ALiEM AIR Series | Environmental 2021 Module

Welcome to the AIR Environmental 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 online content related to environmental emergencies in the Emergency Department. 6 blog posts within the past 12 months (as of January 2021) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 3 AIR and 3 Honorable Mentions. We recommend programs give 3 hours (about 30 minutes per article) 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 Environmental quiz at ALiEMU

Interested in taking the environmental 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: Environmental Emergencies

Site	Article	Author	Date	Label
EMDocs	Mammalian Bites: ED Presentations, Evaluation, and Management	Erin Rizzo, MD and Jaryd Zummer, MD	October 12, 2020	AIR
EMDocs	ToxCard: Riot Control Agents	Elissabeth Hagler, MD and Kathryn Kopec, DO	June 23, 2020	AIR
EMOttawa	Hypothermia: Keeping your cool when it gets cold	Mark McKinney, MD	March 5, 2020	AIR
EMDocs	EM@3AM: Heat Stroke	Sofia Rodriguez, DO	August 29, 2020	HM
EMDocs	ToxCard: Caustic Eye Injuries	Elizabeth Olson, MD and Christine Murphy, MD	February 4, 2020	HM
EMDocs	EM@3AM: Hypothermia	McKenna Furgurson, MD	December 19, 2020	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! More in-depth information regarding the Social Media Index.

Thank you to the Society of Academic Emergency Medicine (SAEM) and the Council of EM Residency Directors (CORD) for jointly sponsoring the AIR Series! We are thrilled to partner with both on shaping the future of medical education.

By Chris Belcher, MD|2021-03-23T12:59:41-07:00Apr 9, 2021|Approved Instructional Resources (AIR series)|

ACMT Toxicology Visual Pearls – In “Spore” Taste

A 15-year-old male presents symptomatic several hours after inhaling spores of this mushroom as a home remedy for epistaxis. What is the presentation and pathophysiology of the toxic syndrome associated with this mushroom?

For a video of this mushroom in action: https://youtu.be/G_DXTlvvsco

Dyspnea and cough from hypersensitivity alveolitis
Flushing, nausea and vomiting from acetaldehyde accumulation
Nausea, vomiting and hepatoxicity from RNA synthetase inhibition
Seizures from reduced GABA production in the central nervous system

(more…)

By Bryan Ross, MD|2021-04-10T10:23:37-07:00Apr 7, 2021|ACMT Visual Pearls, Tox & Medications|

EMRad: Can’t Miss Pediatric Elbow Injuries

Have you ever been working a shift at 3 am and wondered, “Am I missing something? I’ll just splint and instruct the patient to follow up with their PCP in 1 week.” This can be a reasonable approach, especially if you’re concerned there could be a fracture. But we can do better. Enter the “Can’t Miss” series: a series organized by body part that will help identify common and catastrophic injuries. This list is not meant to be a comprehensive review of each body part, but rather to highlight and improve your sensitivity for these potentially catastrophic injuries. We reviewed the approach to the pediatric elbow previously. Now, the “Can’t Miss” pediatric elbow injuries. (more…)

By Daniel Ichwan, MD|2021-04-10T10:24:46-07:00Apr 5, 2021|EMRad, Orthopedic, Pediatrics, Radiology, Trauma|

SplintER Series: Kitty Nibble: A Case of the Sausage Finger

A 30-year-old female presents with left second finger pain with overlying erythema, warmth, and swelling the day after her cat bit her finger. She cannot fully extend the finger, it is tender and she has pain when it is passively extended. Her hand appears as shown above (Figure 1. Case courtesy of Kristina Kyle, MD).

(more…)

By Jennifer RaaeNielsen, MD|2021-03-31T08:21:17-07:00Apr 2, 2021|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

SplintER Series: A Case of Hip Pain

$humeral shaft fracture xray$

Figure 1. Image prompt: AP view of the pelvis and left hip. Authors’ own images.

A 70-year-old male presents with left hip pain and inability to ambulate after a mechanical trip and fall. Examination demonstrates that the left lower extremity is shortened, abducted and externally rotated. Hip and pelvis x-rays are obtained (Figure 1).

