About Andy Little, DO

Associate Program Director, AdventHealth EM Residency
Host/Co-Founder, EM Over Easy Podcast
ALiEM Blog Editor

IDEA Series: Homemade Escharotomy Kit

Normal knee radiology AP

Although escharotomy is rarely performed by emergency physicians during the initial management of burns, it is a life and limb-sparing skill important to know as a trainee and provider in emergency medicine [1,2]. There are few models made to accommodate procedural training, and the ones available are often cost-prohibitive. It is critical to have a method for learning and practicing this important procedure [3,4].

(more…)

By |2020-07-03T15:50:13-07:00Jul 6, 2020|IDEA series, Trauma|

Introducing: GroundED in EM a 4 week asynchronous curriculum for 3rd year students

A group of educators from our ALiEM Faculty Incubator 2020 class has created a 4-week virtual introduction to Emergency Medicine curriculum for 3rd-year medical students called Grounded in EM!

Think back, back to March 2020: you were a medical student, happily rotating through core specialties, considering Emergency Medicine, and then WHAM! The coronavirus pandemic pulled the rug out of your regularly scheduled 3rd year. Or, you were a program looking forward to a “business as usual” approach to your 3rd-year EM clerkship. Now, you’ll have limited face to face time, and are wondering “How do we provide the same general em content?”

Are you still considering emergency medicine? Are you worried that your fragmented clinical experience is leaving you unprepared for your rotations in an Emergency Department near you? Are you a program looking for an answer to provide a great EM learning experience? This is the curriculum for you!

Target Audience: Third-year medical students who haven’t committed to Emergency Medicine, but are interested in being introduced to the field AND programs looking to have a comprehensive and ready-made EM related content for MS3’s rotating this academic year.

What: A 4-week completely asynchronous and virtual curriculum containing FOAM resources, including blog posts, podcasts, webpages, and interactive modules, based on the ACGME core competencies. Each module includes a short quiz to test immediate knowledge retention, and the end of the week choose your own adventure case.

Where: Hosted on ALiEM.com

When: Curriculum release on July 1st

Benefits: Walk into your EM rotations feeling confident that you will know how to approach the undifferentiated patient, make a differential, talk to people about it, and write it down, in a compassionate and patient-centered way! Programs can have their students do this curriculum in parallel with their clinical shifts during their 4-week rotation.

Over four weeks, we will cover:

  1. How to approach undifferentiated and acutely ill adult and pediatric patients (Patient Care and Clinical Reasoning)
  2. An introduction to the flow and system of the Emergency Department (System Based Practice)
  3. Communication strategies in Emergency Medicine, both with written and verbal and with EM physicians, consultants, and patients (Interpersonal and Communication Skills)
  4. Professionalism, medical ethics, and patient-centered issues that arise in the Emergency Department (Professionalism)
  5. Creating a differential diagnosis for both common and life-threatening patient presentations (Medical Knowledge)
  6. Exposure to key Emergency Medicine content areas such as resuscitation, evaluation, diagnostics interpretation, and management of common ED presentations (Medical Knowledge, Practice-Based Learning and Improvement)
  7. Development of procedural skills, including suturing, vascular access, as well as EM tricks of the trade. (Medical Knowledge, Practice-Based Learning and Improvement)

We can’t wait to have you join us on GroundED In EM!

By |2020-06-30T14:48:03-07:00Jul 4, 2020|Academic, Medical Student|

LVAD Part II: Diagnostic Evaluation

lvadLeft ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart failure. Although their use in the general public has increased, they still provide a challenge to the emergency medicine (EM) physician This series aims to cover the basics of how the EM physician approaches the care of these patients. Last week we covered the physical exam. This week: the diagnostic evaluation.

(more…)

By |2020-03-22T13:31:23-07:00Mar 23, 2020|Cardiovascular, Emergency Medicine|

LVAD Part I: Introduction

Left ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart failure. Although their use in the general public has increased, they still provide a challenge to the emergency medicine (EM) physician. This series aims to cover the basics of how the EM physician approaches the care of these patients.

(more…)

By |2020-03-16T08:39:41-07:00Mar 16, 2020|Cardiovascular, Emergency Medicine|

Book Club: Forget a Mentor, Find a Sponsor

Forget the Mentor, Find a Sponsor book - sponsorshipOne of the most common themes in advice for career advancement is “find a mentor.” But we are rarely told HOW to find a mentor, WHY we need mentors, or WHAT ROLE mentors are supposed to play in our careers. In addition to the lack of direction regarding mentorship, when you start to research “what is mentorship,” it becomes clear that there are several limitations to the benefits of this popularized mentor-mentee relationship. To see results, the key may be more than mentorship and the answer is likely sponsorship.

(more…)

By |2020-01-25T19:22:37-08:00Feb 7, 2020|Book Club, Incubators|

PV Card: Elbow Injuries

elbow injuries

Elbow injuries are a common presentation to the Emergency Department. This pocket card reviews some the imaging, acute management, and some pearls for the following injuries: elbow dislocation, radial head subluxation, supracondylar fractures (such as the xray on the right), radial head fracture, epicondylitis, condyle fractures, and olecranon fracture. Thanks to Dr. Jonathon Hancock (Doctor’s Hospital orthopedist) for the expert peer review.

(more…)

Using Slack for Residency Communication – Do’s and Dont’s

slackOne of the most difficult parts of residency and medical education is coordination and communication. Often residents and faculty alike can be found drowning in a never ending onslaught of emails, with chains of projects getting buried amongst reply-all’s and attachments. Over the course of the past year, our residency program at Doctors Hospital-OhioHealth in Columbus, Ohio has been using a newer form of communication to facilitate the dissemination of information and collaboration as a group.

After some initial exploration into technology and apps, it was decided to try out the program called Slack. Designed to help large groups work together as well as separately on projects simultaneously, we felt this may be our solution to the clunky and at times unbearable onslaught of emails. For those of you interested in taking your residency or group to the next level, below are our observations from the past year in a simple do’s and dont’s fashion.

(more…)

By |2016-12-23T19:41:07-08:00Jul 29, 2016|Medical Education, Social Media & Tech|