03, 2015

AIR Series: Ob/Gyn Module 2015

By |March 18th, 2015|Approved Instructional Resources (AIR series), Ob/Gyn|0 Comments

ALiEM-AIR-Badge only 200x200Welcome to the seventh ALiEM Approved Instructional Resources (AIR) Module! In an effort to reward our residents for the reading and learning they are already doing online we have created an Individual Interactive Instruction (III) opportunity utilizing FOAM resources for U.S. Emergency Medicine residents. For each module, the AIR board curates and scores a list of blogs and podcasts. A quiz is available to complete after each module to obtain residency conference credit. Once completed, your name and institution will be logged into our private Google Drive database, which participating residency program directors can access to provide proof of completion.

16 03, 2015

The Art of Syringe Labeling in the ED

By |March 16th, 2015|Expert Peer Reviewed (Clinical), Tox & Medications|6 Comments

MedicationSyringeDrawThe ‘look-alike, sound-alike’ nature of many drug appearances and names is problematic. In high-stress environments such as the Emergency Department (ED), potential disasters can arise if “drug swap” or other medication errors occur. Drug swap is the accidental injection of the wrong drug [1]. The anesthesiology literature contains several published reports presenting various ideas on how to properly label syringes used in the operating room to reduce medication errors. Techniques include color-coding the labels [2], labeling of the plunger [3], double-labeling [4, 5], and specific placement of the labels on the syringe [6].

15 03, 2015

I am Dr. Rick Body, Research Director of the Manchester Emergency Medicine & Intensive Care Research Group: How I Work Smarter

By |March 15th, 2015|How I Work Smarter|0 Comments

How I Work Smarter Logo This weeks post takes us back across the pond to Manchester, UK, with Dr. Rick Body (@richardbody). Dr. Body is known in the SoMe world for his contributions to the fantastic St. Emlyn’s blog and Best BETs, a great resource which summarizes research into clinically usable information. His academic focus has been on research in cardiovascular medicine and decision-making technology/biomarkers. He’s a National Institute for Health Research Postdoctoral Research Fellow (yup, he has a PhD) and also research director of the Manchester Emergency Medicine & Intensive Care Research Group (aka EMERGING), a 12 person group dedicated to Emergency Medicine and Critical Care. On top of it all, he’s organizing the Royal College of Emergency Medicine Scientific Congress and European Congress on Emergency Medicine. He has graciously taken a few moments to shares his insights into how to navigate the information overload era.

11 03, 2015

PV Card: Focused Deep Vein Thrombosis (DVT) Ultrasound

By |March 11th, 2015|Cardiovascular, PV Card, Ultrasound|0 Comments

ultrasound dvtDeep vein thrombosis (DVT) is always a consideration when patients with asymmetric lower extremity swelling. Why is one leg. Two-point focused DVT ultrasonography of the femoral and popliteal veins can be incredibly useful in the Emergency Department when trying to narrow the differential diagnosis. Drs. Margaret Greenwood-Ericksen, Joshua Rempell, and Mike Stone provide a clear, image-based clinical reference tool on this ultrasound technique.


9 03, 2015

Diagnose on Sight: Lower extremity numbness and pain

By |March 9th, 2015|Diagnose on Sight, Orthopedic, Trauma|2 Comments

GSW leg XRCase: An 18 year old male presents after a single gunshot wound to his left calf. He complains of pressure-like pain near the wound and sensory numbness below his left knee. On examination, the left leg is tense. He has no dorsalis pedis pulse. Based on the history, exam, and findings in the image, which of the following is true regarding this diagnosis?