FacebookRssXInstagramSoundCloud
Generic filters
Exact matches only

About Michelle Lin, MD

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

Welcome new series Geriatric EM by Dr. Christina Shenvi

Welcome a new superstar blogger, Dr. Christina Shenvi (@clshenvi), to the ALiEM team. If there’s one talent I have, it’s spotting the rising academic star. As the new Geriatrics EM fellow at the University of North Carolina, she’ll be starting her monthly series of blog posts on Geriatric EM. I jumped at the chance when she came up with the idea of this series, since there is never enough teaching about the unique aspects in the emergent care of older patients. Since meeting her in March 2013 at the annual CORD meeting, it’s been the longest 4 months anxiously waiting (and waiting, and waiting) for her to start her Geriatric EM fellowship and contributing blog articles.

(more…)

By |2019-01-28T21:58:18-08:00Jul 1, 2013|Geriatrics|
Read More

Patwari Academy videos: Anticoagulation and reversal agents

Screen Shot 2013-06-26 at 5.11.08 AM

Bleeding in general is bad. Bleeding while on anticoagulants is VERY bad. Dr. Rahul Patwari reviews the pathophysiology of coagulation, the various reversal agents, and treatment approaches we can use. In this five-part series where all videos are less than 10 minutes, Rahul goes from the basic physiology of coagulation all the way to the complex reasoning and approaches to reversing anticoagulants. These are worth a quick look and review.

(more…)

By |2019-01-28T21:57:58-08:00Jun 30, 2013|Heme-Oncology, Patwari Videos, Tox & Medications|
Read More

Trick of the Trade: Got a shoulder dislocation? Park it

ShoulderDLxray

Myriad techniques exist to reduce shoulder dislocations, which includes scapular rotation, Hennepin, Snowbird, Cunningham, and Legg maneuvers. They are nicely reviewed at ShoulderDoc.co.uk. You can also supplement any technique with ultrasound-guided intraarticular lidocaine for improved pain control.

Recently, Dr. Jay Park (Beth Israel Medical Center in New York) contacted me about his novel approach to shoulder reduction which anatomically makes sense. If his animation video doesn’t convince you, check out the video of an actual reduction.

(more…)

By |2019-01-28T21:59:02-08:00Jun 25, 2013|Orthopedic, Tricks of the Trade|
Read More

Welcome new blog team member: Dr. Matt Astin

Welcome superstar Dr. Matt Astin to the ALiEM blog family. Matt is the Clinical Assistant Professor of EM and IM at Medical Center of Central Georgia, Mercer University School of Medicine. We’re incredibly happy here to add him as our new secret weapon in the social media and FOAM arena. After having met him in real-life at this past SAEM meeting, I can’t imagine a better fit for this team. Welcome! Follow him on Twitter: @mastinmd.

Here is brief bio by Matt:

(more…)

By |2019-09-10T14:03:22-07:00May 28, 2013|Life|
Read More

PV Card: Contraindications to Thrombolytics in Stroke

thrombolytics stroke

This Paucis Verbis (PV) card is an updated version of the PV card on Contraindications to Thrombolytics for CVA from September 10, 2010, based on the Stroke 2013 AHA/ASA new guidelines that were just published.1 Some changes include…

  1. There is new mention of new anticoagulants in the market with additional absolute exclusion criteria.
  2. A blood glucose < 50 mg/dL has been upgraded from a relative exclusion to an absolute exclusion criteria. There is no more mention of glucose > 400 mg/dL as an exclusion criteria.
  3. Seizure at onset of presentation has moved from an absolute to a relative risk.
  4. Post-AMI pericarditis is no longer a relative exclusion criteria.

PV Card: Contraindications for Thrombolytics in Stroke


Adapted from [1]
Go to ALiEM (PV) Cards for more resources.

Reference

  1. Jauch E, Saver J, Adams H, et al. Guidelines for the early management of patients with acute ischemic stroke: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2013;44(3):870-947. [PubMed]
By |2021-10-06T19:58:38-07:00May 23, 2013|ALiEM Cards, Neurology, Tox & Medications|
Read More
Go to Top