SAEM Clinical Image Series: Finger Pain

By |Feb 15, 2021|Categories: Academic, Emergency Medicine, SAEM Clinical Images|0 Comments

The patient is a 24-year-old female who presents to the emergency department for left middle finger pain and swelling. She is right hand dominant and works in a kitchen. The patient states that ten days ago she avulsed the distal tip of the left middle finger, including the majority of the nail. At that time, the patient was evaluated at an outside hospital where the wound was cauterized with silver nitrate due to soft tissue bleeding. Since then, the patient states that she has had swelling over the dorsal distal phalanx. [+]

  • Megan Stobart-Gallagher, DO

How I Work Smarter: Megan Stobart-Gallagher, DO

By |Feb 12, 2021|Categories: How I Work Smarter, Medical Education|0 Comments

One word that best describes how you work? Innovative Current mobile device Galaxy S10 Computer Lenovo Yoga (my 2nd one!) What is something you are working on now? I wish I could say something wonderfully innovative, but I am mostly just working on tying up numerous projects with our medical education fellows that resulted from the global shift to virtual learning. However, I have had a blast over the last few months building an asynchronous Toxicology curriculum with one of my fellows and a new EMS curriculum for our interns. My next project as chair of our clinical competency committee [+]

IDEA Series: Handheld Ultrasound for Emergency Medicine Residents Rotating on Cardiology Services

By |Feb 5, 2021|Categories: IDEA series, Medical Education, Ultrasound|0 Comments

Point-of-care ultrasound (PoCUS) has become an essential skill that emergency medicine (EM) residents learn during their training [1]. Accordingly, most EM programs schedule a block early in residency dedicated to obtaining and interpreting high-quality PoCUS images. Likewise, the ability to efficiently diagnose and manage acute cardiovascular pathologies is a critical aspect of EM, and most EM residents also rotate on a cardiology service to develop these skills. Despite evidence that PoCUS improves the ability of both cardiologists and non-cardiologists to quickly diagnose cardiac disease at the bedside, integration of this relatively novel technology on cardiology services is often limited by [+]

SAEM Clinical Image Series: Edema Got Your Tongue?

By |Feb 1, 2021|Categories: Academic, Emergency Medicine, ENT, SAEM Clinical Images|0 Comments

A 57-year-old male presented to the emergency department with a swollen mouth for three hours. He reported never having experienced this before and denied starting any new medications. The patient endorsed a feeling that his mouth was swollen and had difficulty swallowing. The edema had been increasing in size since its onset. He had been drooling for the past hour and endorsed mild pain around the area. He denied any shortness of breath, rash, nausea, vomiting, or other areas of edema. His past medical history included hypertension, diabetes, and allergies, with no known drug allergies. [+]

SAEM Clinical Image Series: Sun-burnt Hands and Lips

By |Feb 1, 2021|Categories: Academic, Dermatology, Emergency Medicine, Heme-Oncology, SAEM Clinical Images|0 Comments

A 44-year-old Caucasian male with a past medical history of hepatitis C presents with a complaint of pain, swelling, and skin blistering of his hands. He also notes skin sores on his nose, lower lip, and the tops of his ears. The patient claims that these have become progressively worse since starting work a month ago in outdoor construction. The patient denies the use of medications or illicit drugs and denies any medical allergies. He admits to tobacco use and daily alcohol use. The patient denies any other symptoms. [+]

PEM Pearls: To Scan or Not to Scan? CT Abdomen in Children with Blunt Torso Trauma

By |Jan 29, 2021|Categories: Academic, Emergency Medicine, Pediatrics, PEM Pearls, Trauma|0 Comments

An 18-month-old female with no past medical history is brought in by ambulance after a motor vehicle collision (MVC) at highway speed, restrained in an appropriate car seat. Mom was also brought in after delayed extrication with an obvious femur deformity. EMS reports that the patient had emesis on the scene, was fearful but calm, and has been moving all extremities. Vitals per EMS: HR 120, BP 100/60, RR 30, SpO2 99%, Temp 36.5 C Initial Exam: General: crying Neuro: Glasgow Coma Scale (GCS) of 13 (eyes shut unless talked to, crying spontaneously, moving all extremities) MSK: atraumatic chest, erythema [+]

SAEM Clinical Image Series: The Insidious Rash

By |Jan 25, 2021|Categories: Academic, Dermatology, Emergency Medicine, Heme-Oncology, SAEM Clinical Images|0 Comments

A 60-year-old African American female with a history of hypertension presents to the emergency department for an itchy, diffuse rash. She first noticed the lesions a few years prior, and they have progressively become larger and more inflamed. The lesions have become severely pruritic over the last couple of months. Steroid creams did not appear to improve symptoms. Currently, the lesions on her arm have become painful with yellow drainage. The patient denies nausea, vomiting, and fever. [+]

EM Match Advice: 2020-21 Interview Season | This is how it started, this is how it’s going

By |Jan 15, 2021|Categories: EM Match Advice, Podcasts|0 Comments

The 2020-21 residency interview season has required rapid innovation and adaptability for both medical student applicants and residency programs, given COVID-19's physical distancing restrictions. Listen to how it started and how it is going thus far with podcast co-hosts Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF). Podcast episode with 2020-21 mid-season update and insights Program director panelists Dr. Camiron Pfennig - Prisma Health University of South Carolina Greenville Dr. Ryan Bodkin - University of Rochester Dr. Michael Kiemeney - Loma Linda University Listen to all the episodes of the EM Match Advice Series Additional resources AAMC open letter [+]

Free eBook Announcement: Emergency Medicine Resident Simulation Curriculum for Pediatrics (EM ReSCu Peds)

By |Jan 12, 2021|Categories: Pediatrics, Simulation|Tags: |0 Comments

  The Emergency Medicine Resident Simulation Curriculum for Pediatrics (EM ReSCu Peds) is here! This free ebook contains 16 EM resident-tested, peer reviewed cases covering essential pediatric content identified through a robust modified Delphi process [1] with experts across the United States. Each chapter contains robust supporting materials to help educators prepare, execute, and debrief cases with residents at every level to help supplement the clinical experience. Download the EM ReSCu Peds eBook We request some basic demographic about you and how you plan to use the educational cases in the download form to provide us with necessary insights whether [+]

SAEM Clinical Image Series: What Lies Beneath?

By |Jan 11, 2021|Categories: Academic, Infectious Disease, SAEM Clinical Images, Ultrasound|0 Comments

A 35-year-old male with a history of diabetes and pericarditis, status post pericardiectomy 3 years ago, presented with a painful lesion on his anterior chest wall. One month prior, the patient reported a bump at his sternotomy scar base which extruded a piece of suture when squeezed and subsequently healed. Two days ago, the patient developed diffuse right-sided chest pain. During the past 24 hours, an enlarging, erythematous, painful, non-draining lesion developed at the base of his scar. He reports subjective fever. He denies shortness of breath, exertional chest pain, nausea, and vomiting. [+]