Heartbreaking patient situations are the backbone of Emergency Medicine. Whether it’s a new cancer diagnosis, telling a family member that their loved one has died, or the creeping dread that a mistake that we’ve made will negatively impact one of our patients, we all experience extraordinary stress in our day-to-day clinical practice. Most clinicians are not tasked with routinely sharing news about the violent, unexpected, and horrific life-changing situations that occur in the emergency department, and yet we are given so few tools to help us manage this firehose of grief. This article is intended to share some of the best practices of grief management with clinicians who are immersed in grief, even if unawares.
Production and use of free open access medical education resources (FOAM) has had a meteoric rise over the last decade.1–4 ALiEM works hard to produce content, disseminate knowledge, and consolidate resources in a democratic and accessible way. However, we recognize that FOAM comes with its own limitations:
- Blogs are distinct, individual, and decentralized. How can we search for topic-specific content?
- FOAM doesn’t often have peer review. How can we assess quality and accuracy?
- FOAM is produced on an as-needed basis. How do we achieve curricular comprehensiveness?
Will there be a return to book publishing in this era of digital information chaos and overload? We believe so. We are proud to announce “Tricks of the Trade in Emergency Medicine: Where Experience, Ingenuity, and Evidence Intersect.” Being our own publishers (ALiEM Publishing) and selling through a print-on-demand bookstore has allowed us to design the book with full creative license. In stark contrast to our blog and other digital-based projects, we aimed to create a hardback, full-color book that you can read on a lazy Sunday afternoon, give as a graduation gift, or look delightful on your coffee table. We hope these tips spark your own creativity on how you can better improve your troubleshooting abilities on your next Emergency Department shift.
Emergency Medicine (EM) physicians care for anyone, with anything, at any time. This includes pediatric patients as well as adults. For those without advanced pediatric training, “sick kids” can be quite intimidating. Rashes in the pediatric population are often benign, but in rare cases they portend significant illness. Rashes are also frequent chief complaints; In 2015, there were 1,452,300 pediatric ED visits for “skin and subcutaneous tissue disorders” . We sought to improve the teaching of pediatric rashes in our residency curriculum.
Inadvertent contact with this aquatic species causes excruciating pain and an overwhelming sense of impending doom. What is this?
- Box Jellyfish (Chironex fleckeri)
- Irukandji Jellyfish (Carukia barnesi)
- Lion’s Mane Jellyfish (Cyanea capillata)
- Portuguese Man o’ War (Physalia physalis)
Did you know that the ALiEMU learning management platform has courses in addition to the AIR Series? We just published the third installment of the pediatric point-of-care ultrasound (POCUS) series, which focuses on peripheral IV access using ultrasonography. Do you use the traditional transverse, transverse with dynamic needle tip visualization, or longitudinal ultrasound technique?
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 primary doctor in 1 week.” This is 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 injuries that ideally should not be missed. This list is not meant to be a comprehensive review of each body part, but rather aims to highlight and improve your sensitivity for these potentially catastrophic injuries. Now: the shoulder