SAEM Clinical Image Series: Left Ear Mass

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

A 25-year-old male who was previously healthy presents to the emergency department with a painful left posterior ear mass. The mass began as a “pimple” and has been increasing in size for the last 6 months. He has an associated headache, dizziness, and malaise. He denies fever, trauma, drainage, known insect bite, dysphagia, dyspnea, trismus, and hearing loss. He emigrated to the United States from Honduras 8 months ago. He was seen in the emergency department 4 months prior for a similar complaint, which was diagnosed as lymphadenopathy by point-of-care ultrasound. [+]

  • Jaime Hope

How I Work Smarter: Jaime Hope, MD

By |Jan 8, 2021|Categories: How I Work Smarter, Medical Education|0 Comments

One word that best describes how you work? Systematically Current mobile device iPhone 11 Computer Dual-monitor PC What is something you are working on now? An educational product to help elderly adults discover their risk factors for falls and use prevention strategies for fall prevention. How did you come up with this Idea/Project? Falls are the main cause of morbidity and mortality in older adults, we see this daily on shifts. Helping them reduce trip hazards and improve balance, proprioception, and strength can make substantial reductions in falls. What’s your office workspace setup like? Dual monitors (lots of open tabs!!) [+]

SAEM Clinical Image Series: Blisters, Bullae, and Badness

By |Jan 4, 2021|Categories: Academic, SAEM Clinical Images|0 Comments

A 3-year-old female with a history of epilepsy presents with a rash that began one day ago. The patient started becoming fussy four days ago, saying, “I don’t feel good,” and not wanting to play outside with her siblings or finish her meals. Family noticed the patient rubbing her eyes frequently and crying when she went to the bathroom. She felt warm so they gave her Tylenol and Motrin at home. Yesterday, they noticed a rash was starting to develop with itchy, painful red spots. This morning, the rash progressed to involve some blisters on the [+]

  • Drew Kalnow image

How I Work Smarter: Drew Kalnow, DO

By |Dec 30, 2020|Categories: How I Work Smarter, Medical Education|0 Comments

One word that best describes how you work? Conscientiousness Current mobile device iPhone X Computer MacBook Air What is something you are working on now? InSitu EM Simulation How did you come up with this Idea/Project? Identified the need to improve critical patient care in the ED. This project uses senior residents as resus leaders with the ED critical patient team in one of our ED resus bays. Through this, we improved team communication and understanding of work-flows while also identifying and addressing latent safety threats. What’s your office workspace setup like? Most of my work is done in my [+]

Defying Forgettable Flatness: The Power of Moments | Summary of The Leader’s Library Discussion

By |Dec 23, 2020|Categories: Book Club, Leaders Library|0 Comments

In September, ALiEM hosted its fourth iteration of The Leader’s Library, this time discussing The Power of Moments by Chip Heath and Dan Heath [Amazon link to book]. Driven by a purpose “to defy the forgettable flatness of everyday work and life by creating a few precious moments,” 30 participants and 6 facilitators embarked on a 3-day voyage through the book, exploring general themes of CREATE (how do we manipulate our surroundings to create powerful moments?), REFLECT (how have powerful moments influenced our personal and professional lives?), and CAPITALIZE (how can we utilize moments to effect change and progress?). The [+]

SAEM Clinical Image Series: The Hemorrhaging Bifurcated Tongue

By |Dec 21, 2020|Categories: Academic, Emergency Medicine, ENT, SAEM Clinical Images|0 Comments

A 26-year-old male with no past medical history presented to the emergency department for tongue bleeding for one day. Five days prior he had an elective cosmetic tongue bifurcation completed out-of-state. About two hours prior to arrival, he had been using a swish-and-spit saltwater rinse when he felt a suture break. Ever since he has had copious bleeding, reportedly filling his sink at home with blood. Additionally, he had about 250 milliliters of blood, including large clots, in a container in the emergency department. He denied using any blood thinners. There was no syncope, dizziness, [+]

SAEM Clinical Image Series: Shortness of Breath

By |Dec 21, 2020|Categories: Academic, Emergency Medicine, Pulmonary, SAEM Clinical Images|0 Comments

A 60-year-old female presented to the emergency department (ED) for respiratory distress. Emergency medical services reports that the patient was in respiratory distress upon arrival, slowly becoming unresponsive en-route. They started the patient on continuous positive airway pressure, but she lost consciousness with oxygen saturation in the thirties and they switched to bag valve mask (BVM) ventilation, which improved saturations up to 100 percent. Narcan was administered without improvement as she was on narcotics following bronchoscopy earlier today at an outside hospital. [+]

2021-22 ALiEM Faculty Incubator applications open: Bye COVID, hello scholarship

By |Dec 20, 2020|Categories: Faculty Incubator, Incubators|0 Comments

The ALiEM Faculty Incubator is opening its doors to the fifth class of 30 educator-scholars. We have been thrilled by the quality of collaboration, growth, and scholarship output from this community ever since our first class in 2016. This year, the organization is led by Dr. Sree Natesan as the Chief Operations Officer. She has an all-star leadership team which includes Dr. Sara Krzyzaniak (Chief Academic Officer), Dr. Antonia Quinn (Associate Chief Operations Officer), Dr. Michael Gottlieb (Chief Strategic Officer), and Dr. Teresa Chan (Senior Advisor). Read more about the application process on the Faculty Incubator home page. The deadline [+]

ACEP E-QUAL Podcast: Buprenorphine After Opiate Overdose

By |Dec 18, 2020|Categories: Academic, ACEP E-QUAL|0 Comments

The opiate epidemic continues to be a frontline issue for healthcare systems across the country. The American College of Physicians (ACEP) Emergency Quality (E-QUAL) Network, through its Opioid Initiative Goal, strives to promote the implementation of alternatives to opioids, improved opioid prescribing safety, and adoption of harm reduction strategies such as naloxone prescribing and medication-assisted therapies (MAT). In a two-part series of the ACEP E-QUAL Network Podcast, host Dr. Jason Woods discussed buprenorphine initiation after an opioid overdose in the Emergency Department (ED) with Dr. Andrew Herring, Associate Director of Research and Medical Director of the Substance Use Disorder Treatment [+]

SAEM Clinical Image Series: Oral Trauma and Mass

By |Dec 14, 2020|Categories: Academic, ENT, SAEM Clinical Images|0 Comments

A 38-year-old African American male without a significant past medical history presented with an oral mass. He was struck on the mouth by a wrench handle about two prior. Since then he has had a growing mass originating from the gum of his left front upper teeth. He is no longer able to eat solid foods and has to use a straw for all oral intake. The patient denies fevers, chest pain, shortness of breath, and weight loss. [+]