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About Derek Monette, MD

ALiEM Deputy Editor-in-Chief
Medical Education Research Fellow
Department of Emergency Medicine
Massachusetts General Hospital
15 06, 2018

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…)

6 04, 2018

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

2018-04-13T10:03:18+00:00

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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5 03, 2018

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

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

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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31 01, 2018

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

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

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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24 01, 2018

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

2018-01-28T02:11:36+00:00

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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13 01, 2018

Free ALiEMU Course: In-Training Exam Prep

2018-03-06T23:31:35+00:00

We are thrilled to launch the ALiEMU In-Training Exam Prep Course! These 250 multiple-choice questions derive from the ALiEM In-Training Exam Prep Book, a project launched from the 2016-17 Chief Resident Incubator. Led initially by editors Dr. Michael Gottlieb, Dr. Dorothy Habrat, Dr. Margaret Sheehy, Dr. Samuel Zidovetsky, and Dr. Adaira Chou in the first edition, we are now in the updated second edition with editors Dr. Michael Gottlieb, Dr. Rochelle Zarzar, and Philippe Bierny. This content is now available as 50 sets of 5 questions, free on ALiEMU, and just in time for the upcoming exam!

Update February 22, 2018

150 New Questions Added to the Course

We added 150 new questions to the ITE Prep course! Just like the first set of 250 questions, these are board-style questions and reviewed by our editors for accuracy and relevance. This brings our total to 400 free ITE prep questions for your review, just in time for the upcoming exam. Good luck!

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28 12, 2017

2017 Annual Report: Inspiration and Ideas

2018-01-02T17:54:59+00:00

ALiEM has generated an annual report every year since 2013 to summarize our team’s work, and reflect on both the organizational goals we have met and accomplishments we have achieved. 2017 is no different. Under the leadership of Dr. Michelle Lin, ALiEM has grown to become an international organization with over 80 volunteers, all helping to write for the blog and contribute to projects like ALiEMU, the MEdIC Series (in its fifth year), the Chief Resident Incubator (in its third year), Faculty Incubator (in its second year), and the new Wellness Think Tank. We share this report to update our audience and volunteers on all that’s gone on this past year and give a sense of where we are headed in 2018!
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