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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 From a readability, design, and content delivery perspective, our index card look was becoming outdated.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




29 06, 2018

ALiEM Cards: Tumor Lysis Syndrome

2018-06-29T04:20:56+00:00

Tumor lysis syndrome (TLS) is an oncologic emergency characterized by life-threatening metabolic disturbances. Although it is most frequently associated with the treatment of hematological malignancies, its frequency may be increasing among patients with solid tumors. Emergency providers should be familiar with the presentation and treatment of these electrolyte abnormalities, which can lead to renal failure, seizures, and cardiac dysrhythmias. ALiEM Cards: Tumor Lysis Syndrome, written by Drs. Christopher Nash and Derek Monette, reviews TLS and the latest updates in its management.
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22 06, 2018

ALiEM Cards: Acute Respiratory Distress Syndrome – Berlin Definition

2018-06-21T11:40:11+00:00

Berlin Definition of ARDSAcute respiratory distress syndrome (ARDS) is a complex, life-threatening form of respiratory failure. It is responsible for almost 75,000 annual deaths in the United States.1Management remains lung-protective mechanical ventilation, an intervention that can begin in the ED. The Berlin Definition of ARDS has better predictive validity for mortality in comparison to previous definitions of ARDS.2 ALiEM Cards: ARDS, written by Dr. Michelle Lin, reviews the Berlin Definition and provides EPs with an on-shift resource to help manage critically-ill patients.
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26 05, 2018

ALiEMCards: Tranexamic Acid

2018-05-26T21:29:25+00:00

Tranexamic acid (TXA) is a synthetic form of the amino acid lysine that binds to receptors on plasmin and prevents it from breaking down fibrin clots. Numerous studies have investigated its utility in preventing or treating traumatic hemorrhage, and the World Health Organization now includes TXA on its list of Essential Medicines. In addition to trauma, TXA may be effective in other clinical scenarios relevant to Emergency Medicine, including gynecological hemorrhage and epistaxis. ALiEM Cards: TXA, written by Dr. Sam Ashoo, reviews the dosing and potential indications for TXA use in the ED.

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20 03, 2018

ALiEMCards: Preeclampsia

2018-03-20T08:03:53+00:00

Preeclampsia is on a spectrum of pregnancy related illness that includes eclampsia and HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets – debate exists about if this is a separate entity altogether). It carries a high mortality for both mom and baby, and can lead to a number of complications including pulmonary edema, hepatic rupture, placental abruption, and seizures (eclampsia). Created by Dr. Sam Ashoo, ALiEM Cards: Preeclampsia gives you a rapid review of its presentation, criteria, and management.

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29 01, 2018

ALiEMCards: The Red and Painful Eye

2018-03-18T08:10:46+00:00

There is significant overlap among conditions that cause a red, painful, or red AND painful eye. Having trouble keeping them all straight? Need a refresher before heading in to see a patient with a new eye complaint? Check out our brief, practical ALiEM Cards on the topic:

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17 01, 2018

ALiEM Cards: Keeping the Sepsis Definitions and Criteria Straight

2018-01-16T18:51:30+00:00
sepsis definitionsIn 2015 the Centers for Medicare and Medicaid Services (CMS) adopted the Sepsis Bundle Project, which is a quality improvement project aimed at reducing sepsis mortality by increasing compliance with national guidelines. But the CMS definitions of sepsis, differ from those is prominent trials (ProCESS, ARISE, ProMISE), and have since diverged from the Surviving Sepsis Campaign definitions, which may be different from your hospital guidelines! Also what are the criteria for SIRS, SOFA, qSOFA?
The ALiEM Card on Sepsis Definitions will help you keep it all straight.
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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