20 07, 2018

MEdIC Series: The Case of the Medication Mishap – Expert Review and Curated Community Commentary

2018-07-20T05:23:26+00:00

July 20th, 2018 | MEdIC series |0 Comments

By: Tamara McColl, MD FRCPC

Our last case of season 5, The Case of the Medication Mishap, presented the scenario of a senior resident, Tim, who inadvertently administers an incorrect medication dose that leads to a serious adverse event. He then struggles with how to handle this situation as we often aren’t coached on the approach to physician errors and disclosing adverse events throughout our medical training. Physicians aren’t allowed to make mistakes, right? 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 reviews. Thank you to all participants for contributing to the rich discussions surrounding this case!

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11 07, 2018

Can’t Miss ECG Findings for the Emergency Medicine Provider

2018-07-21T16:00:04+00:00

July 11th, 2018 | ECG |0 Comments

By: Christian Rose, MD and Robert Goodnough, MD

Sudden cardiac death accounts for almost 400,000 deaths per year in the United States, and EM providers must be adept at discerning subtle, high-risk ECG findings. With the advent of triage ECG protocols, one of the most common interruptions in the ED is a request to “sign off” on an ECG. We present a reference of some of the most important high-risk ECG findings, intended to help ED providers systematically screen patients in triage and the waiting room.
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6 07, 2018

MEdIC Series: The Case of the Medication Mishap

2018-07-19T10:10:47+00:00

July 6th, 2018 | MEdIC series |0 Comments

By: Tamara McColl, MD FRCPC

Welcome to season 5, episode 9 of the ALiEM Medical Education in Cases (MEdIC) series! Our team (Drs. Tamara McColl, Teresa Chan, Eve Purdy, John Eicken, Sarah Luckett-Gatopoulos, Alkarim Velji, and Brent Thoma) is pleased to welcome you to our online community of practice where we discuss the practice of academic medicine!

In our last case of the year, we present the scenario of a senior resident, Tim, who inadvertently administers an incorrect medication dose that leads to a serious adverse event. He then struggles with how to deal with this error as we often aren’t coached on situations like these throughout our training. Physicians aren’t allowed to make mistakes, right?

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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4 07, 2018

SplintER Series: Common ED Splint Techniques | Splint Principles 104

2018-07-05T14:52:52+00:00

July 4th, 2018 | Orthopedic, SplintER |0 Comments

By: William Denq, MD and Max Hockstein, MD |Editors: Derek Monette, MD, Fareen Zaver, MD

The SplintER series is back with its fourth installment! In this series, we review splinting fundamentals, introduce advanced concepts, and highlight ways to implement these into your next shift. In this post, we summarize some of the most commonly deployed splints in the ED. Peer-reviewed by sports medicine experts (Dr. Kori Hudson and Dr. Anna Waterbrook), these injury-splint summary tables provide information on the origin, insertion, and positioning for each splint, along with the recommended number of layers of plaster.
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3 07, 2018

EM Fellowship Match Advice: Global Health Fellowship

2018-07-02T18:05:18+00:00

July 3rd, 2018 | EM Match Advice |0 Comments

By: Michael Gisondi, MD

EM Fellowship Match Advice, now its in third season, is back to put the focus on Global Health Fellowships. A panel of three outstanding fellowship directors discuss the reasons why a resident may consider advanced training in this global health, future job opportunities, and the difference in approach between some of these programs. Hosted by Drs. Michael Gisondi and Michelle Lin, watch the video Google Hangout or listen to the Soundcloud podcast to learn more about Global Health!
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29 06, 2018

ALiEM Cards: Tumor Lysis Syndrome

2018-06-29T04:20:56+00:00

June 29th, 2018 | ALiEM Cards, Critical Care/ Resus, Heme-Oncology |0 Comments

By: Jeremy Voros, MD

Tumor lysis syndrome (TLS) is an oncologic emergency characterized by life-threatening metabolic disturbances. Although it is most frequently associated with the treatment of hematological malignancies, its frequency may be increasing among patients with solid tumors. Emergency providers should be familiar with the presentation and treatment of these electrolyte abnormalities, which can lead to renal failure, seizures, and cardiac dysrhythmias. ALiEM Cards: Tumor Lysis Syndrome, written by Drs. Christopher Nash and Derek Monette, reviews TLS and the latest updates in its management.
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