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. [+]

  • Alexandra Mannix

How I Work Smarter: Alexandra Mannix, MD

By |Dec 11, 2020|Categories: How I Work Smarter, Medical Education|0 Comments

One word that best describes how you work? My work style is very Task-Oriented. I have a To-Do list that I regularly update and is always prioritized. Current mobile device iPhone Computer MacBook Pro (at home). We have PCs at work. What is something you are working on now? I’m currently working on a project looking at both gender and racial bias in the SLOE. This has been something I was interested in for a while, and it’s been really exciting to see the project take off. How did you come up with this Idea/Project? I have a gender research [+]

ACEP E-QUAL: ACEP Non-STEMI Clinical Policy

By |Dec 7, 2020|Categories: Academic, ACEP E-QUAL, Cardiovascular|0 Comments

In 2018, the American College of Physicians (ACEP) released a Clinical Policy with management recommendations for patients presenting to the emergency department (ED) with concern for non-ST-elevation myocardial infarction (NSTEMI). Dr. Jason Woods hosted an episode of the ACEP E-QUAL Network podcast highlighting key aspects of the new policy. Dr. Woods was joined by lead writer Dr. Christian Tomaszewski from the University of California San Diego, and Dr. Michael Ross, Director of the Chest Pain Center at Emory University. Below are show notes reviewing the recommendations and the process involved in creating the clinical policy.   How is a clinical policy [+]

ACEP E-QUAL: The Electronic ICU

By |Dec 4, 2020|Categories: Academic, Critical Care/ Resus, Podcasts|0 Comments

  Building on already increasing interest in telehealth, the COVID-19 pandemic accelerated the development and implementation of telemedicine services in a variety of clinical settings. In 2018, Dr. Jason Woods hosted an episode of the ACEP E-QUAL Network podcast highlighting the creation of an electronic intensive care unit (eICU) through Emory Healthcare. In this episode, Dr. Tim Buchman and Critical Care Nurse Cheryl Hiddelson share their innovative approach to delivering critical care services via telehealth. We present highlights from this discussion below.     What is an eICU? The eICU allows for critical care oversight, without having to be on site. [+]

SAEM Clinical Image Series: Eye Pain After Assault

By |Nov 30, 2020|Categories: Academic, Emergency Medicine, Ophthalmology, SAEM Clinical Images, Trauma|0 Comments

A 33-year-old male presents with intermittent blurry vision and left eye pain for 3 months, and a left-sided orbital headache for 1 day. He reports getting punched in the left side of the head during an altercation a few months ago. The eye pain is worse with ocular movements and is associated with bilateral conjunctival injection and white/green discharge from the left eye. The patient was seen at another emergency department 3 months prior for the same symptoms. He was then found to have left-sided proptosis, visual acuity 20/60 in the left eye, no fluorescein [+]

SAEM Clinical Image Series: Surfing Sting

By |Nov 30, 2020|Categories: Academic, Emergency Medicine, SAEM Clinical Images, Tox & Medications|0 Comments

A 38-year-old male presents 8 days after being stung in the left foot while surfing. He reports the sudden onset of sharp pain while walking in the ocean. He was seen initially in the emergency department. The puncture wound on his left foot was anesthetized, explored, and irrigated. No X-ray was obtained, no foreign body was discovered, and he was discharged home. Two days ago, he noticed worsening heat, itchiness, swelling, and skin changes (red bumps and patches extending from the foot up to the lower calf) in his left foot. His current pain is [+]