ALiEMCards.com

ALiEM Cards is point-of-care reference library of narrowly focused, easily digestible cards for the practicing emergency physician or learner (formerly known as PV Cards). As of July 2017 led by the team of Dr. Jeremy Voros and Derek Sifford, we have rebranded these into “ALiEM Cards” and moved away from the index-card templated PDF files. Check it out.

ALiEM Cards website screenshot

ALiEM Cards home page

Why transition to a new ALiEM Cards site?

We have always tried to keep the user and learner in mind. From a readability, design, and content delivery perspective, our index card look was becoming outdated.

  1. The limited text space negatively impacted our ability to easily convey the content in a clear fashion.
  2. The topics and keywords within each card were not searchable. You just had to know where things were.
  3. PDFs are often large-sized files and not easy to read on mobile devices.
  4. The new ALiEM Cards site incorporates the use of GitHub, which allows for better version control. We can more transparently update and incorporate crowdsourced feedback and peer review. This was not possible with the older PV Cards system.

What will we be stopping?

As part of this transition period, we are announcing the following:

  1. No more new content will be written in the PDF format.
  2. We are closing out the Evernote and Dropbox shared account options.

Index of Topics

Topic PDF Major Subject Minor Subject Blog page Date
Abdominal pain, diagnostic studies PDF Surgery, trauma Diagnostics Blog 2011/07/22
Abdominal trauma, blunt (likelihood ratios) PDF Surgery, trauma Bayes Blog 2012/04/20
Abdominal trauma, penetrating PDF Surgery, trauma Blog 2010/07/09
ABG interpretation PDF Pulmonary, critical care Diagnostics Blog 2010/04/02
Acetaminophen toxicity PDF Toxicology, pharmacology Blog 2011/11/04
Acute limb ischemia PDF Cardiovascular Blog 2010/08/13
Acute vestibular syndrome and HINTS exam PDF Neurology Blog 2011/12/02
Alcohol: Ethylene glycol PDF Toxicology, pharmacology Blog 2012/06/08
Alcohol: Isopropyl alcohol PDF Toxicology, pharmacology Blog 2012/06/22
Alcohol: Methanol PDF Toxicology, pharmacology Blog 2012/06/15
Anaphylaxis PDF Allergy, Immunology Blog 2012/02/24
Angioedema PDF Allergy, Immunology Blog 2010/03/26
Ankle and Hindfoot Fractures PDF Orthopedics Blog 2016/06/06
Ankle fractures PDF Orthopedics Blog 2010/02/18
Anticoagulation for atrial fibrillation PDF Cardiovascular Blog 2010/04/09
Aortic dissection (IRAD) PDF Cardiovascular Blog 2011/05/20
Appendicitis: ACEP clinical policy PDF Surgery, trauma Blog 2010/06/18
Asthma NIH classifications PDF Pulmonary, critical care Blog 2011/04/29
Bayes nomogram PDF Bayes 2012/05/17
Bell’s Palsy: Treatment PDF Neurology Blog 2013/02/21
Blood culture indications PDF Infectious disease Bayes Blog 2012/08/17
Blunt cardiac injury PDF Surgery, trauma Blog 2012/06/29
Brugada syndrome PDF Cardiovascular Blog 2011/05/06
Burns PDF Surgery, trauma Blog 2016/04/22 update (original 7/2/2010)
C1-C2 fractures PDF Orthopedics Blog 2010/09/24
C3-C7 fractures PDF Orthopedics Blog 2010/10/01
Cardiac tamponade PDF Cardiovascular Bayes Blog 2011/07/08
Cerebrovascular injury, blunt PDF Surgery, trauma Blog 2011/07/01
Cervical spine rules PDF Surgery, trauma Blog 2010/12/10
Cervical spine, distracting injury PDF Surgery, trauma Blog 2011/09/09
Charting and Coding PDF Administrative Blog 2016/08/15
Chemical sedation PDF Toxicology, pharmacology Blog 2011/03/25
Chest pain, low risk ACS PDF Cardiovascular Blog 2010/01/29
CHF likelihood ratios PDF Cardiovascular Bayes Blog 2012/08/24
Cholecystitis tests PDF Surgery, trauma Bayes Blog 2011/03/18
Clostridium difficile PDF Infectious disease Blog 2011/06/24
