The EM Residency Match Advice Series is back with its latest installment! We put the focus on emergency ultrasound fellowships, and our sage panel walks us through some of the changes to this year’s application cycle. For the first time, Ultrasound Fellowship Programs will participate in the NRMP match program. The Society for Clinical Ultrasound Fellowships (SCUF) provides the fellowship application service (similar to the role of ERAS, but shorter!) for the residency match. Hosted by Drs. Michael Gisondi and Michelle Lin, watch the video or listen to the podcast to learn about important changes to the application process and hear tips from our experts on what to consider when pursuing a career in emergency ultrasound.
Post-exposure prophylaxis (PEP) of patients who may have been exposed to HIV includes a combination HIV nucleoside analog reverse transcriptase inhibitor emtricitabine/tenofovir (Truvada) plus an integrase inhibitor. The CDC initially recommended the integrase inhibitor dolutegravir (Tivicay). However on May 18, 2018, the CDC placed an alert about the neural tube defect risk with dolutegravir.1 How does this change our ED practice?
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…)
After receiving numerous high-quality submissions, we are proud to announce the winners of the 2018 Essentials of Emergency Medicine (EEM) Education Fellowship Contests! Dr. 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!
The 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.
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!
The 2016 American Headache Society (AHS) released recommendations on managing adults with acute migraine headaches.1 In the November 2017 EM:RAP LIN Sessions podcast episode that I recorded, I realized that I overgeneralized several statements about anti-dopaminergic agents and the use of concurrent diphenhydramine for akathisia risk reduction. So I wanted to clarify things and share a deeper-dive on the topic, thanks to the constructive feedback and help of headache guru Dr. David Vinson and EM pharmacists Dr. Curtis Geier, Dr. Bryan Hayes, and Dr. Zlatan Coralic. Below summarizes the nuanced thought processes in the anti-dopaminergic treatment of migraines.