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13 04, 2018

MEdIC Series: The Case of the Post-Paternity Leave Blues – Expert Review and Curated Community Commentary

2018-04-13T05:54:54+00:00

Our sixth case of season 5, The Case of the Post-Paternity Leave Blues, presented the scenario of an early-career attending physician anxious to return to clinical work after taking a 6-month paternity leave. If you haven’t had a chance yet, we urge you to check out the case and share your thoughts on this important topic!

The MEdIC team (Drs. Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, Eve Purdy, John Eicken, Alkarim Velji, and Brent Thoma), hosted an online discussion around the case over the last 2 weeks with insights from the ALiEM community. We are proud to present to you the curated commentary and our expert opinions. Thank-you to all participants for contributing to the very rich discussions surrounding this case!

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12 04, 2018

ALiEM AIR Series: Ear, Nose, and Throat (ENT) Module

2018-04-13T10:04:19+00:00

air series traumaWelcome to the Ear, Nose, and Throat (ENT) Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to ENT emergencies. 8 blog posts within the past 12 months (as of December 2017) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 1 AIR and Honorable Mentions. We recommend programs give 3 hours (about 20 minutes per article) of III credit for this module.
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9 04, 2018

ACMT Toxicology Visual Pearls: Spider Bite

2018-04-09T07:05:30+00:00

A patient presents to the ED for management of a spider bite. Which of the following statements is correct regarding a bite from the spider pictured?

  1. Laboratory studies can be helpful in management and predicting outcome.
  2. Antibiotics are recommended.
  3. The venom is cytotoxic and can cause red blood cell hemolysis.
  4. The venom is more potent on a volume-per-volume basis than the venom of a pit viper.

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6 04, 2018

Podcast Follow-up: Interview with Dr. Debbie Yi Madhok, Co-Author of “Update on the ED Management of Intracranial Hemorrhage”

2018-04-13T10:03:18+00:00

intracranial hemorrhage CT head epiduralIntracranial hemorrhage (ICH) is associated with significant disability and mortality. Although evidence-based guidelines exist, many hospitals have their own institutional practice patterns, which can make it difficult to care for these patients in the ED. Dr. Debbie Yi Madhok, an emergency physician and neurointensivist, sat down with Dr. Derek Monette, the ALiEM Deputy Editor in Chief, to discuss updates in the management of ICH. This interview follows up her original popular 2017 ALiEM post on dilemmas in ICH management, and takes a deeper dive into the nuances of seizure prophylaxis, blood pressure control, and platelet transfusions. We present the podcast and key learning points.
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4 04, 2018

Herbal Induced Delirium: The Toxicologist Mindset

2018-04-04T03:33:39+00:00

The Toxicologist Mindset series features real-life cases from the San Francisco Division of the California Poison Control System.

Case: A previously healthy 49-year-old woman presented to the emergency department (ED) with acute onset of confusion. Family members noticed her to have unsteady gait and she complained of blurry vision and difficulty urinating. She denied the use of any drugs or alcohol and took no medications. In the ED, her vital signs were: T 98.7, BP 95/59, P 130, RR 16, and O2 sat 100% on room air. Her pupils were 7 mm and reactive and her skin was dry. Bowel sounds were present. She had no focal neurological findings, but appeared “very confused” and “frightened.”

Serum electrolytes, CBC, and liver function tests were all unremarkable. She had a negative urine drug screen and alcohol level. The ECG demonstrated sinus tachycardia with normal intervals, and the brain CT  was normal.

What are your next thought processes?

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2 04, 2018

The 2018-19 Chief Resident Incubator enrollment opens TODAY

2018-04-01T01:03:22+00:00

We are incredibly proud and excited to announce the launch of the 2018-19 ALiEM Chief Resident Incubator. Emergency medicine (EM) Chief Residents have recently been selected across North America to help shape and lead EM residency programs. The “CRincubator” will be enrolling its fourth class, building quickly on lessons learned and ongoing feedback from the membership. Led by Dr. Tanner Gronowski (Chief Operating Officer) and Dr. Robert Cooney (Chief Strategic Officer), this group will also feature legacy advisors, senior advisors, all-star cast of returning alumni champions, several surprise virtual mentors. Thanks to our exclusive sponsors EBSCO Health / DynaMed Plus.

Who’s with us? Read more and enroll on our CRincubator home page. We are kicking it off strong on April 16, so sign up before then. Don’t miss out on the launch.

30 03, 2018

MEdIC Series: The Case of the Post-Paternity Leave Blues

2018-03-28T16:27:10+00:00

Welcome to season 5, episode 6 of the ALiEM Medical Education in Cases (MEdIC) series! Our team (Drs. Tamara McColl, Teresa Chan, John Eicken, Sarah Luckett-Gatopoulos, Eve Purdy, Alkarim Velji, and Brent Thoma) is pleased to welcome you to our online community of practice where we discuss the practice of academic medicine!

This month, we present a case of a young attending physician anxious to return to clinical work after taking a 6-month paternity leave. Check out the case and join the conversation in the comments section! We’d love to hear your thoughts on this important topic!

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