CNS infections PDF Neurology Blog 2009/12/29
Continuous end tidal CO2 monitoring in cardiac arrest PDF Pulmonary, Critical Care Blog 2015/10/20
Continuous infusions PDF Toxicology, pharmacology Blog 2012/03/09
Croup PDF Pediatrics Blog 2010/08/20
CT cancer risk PDF Radiology Blog 2011/06/10
Cystitis/Pyelonephritis Women Antibiotics PDF Genitourinary Blog 2011/09/02
D-dimer PDF Hematology, oncology Diagnostics Blog 2012/07/12
Delayed sequence intubation PDF Airway, pulmonary Blog 2012/08/31
Dental infections PDF ENT Blog 2011/04/22
Dental trauma PDF ENT Blog 2011/04/15
Dermatomes and myotomes PDF Neurology Anatomy Blog 2010/05/28
Diabetic foot osteomyelitis PDF Orthopedics Bayes Blog 2011/09/23
Diverticulitis outpatient PDF Surgery, trauma Blog 2011/05/27
Drug Card Emergency Department PDF Toxicology, pharmacology Blog 2013/09/11
DVT Diagnostic Guidelines (ACCP) PDF Cardiovascular Blog 2013/01/24
Dysphagia PDF ENT Blog 2010/02/03
Early goal directed therapy in sepsis PDF Infectious disease Blog 2010/04/16
ECG: Early repolarization vs STEMI PDF Cardiovascular Blog 2013/05/16
ECG: Electrolyte imbalance PDF Cardiovascular, Endocrine Blog 2012/09/21
ECG: Geography of AMI PDF Cardiovascular Diagnostic Blog 2011/04/08
ECG: Lead aVR PDF Cardiovascular Diagnostic Blog 2011/11/18
ECG: Right and posterior leads PDF Cardiovascular Diagnostic Blog 2011/03/11
Ectopic Pregnancy PDF Obstetrics/gynecology Bayes Blog 2013/05/09
EMTALA rules in the transfer of ED patients PDF Administrative Blog 2012/09/14
Genital ulcers PDF Genitourinary Blog 2012/05/04
GRACE score PDF Cardiovascular Blog 2012/04/13
Head CT before LP PDF Neurology Blog 2010/04/23
Head CT in trauma: Decision rules PDF Surgery, trauma Blog 2011/05/13
Hyperkalemia PDF Endocrine, metabolic Blog 2010/03/12
Hypertension: First line treatment PDF Cardiovascular Blog 2011/02/11
Hypothermia, accidental PDF Environmental Blog 2011/02/04
Influenza treatment PDF Infectious disease Blog 2011/10/28
Intimate partner violence PDF Trauma Blog 2013/07/31
Intraosseous lab interpretation PDF Hematology, oncology Diagnostics Blog 2012/01/13
IV fluid composition and Chloride-restrictive fluids in ICU PDF Endocrine, metabolic Blog 2012/01/03
Kawasaki disease PDF Pediatrics Blog 2012/03/23
Knee exam PDF Orthopedics Blog 2010/03/19
Laceration repair and sutures PDF Trauma Blog 2017/03/06
Legionnaires disease PDF Pulmonary, critical care Blog 2011/09/16
Local anesthetic toxicity PDF Toxicology, pharmacology Blog 2014/06/13
Metacarpal fracture PDF Orthopedics Blog 2013/12/13
Methotrexate and ectopic pregnancy PDF Gynecology, obstetrics Blog 2011/11/11
Murmurs and need for echocardiography PDF Cardiovascular Blog 2010/09/17
Neutropenic fever and cancer PDF Infectious disease Blog 2011/10/07
NSAID bleeding risk PDF Toxicology, pharmacology Blog 2011/07/15
One minute preceptor: NERDS mnemonic PDF Education Blog 2015/08/01
Open fractures and antibiotics PDF Orthopedics Blog 2012/01/20
Osmolal gap PDF Toxicology, pharmacology Blog 2012/06/01
Ottawa knee, ankle, foot rules PDF Orthopedics Blog 2010/05/07
Overanticoagulation and supratherapeutic INR PDF Hematology, oncology Blog 2012/08/10
Pain medications: Initial options in the ED PDF Toxicology Blog 2015/10/23
Palliative Care Screening in the ED PDF Palliative Care Blog 2015/07/27
Paracentesis and ascites assessment PDF Gastroenterology Blog 2010/06/25
PE clinical decision rules PDF Pulmonary, critical care Blog 2011/06/03
PE indications for fibrinolysis PDF Pulmonary, critical care Blog 2011/07/29
Pediatric assessment triangle PDF Pediatrics Blog 2013/05/30
Pediatric fever (1-3 months old) PDF Infectious disease Pediatrics Blog 2012/02/02
