Pediatric Point of Care Ultrasonography ALiEMU Course on Intussusception

Our ALiEMU learning management system, which currently houses the AIR series, Capsules series, and In-Training Exam Prep courses, is ready to slowly open the doors to welcome external authors with high quality content. We are thrilled to welcome a UCSF-sponsored pediatric emergency medicine (EM) point of care ultrasonography (POCUS) series, led by Dr. Margaret Lin. The first course is on the intussusception scan, filled with multiple ultrasound scans showing normal variants and two different types of intussusception.

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By Michelle Lin, MD|2019-11-10T21:51:53-08:00Jun 28, 2019|ALiEMU, Gastrointestinal, Pediatrics, Radiology, Ultrasound|

ACMT Toxicology Visual Pearls: Abnormal ECG

This abnormal ECG would be typical following an overdose on which of the following medications?

Amitriptyline
Buspirone
Citalopram
Haloperidol (more…)

By Colin O'Neill, MD|2019-11-12T19:02:16-08:00Jun 26, 2019|ACMT Visual Pearls, ECG, Tox & Medications|

ALiEM AIR | Cutaneous 2019 Module

Welcome to the AIR Cutaneous 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 cutaneous emergencies. 6 blog posts within the past 12 months (as of February 2019) 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.

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By Chris Belcher, MD|2020-09-04T11:11:06-07:00Jun 20, 2019|ALiEMU, Approved Instructional Resources (AIR series), Dermatology|

New PECARN Febrile Infant Rule: A 3-Variable Approach for Ages 29-60 Days | Interview with Dr. Kuppermann

The diagnosis and risk stratification of febrile young infants continues to present a clinical challenge. Serious bacterial infection (SBI) rates in infants ≤60 days have continued to be reported between 8-13%. Despite several different classification rules and pathways, we continue to struggle to accurately delineate which infants have SBI and which do not. A paper titled “A Clinical Prediction Rule to Identify Febrile Infants 60 days and Younger at Low Risk for Serious Bacterial Infections” was published in JAMA Pediatrics in February of 2019.¹ The authors sought to derive a new clinical prediction rule for infants with fever. The research was conducted as part of the Pediatric Emergency Care Applied Research Network (PECARN). We discussed this publication with lead author Dr. Nathan Kuppermann on a podcast and summarize our discussion below.

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By Jason Woods, MD|2021-07-01T21:15:48-07:00Jun 19, 2019|Pediatrics|

ACMT Toxicology Visual Pearls: Eating Foraged Wild Mushrooms

What clinical symptoms would be expected after eating a meal made with the pictured foraged wild mushrooms?

Bradycardia, urinary incontinence, and bronchospasm
Hallucinations
Seizures and rhabdomyolysis
Skin flushing and palpitations (more…)

By Alayna Prest, MD|2019-11-12T19:03:03-08:00May 27, 2019|ACMT Visual Pearls, Expert Peer Reviewed (Clinical), Tox & Medications|

SplintER Series: A Case of Severe Shoulder Pain

A 45 year old woman presents with several days of gradually worsening right shoulder pain and stiffness. Her shoulder is very warm to the touch but not erythematous. You obtain shoulder x-rays and see a linear density in the AP view (photo credit).

What is the most likely diagnosis, the differential diagnosis, and management plan?

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By William Denq, MD CAQ-SM|2026-06-16T16:14:28-07:00May 20, 2019|Orthopedic, SplintER|

Ultrasound Gel Warmers in the Emergency Department?

How many times have you told a patient “The gel will be cold?” How many times have you watched a patient retract from the transducer because of the cold gel? How about a pediatric patient? Could warm gel improve your rate of clinically successful scans? It seems easy enough to install gel warmers alongside our ultrasound machines. But, should we do this?