About Michelle Lin, MD

ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco

PV Card: Normal Values for Ultrasound Measurements

Ultrasound-PV-Card-sm

As emergency medicine providers become more proficient in using bedside ultrasonography as a diagnostic tool, it can be difficult to remember all of the normal cutoff values. Is it 3 or 5 mm as the cutoff? Thanks to the team at UCSF (Dr. Maria Beylin, Dr. Scott Fischette, and Dr. Nate Teismann) for creating a succinct PV card listing the key numbers to remember. You can download this PV card into your mobile device as a reference guide, or you can even print and attach to each of your ultrasound machines!

 

PV Card: Normal Values for Ultrasound Measurements


Adapted from [1–4]

References

  1. Horrow M. Ultrasound of the extrahepatic bile duct: issues of size. Ultrasound Q. 2010;26(2):67-74. [PubMed]
  2. Beigel R, Cercek B, Luo H, Siegel R. Noninvasive evaluation of right atrial pressure. J Am Soc Echocardiogr. 2013;26(9):1033-1042. [PubMed]
  3. Doubilet P, Benson C, Bourne T, et al. Diagnostic criteria for nonviable pregnancy early in the first trimester. N Engl J Med. 2013;369(15):1443-1451. [PubMed]
  4. Adhikari S, Zeger W, Thom C, Fields J. Isolated Deep Venous Thrombosis: Implications for 2-Point Compression Ultrasonography of the Lower Extremity. Ann Emerg Med. 2015;66(3):262-266. [PubMed]
By |2021-10-04T09:56:16-07:00Oct 15, 2015|ALiEM Cards, Ultrasound|

NEXUS Chest CT Decision Instruments in Blunt Trauma

ct_cat_scanner_angled_400_wht_5332One of the five 2014 American College of Surgeons’ Choosing Wisely recommendations is to avoid routing whole-body CT imaging of trauma patents, also known as the ‘pan-CT’. Until now, no validated decision instrument existed to help guide clinicians decide whether to obtain a chest CT in the setting of blunt trauma. This month, Dr. Robert Rodriguez and the multi-institutional NEXUS Chest CT research team published a paper describing the derivation and validation of 2 decision instruments in PLOS Medicine [1].

(more…)

By |2019-01-28T21:43:56-08:00Oct 13, 2015|Radiology, Trauma|

EM Fellowship Match Advice: Simulation, Toxicology, and Ultrasound

Fellowships doctors_solve_custom_text_puzzle_12406 copySubspecialty training within emergency medicine is increasingly becoming a popular route for those interested in pursuing an academic faculty position. This year, we will cover the ins-and-outs, nuts-and-bolts, and nuances for 3 fellowships available to EM residency graduates: Simulation, Toxicology, and Ultrasound. Modeled after the wildly successful EM Match Advice for medical students applying to residency, Dr. Mike Gisondi launches and hosts another successful series — the EM Fellowship Match Advice series.

 

Podcast: Simulation Fellowship

Panelists

  1. Teresa Wu, MD (University of Arizona)
  2. Sharon Griswold, MD MPH (Drexel University)
  3. Demian Szyld, MD EdM (NYSim)

Recommended simulation resources/events

  1. Hot Topics in Simulation Education Annual Symposium (October 14, 2015)
  2. 2nd Annual Symposium for Fellows in Healthcare Simulation (April 11, 2016)
  3. Simulacion de Sur a Norte Podcast

References

  1. Stern S. Fellowship training: a necessity in today’s academic world. Acad Emerg Med. 2002 Jul;9(7):713-6. PubMed PMID: 12093713. [Free PDF]

Podcast: Medical Toxicology Fellowship

Panelists

  1. Binh Ly, MD (UC San Diego)
  2. Christopher Hoyte, MD (Denver)
  3. Robert Hendrickson, MD (OHSU)

Podcast: Emergency Ultrasound Fellowship

Panelists

  1. J Christian Fox, MD (University of California, Irvine)
  2. Jeremy Boyd, MD (Vanderbilt University)

Important Links

  1. Emergency Ultrasound Fellowships
  2. American Institute of Ultrasound in Medicine
  3. Ultrasound Podcast
  4. Sonospot blog

Listen to all the episodes of the EM Match Advice Series

By |2021-07-01T10:40:05-07:00Oct 8, 2015|EM Match Advice, Medical Education, Podcasts|

EM Match Advice Series: The Non-LCME Applicant

Yesterday the Electronic Residency Application Service (ERAS) opened its digital doors to medical students applying to ACGME residency programs. So we thought it was a perfect time to host another EM Match Advice Series installment. This time, we focus on the challenges that the non-LCME applicant encounters throughout the ACGME application process. These applicants include:

  1. Students from osteopathic medical schools
  2. Students from non-U.S. medical schools
  3. Applicants who have been in the military service and are returning for residency training
  4. Residents who want to transfer in from another specialty training program.

(more…)

By |2021-07-01T10:42:01-07:00Sep 16, 2015|EM Match Advice, Podcasts|

2015 ALiEM Essentials of EM Fellowship Winners and Runner-Ups

Gabe SudarioThe 2015 Essentials of EM Fellowship competition was fierce with submissions by U.S. EM residents from around the country. Based on the four predefined judging criteria (design, relevance, content accuracy, and innovation), one submission stood out above the rest. Congratulations to the winner Dr. Gabe Sudario (University of California San Francisco-SFGH), who will attend the 2015 Essentials of EM conference in Las Vegas as the ALiEM Essentials of EM Fellow with all expenses paid. Check out today’s PV card, which was Gabe’s blog submission.

(more…)

By |2016-10-30T16:19:04-07:00Aug 1, 2015|Medical Education|

Top 15 Tips for New EM Residency Graduates: The Real World

Doctor World canstockphoto11903338Although there is much advice on helping new interns adjust to residency life (part 1, part 2), not much is shared about helping recent residency graduates survive the real world of EM practice. Dr. Amal Mattu, Professor and Vice Chair at the University of Maryland’s Department of Emergency Medicine, solicited for advice from his department’s faculty and recent residency graduates. Below are the top 15 themes which arose from the discussion and are frankly great reminders for all practitioners in the ED.

(more…)

By |2016-11-11T19:39:28-08:00Jul 23, 2015|Medical Education|

ALiEMU School Doors Open – Featuring the CAPSULES Series

Our virtual school doors are open starting today to ALiEM University (ALiEMU), which can best be thought of as our open-access, on-demand, online school of e-courses for anyone practicing Emergency Medicine worldwide. This ambitious venture was made possible by a tremendous team, but primarily led by Chris Gaafary, MD (@CGaafary), ALiEMU’s Chief of Design and Development and an EM chief resident in his free time at the University of Tennessee. Today we are incredibly excited to launch our inaugural longitudinal e-course the ALiEM Capsules Series: A Practical Pharmacology for the EM Practitioner, created and led by Bryan Hayes, PharmD, FAACT (@PharmERToxGuy).

(more…)

Go to Top