Pediatric fever (3 mo- 3 yrs old) PDF Infectious disease Pediatrics Blog 2012/02/09
Pediatric fever (neonate) PDF Infectious disease Pediatrics Blog 2012/01/27
Pediatric head trauma (PECARN) PDF Surgery, trauma Pediatrics Blog 2010/02/04
Pediatric ingestion dose thresholds for ED referral PDF Toxicology, pharmacology Pediatrics Blog 2014/07/09
Pediatric pertussis algorithm PDF Pulmonary, critical care Pediatrics Blog 2010/10/29
Pediatric sizes and doses PDF Pediatrics Blog 2010/10/23
Pericarditis PDF Cardiovascular Blog 2015/02/05
Pertussis PDF Pulmonary, critical care Bayes Blog 2010/09/03
PESI score for pulmonary embolism PDF Pulmonary, critical care Blog 2012/11/17
Pneumonia scores PDF Pulmonary, critical care Blog 2011/02/25
Post-exposure prophylaxis, non-occup PDF Infectious disease Blog 2011/04/01
Procedural sedation PDF Toxicology, pharmacology Blog 2010/08/06
Rapid sequence intubation PDF Toxicology, pharmacology Blog 2010/07/16
Rashes, approach to PDF Dermatology Blog 2011/08/26
Red eye PDF Ophthalmology Blog 2010/01/22
Salicylate toxicity PDF Toxicology, pharmacology Blog 2015/06/15
Scaphoid fracture PDF Orthopedics Blog 2016/02/01
Seizure, first time PDF Neurology Blog 2011/01/13
Seizure, status epilepticus PDF Neurology Blog 2011/01/20
Septic arthritis PDF Orthopedics Bayes Blog 2010/06/11
Serotonin syndrome PDF Toxicology, pharmacology Blog 2012/01/06
Sgarbossa criteria for LBBB PDF Cardiovascular Bayes Blog 2010/11/05
Shift feedback card PDF Education Blog 2011/12/09
Shock and RUSH protocol PDF Cardiovascular Blog 2009/12/22
Shock, vasopressors and inotropes PDF Cardiovascular Blog 2010/04/30
Shoulder exam PDF Orthopedics Blog 2011/01/28
Spinal epidural abscess PDF Neurology Blog 2011/08/05
Streptococcal pharyngitis PDF ENT Blog 2010/07/30
Stroke scale NIH PDF Neurology Blog 2010/02/26
Stroke: Contraindications for Thrombolytics PDF Neurology Blog 2013/05/23
Subarachnoid hemorrhage, atraumatic PDF Neurology Blog 2010/03/05
Subarachnoid hemorrhage, high risk PDF Neurology Blog 2010/12/17
Suicide risk stratification PDF Psychiatry Blog 2011/02/18
Supraventricular Tachycardia (SVT) Aberrancy vs Ventricular Tachycardia (VT): Brugada Criteria PDF Cardiovascular Blog 2013/02/27
Suture materials PDF Surgery, trauma Blog 2011/01/07
Tachycardia, approach to PDF Cardiovascular Blog 2011/08/19
TIMI score PDF Cardiovascular Blog 2010/08/27
Toxidromes and vital signs PDF Toxicology, pharmacology Blog 2010/11/19
Transient ischemic attack (TIA) PDF Neurology Blog 2010/01/05
Ultrasound: 1st Trimester Pregnancy (Transabdominal) PDF Gynceology, obstetrics Blog 2015/02/25
Ultrasound: 1st Trimester Pregnancy (Transvaginal) PDF Gynceology, obstetrics Blog 2015/03/04
Ultrasound: Abdominal Aorta PDF Radiology Blog 2014/09/13
Ultrasound: Biliary Exam PDF Gastroenterology Blog 2015/01/01
Ultrasound: Deep Vein Thrombosis (DVT) PDF Cardiovascular Blog 2015/02/18
Ultrasound: FAST PDF Radiology Blog 2014/09/14
Ultrasound: Focused Echocardiography PDF Cardiovascular Blog 2015/02/11
Ultrasound: Lung Exam PDF Pulmonary, critical care Blog 2015/02/04
Ultrasound Measurements: Normal Values PDF Radiology Ultrasound Blog 2015/10/15
Ultrasound: Ocular Exam PDF Ophthalmology Blog 2015/01/28
Ultrasound: Skin and Soft Tissue PDF Dermatology Blog 2015/01/07
Ultrasound: Testicular Exam PDF Genitourinary Blog 2015/01/21
Upper GI bleed PDF Gastroenterology Bayes Blog 2011/06/17
Urine toxicology PDF Toxicology, pharmacology Diagnostic Blog 2010/07/22
UTI, cystitis PDF Genitourinary Blog 2010/02/11
VBG versus ABG PDF Pulmonary, critical care Blog 2013/01/31
Ventilator settings: Lung protection PDF Pulmonary, critical care Blog 2011/10/14
Ventilator settings: Obstructive disease PDF Pulmonary, critical care Blog 2011/10/21




