Today, the ALiEM team presented the Medical Education in Cases (MEdIC) Series to the world at the 2014 International Conference on Residency Education. Along with student-researcher Daneilla Dmitri, I represented the team to describe the digitally engaging and educationally grounded environment that we have created in our monthly MEdIC cases. It was an honor to present our work at this international forum and to be featured as one of the Top 5 What Works presentations. In coordination with our presentation, we are releasing our first FREE MEdIC e-book!
Welcome back again this week to the Medical Education in Cases series. Last month we had a record breaking number of people join us for the case discussion, and we hope you will come back and share your thoughts with this one.
This month’s case centers upon Dr. Berner and his student Melanie as they both go through a Cardiac Arrest case. Consider their story and think about how you might approach this case.
A 71 year old female presents to the ED with lethargy, fever (39.5 C), and tachypnea (RR 28 rpm). She has a long-standing history of myasthenia gravis (MG) for which she receives periodic IVIG infusions. She is accompanied by her son, who informs you that she had a recent 10-day hospital stay for weakness. A CXR reveals an infiltrate in the left lower lobe.
The decision is made to initiate antimicrobial therapy for presumed healthcare-associated pneumonia. But, which antibiotics are safe to use in a patient with severe MG?
In a previous How I Work Smarter post by Dr. Ken Milne, he called out Dr. Ryan Radecki, who is the outspoken and prolific author of EM Literature of Note and a premiere mythbuster in EM, specifically around thrombolytics in stroke. For those of us in the blogging world, not everyone knows that he lives a dual academic life working on medical informatics and information design. He is, in fact, funded through an NIH grant from the Agency of Healthcare Research and Quality for a training program in patient safety. Ryan shares his tips for working smarter.