(more…)

By Ari Nutovits, MD|2021-03-16T18:46:18-07:00Mar 31, 2021|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|

ALiEM AIR Series | Gastroenterology 2020 Module

Welcome to the AIR Gastroenterology 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 online content related to gastroenterology in the Emergency Department. 6 blog posts within the past 12 months (as of November 2020) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 1 AIR and 5 Honorable Mentions. We recommend programs give 3 hours (about 30 minutes per article) 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 gastroenterology quiz at ALiEMU

Interested in taking the gastroenterology 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: Gastroenterology Emergencies

Site	Article	Author	Date	Label
EMCrit: IBCC	Hypertriglyceridemic Pancreatitis	Josh Farkas, MD	28 August 2020	AIR
EMCrit: IBCC	Nausea, emesis, and antiemetics	Josh Farkas, MD	17 Aug 2020	HM
ALiEM	Unlocking the MIC-key	Marc Cassone, DO and Natalie Senter, MD	24 Aug 2020	HM
RebelEM	HALT-IT: TXA for GI bleeds	Salim Rezaie, MD	27 Jun 2020	HM
EMDocs	Improving the ED Diagnosis of Mesenteric Ischemia	Angela Cai, MD and Ian DeSouza, MD	14 Sep 2020	HM
EMDocs	Non-Obstetric Abdominal Pain in the Pregnant Patient	Marina Boushra, MD	25 Nov 2019	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! More in-depth information regarding the Social Media Index.

Thank you to the Society of Academic Emergency Medicine (SAEM) and the Council of EM Residency Directors (CORD) for jointly sponsoring the AIR Series! We are thrilled to partner with both on shaping the future of medical education.

By Chris Belcher, MD|2021-03-26T11:52:55-07:00Mar 26, 2021|Approved Instructional Resources (AIR series)|

Teaching LGBTQ+ Health: 10 Clinical Pearls

Are you confident in your skills when taking care of LGBTQ+ patients? Are you able to teach principles of LGBTQ+ health to trainees in your clinical practice and the classroom setting? Learners across the health professions demand improved LGBTQ+ health content and additional training opportunities in their schools’ curricula. However, most clinician educators received little, if any, training in LGBTQ+ health when they were students.

10 Clinical Pearls on Teaching About LGBTQ+ Health

The following are some sneak-peak clinical pearls from the Teaching LGBTQ+ Health online course that just launched. This open access, interactive, CME course was published in conjunction with National LGBT Health Awareness Week (March 22-26, 2021). It was developed by Stanford Medicine and designed by Dr. Michael Gisondi (Stanford Emergency Medicine), Timothy Keyes (Stanford SOM), Shana Zucker (Tulane SOM), and Deila Bumgardner (Stanford EdTech) in collaboration with the Medical Student Pride Alliance.

LGTBQ+ health encompasses so much more than the historical, one-dimensional portrayals of gay men previously used to teach about HIV/AIDS.
Treat your LGBTQ+ patients with dignity and respect by correctly using LGBTQ+ health vocabulary.
Language is both fluid and deeply personal—not all LGBTQ+ patients refer to themselves with similar terms, and the ways in which these terms are used may change over time.
Sex, gender, and sexual orientation are related but distinct concepts.
Intersecting minority statuses have a synergistic effect on the health and health-seeking behaviors of LGBTQ+ patients.
The CDC recommends the use of ‘The 5 P’s of Sexual Health’ framework for obtaining a sexual history.
In accordance with the PARTNER2 study, ‘undetectable = untransmittable.’
Compliance with PrEP (pre exposure prophylaxis) for HIV reduces the risk of acquiring HIV by approximately 99%.
Transmasculine patients seek routine primary care and Pap testing less frequently than cisgender patients.
Create inclusive clinical environments that are affirming to queer patients, staff, and students.

Online Course: Teaching LGBTQ+ Health

Teaching LGBTQ+ Health is a new, online, faculty development course designed to bridge the gap between the expectation of faculty teaching competency and a lack of previous training. The intended audience includes educators across the health professions, though the content is also made freely available to all providers, students, patients, and other interested individuals.

This course serves as an introductory primer that assumes no prior knowledge of LGBTQ+ health issues. The course includes both LGBTQ+ health content and recommendations for teaching this material to trainees in any discipline or clinical department. Educators may freely download portions of the course for use in their daily clinical teaching or their school’s curriculum.

This online course is divided into modules that review topics such as LGBTQ+ Vocabulary, Social and Behavioral Determinants of Queer Health, Disease Prevention, and Teaching Strategies, among others. A comprehensive glossary of key terms and 3 interactive, clinical case examples are provided to reinforce key concepts. The entire course is evidence-based and extensive references to medical literature are provided.

If you learn something new by from our course, we respectfully ask that you share the course within your clinical department and with a few colleagues outside your institution.

By Michael Gisondi, MD|2026-06-16T16:16:55-07:00Mar 23, 2021|CME, Public Health|