13 09, 2017

Using Eye Anatomy to Recall Key Diagnoses: The Rule of 2’s

2017-09-13T05:42:04+00:00

eye anatomyOur latest ALiEM Card introduces the “Rule of 2’s,” a simple method that uses eye anatomy to help you recall some of the major ocular diagnoses! It builds a framework for your physical exam and will help you include or eliminate some of the more common ocular conditions.

The Rule of 2’s is easy to remember: 2 eyes, 2 major diagnoses to consider for each ocular layer, as you move anterior to posterior.

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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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6 03, 2017

PV Card: Laceration Repair and Sutures – A cheat sheet guide

2017-08-01T23:52:41+00:00

laceration repair and suturesLaceration repair and suturing are foundational skills for the Emergency Department. This pocket card serves as a quick reference guide for clinicians, and provides a much-needed update and design upgrade from the 2011 PV card on Sutures. This card covers suture/staple removal times, suture sizes, suture material characteristics, special laceration considerations, and suture techniques.

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12 12, 2016

PV Card: Elbow Injuries

elbow injuries

Elbow injuries are a common presentation to the Emergency Department. This pocket card reviews some the imaging, acute management, and some pearls for the following injuries: elbow dislocation, radial head subluxation, supracondylar fractures (such as the xray on the right), radial head fracture, epicondylitis, condyle fractures, and olecranon fracture. Thanks to Dr. Jonathon Hancock (Doctor’s Hospital orthopedist) for the expert peer review.

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23 11, 2016

PV Card: LVAD Complications

lvad-image-from-mayo

Patients with left ventricular assist devices (LVAD) often cause much anxiety amongst providers in the emergency department. This is understandable with all of the hardware, diminished or absent peripheral pulses at baseline, and potential for complications. To add to the already helpful reviews about LVADs at REBELEM and emDocs, this is a PV card set providing a methodical approach to troubleshooting LVAD complications, including a reproduction of an algorithm for managing the LVAD patient with altered mental status from EMCrit.1–3
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21 11, 2016

PV Card: Knee Injuries | Quick Reference Guide

2017-03-05T14:18:45+00:00

patella-dislocation knee injuriesOrthopedic injuries are commonly managed in the emergency department. Often a quick bedside reference card is needed to remind the clinician about the acute management decisions. This is the third of a series of orthopedic quick reference cards written by a team from the 2015-16 ALiEM Chief Resident Incubator. The first two were on ankle and hindfoot fractures and hip injuries. This card set covers knee injuries, specifically patella fractures, patella dislocation, and knee dislocation. These cards were expert reviewed by Dr. Scott Sherman, co-editor of the Emergency Orthopedics textbook (Amazon), and illustrations were created by Dr. Mary Haas.
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14 11, 2016

PV Card: Hip Injuries | Quick Reference Guide

2017-10-13T15:04:49+00:00

hip-dislocation-posterior-drawing hip injuriesOrthopedic injuries are commonly managed in the emergency department. Often a quick bedside reference card is needed to remind the clinician about the acute management decisions. This is the second of a series of orthopedic quick reference cards written by a team from the 2015-16 ALiEM Chief Resident Incubator. The first was on ankle and hindfoot fractures, and this card set covers hip injuries, such as hip dislocations and femur fractures. These cards were expert reviewed by Dr. Scott Sherman, co-editor of the Emergency Orthopedics textbook (Amazon), and illustrations were created by Dr. Mary Haas.

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