ACMT Toxicology Visual Pearl: Needle to Necrosis

Which of the following agents, when injected along with heroin, is associated with the skin changes pictured?

Cocaine
Fentanyl
Methamphetamine
Xylazine

Photo by Dr. Matthew Salzman

By Christiana Agbonghae, MD|2023-11-15T21:18:03-08:00Nov 29, 2023|ACMT Visual Pearls, Expert Peer Reviewed (Clinical), Tox & Medications|

ACMT Toxicology Visual Pearl: Poison Dart Frog

The toxin from the golden poison dart frog most resembles which of the following in its mechanism of action?

Botulinum toxin
Bufotoxin
Grayanotoxin
Palytoxin
Tetrodotoxin

Photo adapted from Wilfried Berns (Wikimedia Commons)

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By Nathaneal Franks, MD|2023-11-14T18:09:44-08:00Nov 22, 2023|ACMT Visual Pearls, Expert Peer Reviewed (Clinical), Tox & Medications|

ACMT Toxicology Visual Pearl: Making Rash Decisions

Which of the following best describes the pictured rash occurring 4 weeks after starting minocycline?

Anaphylaxis
Drug Reaction with Eosinophilia and Systemic Symptoms (DRESS) Syndrome
Erythema multiforme
Serum sickness
Stevens-Johnson Syndrome (SJS)/Toxic Epidermal Necrolysis (TEN)

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By Destiny D. Folk, MD|2023-10-30T20:45:58-07:00Nov 8, 2023|ACMT Visual Pearls, Expert Peer Reviewed (Clinical), Tox & Medications|

ALiEM AIR Series | Trauma 2023 Module

Welcome to the AIR Trauma Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to related to trauma in the Emergency Department. 8 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board. More specifically, we identified 3 AIR and 5 Honorable Mentions. We recommend programs give 4 hours of III credit for this module.

AIR Stamp of Approval and Honorable Mentions

In an effort to truly emphasize the highest quality posts, we have 2 subsets of recommended resources. The AIR stamp of approval is awarded only to posts scoring above a strict scoring cut-off of ≥30 points (out of 35 total), based on our scoring instrument. The other subset is for “Honorable Mention” posts. These posts have been flagged by and agreed upon by AIR Board members as worthwhile, accurate, unbiased, and appropriately referenced despite an average score.

Take the AIR Trauma Module at ALiEMU

Interested in taking the AIR quiz for fun or asynchronous (Individualized Interactive Instruction) credit? Please go to the above link. You will need to create a free, 1-time login account.

Highlighted Quality Posts: Trauma

Site	Article	Author	Date	Label
Rebel EM	Trauma Resuscitation Update	Salim Rezaie, MD	May 25, 2023	AIR
EM Docs	Unstable Pelvic Trauma Patient	Luke Wohlford, MD	June 3, 2023	AIR
EM Docs	Maxillofacial Trauma	Forrest Turner, MD	October 17, 2022	AIR
Rebel EM	PATCH trauma trial	Anand Swaminathan, MD	June 19, 2023	HM
Don’t Forget the Bubbles	Blast Injuries	Andrew Tagg, MD	March 16, 2023	HM
Don’t Forget the Bubbles	Penetrating Chest Trauma	Sarah Davies, MD and Kat Priddis, MD	July 1, 2023	HM
St Emlyns Blog	Refresher on Blood Transfusion in Trauma	Richard Carden, MD	April 13, 2023	HM
RCEMlearning	Blast Injuries	Alison Tompkins, MD	June 30, 2023	HM

(AIR = Approved Instructional Resource; HM = Honorable Mention)

If you have any questions or comments on the AIR series, or this AIR module, please contact us!

Reference

Lin M, Phipps M, Chan TM, et al. Digital Impact Factor: A Quality Index for Educational Blogs and Podcasts in Emergency Medicine and Critical Care. Ann Emerg Med. 2023;82(1):55-65. doi:10.1016/j.annemergmed.2023.02.011, PMID 36967275

By Chris Belcher, MD|2023-10-30T20:57:25-07:00Nov 3, 2023|Approved Instructional Resources (AIR series), Expert Peer Reviewed (Clinical), Trauma|