IDEA Series: 3D-printed pediatric lumbar puncture trainer

Pediatric lumbar puncture trainers are less available than adult trainers; most are the newborn size and quite expensive. Due to age-based practice patterns for fever diagnostic testing, most pediatric lumbar punctures are performed on young infants, and residents have fewer opportunities to perform lumbar punctures on older children.¹ Adult lumbar puncture trainers have been created using a 3D-printed spine and ballistics gel, which allows for ultrasound guidance.² No previous model has been described for pediatric lumbar puncture.

(more…)

By Patrick Leaf,MD|2024-04-09T14:18:42-07:00Sep 16, 2020|IDEA series, Medical Education, Neurology, Pediatrics, Simulation|

ACMT Toxicology Visual Pearls: Awake Seizures?

Which of the following rodenticides, often used to kill the rodent pictured, causes seizure-like activity without altered mental status or a postictal period?

Barium
Brodifacoum
Carbamate
Strychnine
Zinc phosphide

(more…)

By Kregg Laundon, MD|2020-09-17T20:08:16-07:00Sep 14, 2020|ACMT Visual Pearls, Emergency Medicine, Tox & Medications|

ALiEMU Course Approach to Splinting badge

We are so thrilled to announce that we created an ALiEMU Course on the Approach to Splinting, using one of our most popular series, the SplintER Series, as the learning foundation. We have created a custom quiz assessing the learning objectives. Are you a medical student getting ready for your EM rotation or internship? Or an EM resident needing to brush up on your splinting knowledge? Take this free course for 2 hours of ALiEMU course credit, and receive your “Approach to Splinting” badge.

(more…)

By Michelle Lin, MD|2020-11-05T18:30:58-08:00Sep 9, 2020|ALiEMU, Orthopedic, SplintER|

SAEM Clinical Image Series: Juvenile Snake Bite

A 62-year-old male presented thirty minutes after being bitten by a snake in his garden. He stated that he thinks his finger was bitten twice. The patient presented with pain and swelling of his right hand and forearm.

(more…)

By Keegan McNally, MD|2020-09-05T17:24:23-07:00Sep 7, 2020|Emergency Medicine, Environmental, SAEM Clinical Images, Tox & Medications|

SAEM Clinical Image Series: Atraumatic Proptosis

An 85-year-old female with a past history of hypertension presents with acute right-eye pain, redness, and proptosis/bulging for the past two months that has been worsening over the past two days. She endorses blurry vision that began two days prior. She does not use contacts or glasses. No trauma, headache, or loss of consciousness are reported. She reports a “whooshing” sound in her right ear for two to three months.

(more…)

By Timothy Montrief, MD MPH|2020-09-08T14:58:05-07:00Sep 7, 2020|Emergency Medicine, HEENT, Ophthalmology, SAEM Clinical Images|

Welcome to the AIR Psychosocial 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 psychosocial emergencies. 5 blog posts within the past 12 months (as of July 2020) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 2 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 Psychosocial Quiz on ALiEMU

Interested in taking the Psychosocial 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: Psychosocial Emergencies

Site	Article	Author	Date	Label
EMCrit: The Tox and the Hound	We have a MOUD Disorder	Howard Greller, MD	12/23/2019	AIR
RebelEM	Evolution of Ketamine for Severe Agitation	Jeff Riddell, MD	7/1/2019	AIR
EMCrit: The Tox and the Hound	Breastfeeding on Buprenorphine	Christine Murphy, MD	7/5/2019	HM
EMCrit: The Tox and the Hound	U(ds) and I	Howard Greller, MD	5/13/2019	HM
EMDocs	EM Cases: Pediatric Physical Abuse Recognition and Management	Anton Helman, MD	7/12/2019	HM

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

If you have any questions or comments on the AIR series, or this AIR psychosocial 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|2020-09-04T11:08:46-07:00Sep 4, 2020|ALiEMU, Approved Instructional Resources (AIR series), Psychiatry|

A 30-year-old male presents with right shoulder pain after a motorcycle accident. You obtain shoulder x-rays and see the following images (Image 1: AP, scapular Y, and axillary views of the right shoulder. Author’s own images). What is the most likely diagnosis, typical mechanism of injury, expected physical exam findings, appropriate imaging modalities, and management plan?

(more…)

By Victor Huang, MD|2020-08-25T17:25:08-07:00Sep 2, 2020|Expert Peer Reviewed (Clinical), Orthopedic, SplintER|