About Michelle Lin, MD

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

EM blogger roll call

BlogHow do I keep up with the information from the myriad of Emergency Medicine websites out there? Blogs, Twitter, Journals, oh my.

Thanks to LifeInTheFastLane, you can check out all the current EM bloggers out there with their Twitter name and RSS feed links! I had no idea there were so many. I can appreciate how much time and effort it took to compile this list. Fantastic job, guys.

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By |2016-11-11T19:01:33-08:00Mar 9, 2010|Social Media & Tech|

Paucis Verbis card: Aneurysmal subarachnoid hemorrhage

Atraumatic subarachnoid bleeds are most commonly caused by ruptured intracranial aneurysms.

This installment of the Paucis Verbis (In a Few Words) e-card series reviews the current management, knowledge, and challenges in aneurysmal subarachnoid hemorrhage (SAH).

PV Card: Subarachnoid Hemorrhage


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

Reference

  1. Edlow J, Malek A, Ogilvy C. Aneurysmal subarachnoid hemorrhage: update for emergency physicians. J Emerg Med. 2008;34(3):237-251. [PubMed]
By |2021-10-19T19:03:54-07:00Mar 5, 2010|ALiEM Cards, Neurology|

Trick of the trade: Irrigation scalp wound photos

I mentioned from an earlier post about building a “head basin” for collecting irrigation fluid prior to wound closure. This basin prevents a deluge of fluid from soaking the gurney sheets and patient.

I finally managed to capture this trick in action, while a student was irrigating an eyebrow laceration.

Pearl

When cutting out a semi-circular or rectangular hole in the basin, be sure that there remains a 2-4 inch lip at the bottom to ensure that fluid can collect in the basin.

By |2019-02-19T18:53:55-08:00Mar 3, 2010|Tricks of the Trade|

Great teaching video: Cell and flare

SlitLamp-1

Using the slit lamp can be a challenge to learn, especially if you haven’t seen pathology before. In checking for anterior uveitis (i.e. iritis), you need to look for “cell and flare”. In theory, you know that you are looking for inflammatory cells and “flare”, which resembles a light beam being filtered through smoke.

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By |2019-01-30T11:38:44-08:00Mar 2, 2010|Ophthalmology|

Article review: SAEM Tests

SAEMlogoThis is is a great look back at how SAEM Tests were developed and now used by EM clerkships across the country. Because EM does not have a National Board of Medical Examiners shelf exam, a tremendous effort was made by the authors to create a set of validated questions for clerkship directors to use.

Specifically point serial correlation coefficients (range -1 to +1) were calculated for each question. A high coefficient means a high correlation between the performance on the individual test question and the performance on the overall test. After rewriting 25% of the test questions because of poor correlation coefficients, all current test questions now have a point serial correlation coefficient >0.2. (more…)

By |2016-11-11T18:43:23-08:00Mar 1, 2010|Education Articles, Medical Education|

Paucis Verbis card: NIH Stroke Scale

StrokePatients present with acute strokes to the Emergency Department. Time is of the essence to obtain a rapid neurologic exam, draw labs, get CT imaging, and consulting a neurologist especially if the patient presents within 3 hours of onset. To help the neurologist determine whether the patient should get thrombolytics, calculating a NIH Stroke Scale score is useful.w

In this installment of the Paucis Verbis (In a Few Words) e-card series, here is the NIHSS scoresheet.

Score 0No stroke
Score 1-4Minor stroke
Score 5-15Moderate stroke
Score 16-20Moderate-severe stroke
Score 21+Severe stroke

PV Card: NIH Stroke Scale


Go to ALiEM (PV) Cards for more resources.

By |2021-10-19T19:07:03-07:00Feb 26, 2010|ALiEM Cards, Neurology|
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