About Derek Monette, MD

ALiEM Deputy Editor-in-Chief
Medical Education Research Fellow
Department of Emergency Medicine
Massachusetts General Hospital

Winner of the 2019 ALiEM-EEM Fellowship Contest: Dr. Tim Montrief

After receiving numerous high-quality submissions, we are proud to announce the winners of the 2019 Essentials of Emergency Medicine (EEM) Education Fellowship contest! Dr. Tim Montrief from the Jackson Memorial/University of Miami Emergency Medicine residency program has won the blog post competition. A blinded EEM voting panel with input from ALiEM selected his winning post: Trick of the Trade: Bubble Study for Confirmation of Central Line Placement. We are thrilled to feature it today on the blog and look forward to meeting him in Las Vegas in May at the 3-day event. This weekend, we will also feature 2 other excellent submissions from runners-up Dr. Sarah Sanders (Northwestern University) and Dr. Jennifer Rabjohns (George Washington University). Thank you to everyone who submitted their work!

Dr. Tim Montrief
Emergency Medicine Resident
Jackson Memorial/University of Miami

2019-03-27T15:04:49-07:00

APPLY NOW: 2019 Essentials of Emergency Medicine (EEM) Education Fellowship Program

The 2019 Essentials of Emergency Medicine (EEM) conference is in May, but opportunities start NOW. This conference is one of the largest live EM educational conferences in the world with over 2,000 attendees. The conference organizers, led by Dr. Paul Jhun, are again offering an amazing opportunity for EM residents anywhere in the world to serve as an EEM Fellow for the next EEM conference May 14-16, 2019.
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2019-09-06T10:42:19-07:00

PEM Practice Changing Paper: Clinical Trial of Fluid Infusion Rates for Pediatric DKA

Most protocols for managing pediatric patients with diabetic ketoacidosis (DKA) are based on a theoretical association between fluid resuscitation and subsequent neurological decline. Although the evidence for an association between IV fluids and cerebral edema comes from retrospective reviews, for over 20 years, it is an accepted teaching principle of pediatric DKA.

Clinical Trial of Fluid Infusion Rates for Pediatric Diabetic Ketoacidosis, published just days ago in the New England Journal of Medicine, challenges this teaching with the first randomized controlled trial designed to investigate the relationship between IV fluids and cerebral edema. We review this publication and present a behind-the-scenes podcast interview with lead authors Dr. Nathan Kuppermann and Dr. Nicole Glaser from the Pediatric Emergency Care Applied Research Network (PECARN). (more…)

Podcast Follow-up: Interview with Dr. Debbie Yi Madhok, Co-Author of “Update on the ED Management of Intracranial Hemorrhage”

intracranial hemorrhage CT head epiduralIntracranial hemorrhage (ICH) is associated with significant disability and mortality. Although evidence-based guidelines exist, many hospitals have their own institutional practice patterns, which can make it difficult to care for these patients in the ED. Dr. Debbie Yi Madhok, an emergency physician and neurointensivist, sat down with Dr. Derek Monette, the ALiEM Deputy Editor in Chief, to discuss updates in the management of ICH. This interview follows up her original popular 2017 ALiEM post on dilemmas in ICH management, and takes a deeper dive into the nuances of seizure prophylaxis, blood pressure control, and platelet transfusions. We present the podcast and key learning points.
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2018-04-13T10:03:18-07:00

Renal Colic & Pulmonary Embolism CT | Reducing Imaging: ACEP E-QUAL Network Podcast

Computed tomography (CT) is increasingly available across U.S. Emergency Departments and has changed the practice of medicine. However, it is coupled with potential side-effects from radiation and contrast media. Emergency Medicine is beginning to make a concerted effort to identify clinical scenarios in which CT may be unnecessary, producing outcomes research and validated clinical decision rules. Renal colic and pulmonary embolism, in particular, seem amenable to this area of investigation. The ACEP E-QUAL Network podcast, a partnership with ALiEM to promote clinical practice improvements, reviewed this topic with experts Dr. Chris Moore (Emory University) and Dr. Jeffrey Kline (Indiana University). We present highlights from their discussion with Dr. Jason Woods.

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2018-03-28T19:59:38-07:00

Winners of the 2018 ALiEM-EEM Fellowship Contest: Drs. Puja Gopal, Liz Fierro, and Natasha Li

2018 ALiEM-EEM Fellowship Contest winnersAfter receiving numerous high-quality submissions, we are proud to announce the winners of the 2018 Essentials of Emergency Medicine (EEM) Education Fellowship ContestsDr. Puja Gopal from the University of Illinois at Chicago has won the blog post competition. Her winning post, selected by a blinded EEM voting panel, highlights a mnemonic for taking care of patients with tracheostomies, and is featured on the blog today! Dr. Liz Fierro and Dr. Natasha Li have co-won the visual design competition for their submission, Pocket PEM. They were among 4 worthy semifinalist submissions selected by a blinded EEM voting panel, and the winners were ultimately selected by 2,687 ALiEM readers. We look forward to meeting these fellows in Las Vegas in May 2018 at the 3-day event. Thank you to everyone who submitted their work!

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2018-01-31T00:24:53-08:00

ALiEM-Essentials Visual Design Competition: Top 4 Semifinalists | Need Your Vote

visual design competitionThe ALiEM-Essentials of EM (EEM) Visual Design Competition kicks into high gear this week as the EEM team selected 4 semifinalists from a myriad of high quality submissions. YOU will decide who wins this competition, and becomes the next EEM Fellow with an all-expense paid trip to the 2018 meeting in Last Vegas! Voting closes January 27 at 5 pm PST.
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2018-01-28T02:11:36-08:00