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 From a readability, design, and content delivery perspective, our index card look was becoming outdated.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




PV Card: Focused Echocardiography Ultrasound

Screen Shot 2014-12-31 at 1.06.33 PMSo many great information can be gleaned from a focused echocardiogram in Emergency Department patients. What views are you obtaining? What is the importance of the e-point septal separation (EPSS) and how to measure this? Drs. Jimmy Fair, Mike Mallon, and Mike Stone provide a terrific step-by-step image-based guide to these questions that you can use at the bedside as a refresher.

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2017-08-03T00:20:42-07:00

PV Card: Focused Lung Ultrasound

focused lung ultrasound A LinesBedside pulmonary ultrasonography is becoming increasingly popular in the Emergency Department. You can you use it to assess for pneumothoraces, pleural effusion, pneumonia, pulmonary edema, and other etiologies. There are subtle nuances to help you differentiate these diagnoses. What are A-lines and B-lines? This PV card on the focused lung ultrasound by Drs. Anne Aspler, Clare Heslop, and Mike Stone outline some great bedside tips.

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2017-08-03T00:20:50-07:00

PV Card: Focused Ocular Ultrasound

ocular ultrasound vitreous hemorrhage ultrasoundOcular injuries and pathology are a common cause for Emergency Department visits. With bedside ultrasonography, many of these conditions can be assessed. Did you know that you can check for a retinal detachment, vitreous hemorrhage, and even a lens dislocation? What do these look like? Check out this great PV card on the focused ultrasound assessment of the eye.

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2017-08-03T00:19:05-07:00

PV Card: Testicular Ultrasound for Torsion and Epididymitis

Testicular Torsion sm“Time is testicle.” Every minute drags by while you are awaiting your ultrasonographer to arrive to scan your patient to rule out testicular torsion. Why not take a quick look yourself? What are you looking for? This is an excellent PV card by Drs. Matthew Dawson and Mike Stone on the topic of testicular ultrasound, giving the basics about testicular torsion and acute epididymitis.

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2017-08-03T00:18:51-07:00

PV Card: Skin and Soft Tissue Ultrasound

Abscess UltrasoundWe know that ultrasonography can be used to identify soft tissue infections. But what exactly are the distinguishing features between cellulitis and abscess? Is that a foreign body? Should I put a scalpel to this soft tissue infection? This PV card, written by Drs. Alissa Genthon, Patricia Henwood, and Mike Stone, serves as a great reference card for you at the bedside.

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2017-08-03T00:18:58-07:00

PV Card: Focused Abdominal Aorta Ultrasound

UltrasoundIn this next ultrasound installment in the PV Card series, Drs. Victoria Koskenoja, Heidi Kimberly, and Mike Stone succinctly summarize the focused abdominal aorta ultrasound to assess for an abdominal aortic aneurysm (AAA). These can serve as key reference cards when you do your next AAA scan. Don’t miss the last card with tips on optimizing the view and common pitfalls.

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2017-08-03T00:21:42-07:00