21 08, 2017

ALiEM AIR Series: Renal/Genitourinary

air series renalWelcome to the Renal/GU Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality Renal/GU content. Below we have listed our selection of the 13 highest quality blog posts within the past 12 months (as of May 2017) related to Renal/GU emergencies, curated and approved for residency training by the AIR Series Board. We identified 3 AIRs and 10 Honorable Mentions. We recommend programs give 4 hours (about 20 minutes per article) of III credit for this module. As of June 2017, over 125 residency programs are using the AIR series – that’s over 1,200 residents completing at least one module in the 2016-2017 academic year!
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13 08, 2017

Team-Focused CPR: Bringing Prehospital Success to the ED

2017-08-13T21:45:38+00:00

High-quality chest compressions and early defibrillation are the cornerstones of effective cardiac arrest care.1 When implemented correctly these two interventions enhance patient outcomes and improve overall survival.2 However, despite simplified advanced cardiac life support (ACLS) algorithms and extensive training of providers, cardiac arrest scenarios in the emergency department (ED) are still high-stress and mortality rates remain high.3,4 

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2 08, 2017

Announcing the new ALiEM Cards website

2017-08-02T12:13:58+00:00

The PV Cards are getting a new name and their own website! Beginning today you can find the complete point-of-care reference library on its own standalone, mobile-enabled website: ALiEM Cards at www.aliemcards.com. The PV Cards have been in various formats whether they be apps and websites. Hopefully building a single repository, accessible on any device, will make the PV Cards easier to access and use when you need them at the bedside, after a shift, or in impromptu teaching sessions.

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31 07, 2017

Trick of the Trade: DIY Squirt Bottle Wound Irrigation

2017-07-30T14:37:24+00:00

wound irrigationWound irrigation is arguably one of the most important steps in closing a laceration, because all lacerations should be considered to be contaminated. Irrigation is considered the foundation in preventing infection. A common way to cleanse a wound is to irrigate a wound using a 20 cc syringe, angiocatheter, and splash protector. To achieve 500 cc of irrigation, however, it would require 25 syringe refills! Is there a better, cost-effective alternative?
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26 07, 2017

Trick of the Trade: Gaze Testing Using “Selfie Mode” on Your Smartphone Camera

2017-07-26T10:35:49+00:00

gaze testingThe NIH Stroke Scale is used to assess the severity of a suspected stroke. It includes 11 neurologic exam components that can be quickly performed at the bedside. The second component of the NIH Stroke Scale is testing of voluntary horizontal eye movements, a.k.a., “best gaze”.1 Gaze is usually tested by instructing the patient to follow the examiner’s hand or pointer finger in a horizontal plane from side to side. This assessment assumes that the patient can comprehend instructions and actively participate in the physical exam.

But… how do you test gaze if your patient is aphasic or unable to follow commands?
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21 07, 2017

ALiEM’s Greatest Hits for Interns: A Curated Collection of High-Yield Topics

greatest hits for interns

Congratulations, you’ve made it! On July 1, thousands of medical students across the country made the transition to becoming Emergency Medicine residents. It was a particularly competitive year for Emergency Medicine, with 99.7% of first-year spots filled despite a whopping 2,047 positions being offered in 2017 (up by 152 spots compared to last year).1 Now begins the most crucial 3 or 4 years of your medical training that will prepare you for the rest of your career in Emergency Medicine.

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19 07, 2017

Management of Major Pelvic Trauma

2017-07-19T21:58:25+00:00

pelvic trauma fracturePelvic trauma frequently is associated with other injuries from the high force required to break the pelvis. Management is focused on stabilizing the pelvis and stopping the bleeding. Due to other injuries requiring emergent surgical stabilization, pelvic trauma is primarily managed surgically with pre-peritoneal packing and external fixation, followed by angioembolization for continued bleeding. Emergency physicians must quickly resuscitate patients while gathering vital information to direct the correct definitive bleeding control strategy. New endovascular techniques such as REBOA (Resuscitative Endovascular Balloon Occlusion of the Aorta) may change future emergency department strategies and improve mortality in severe pelvic trauma. 
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