ALiEM AIR | Renal/Genitourinary 2020 Module

Welcome to the AIR Renal/Genitourinary 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 renal and genitourinary emergencies. 6 blog posts within the past 12 months (as of May 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 Renal/GU Quiz on ALiEMU

Interested in taking the renal/GU 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: Renal/GU Emergencies

Site	Article	Author	Date	Label
emDocs	Complications of Nephrostomy Tubes: ED Presentations, Evaluation, and Management	Michael J. Yoo, MD	11/11/2019	AIR
RebelEM	Post Contrast Acute Kidney Injury	Salim Rezaie, MD	1/16/2020	HM
EMCrit	The Myth of Contrast Nephropathy	Josh Farkas, MD	5/2/2019	HM
EMCrit	Non-Anion Gap Metabolic Acidosis (NAGMA)	Josh Farkas, MD	9/19/2019	HM
emDocs	EM@3AM: Kidney Transplant Complications	Rachel Bridwell, MD	12/29/2019	HM
CanadiEM	Testicular Torsion	Subhrata Verma	11/12/2019	HM

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

If you have any questions or comments on the AIR series, or this AIR renal/genitourinary 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|2020-09-03T21:51:03-07:00Aug 7, 2020|ALiEMU, Approved Instructional Resources (AIR series), Genitourinary, Renal|

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?

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By Andrew Grock, MD|2020-05-28T12:37:11-07:00May 20, 2020|Genitourinary, Renal|

AIR Series: Renal/Genitourinary (2017)

Welcome to the Renal/GU 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 Renal/GU content. Below we have listed our selection of the 13 highest quality blog posts within the past 12 months (as of May 2017) related to Renal/GU emergencies, curated and approved for residency training by the AIR Series Board. We identified 3 AIRs and 10 Honorable Mentions. We recommend programs give 4 hours (about 20 minutes per article) of III credit for this module. As of June 2017, over 125 residency programs are using the AIR series – that’s over 1,200 residents completing at least one module in the 2016-2017 academic year!
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By Andrew Grock, MD|2017-12-19T01:17:52-08:00Aug 21, 2017|Approved Instructional Resources (AIR series), Genitourinary, Renal|

AIR Series: GU/Renal Module 2015

Welcome to the eighth ALiEM Approved Instructional Resources (AIR) Module! In an effort to reward our residents for the reading and learning they are already doing online we have created an Individual Interactive Instruction (III) opportunity utilizing FOAM resources for U.S. Emergency Medicine residents. For each module, the AIR board curates and scores a list of blogs and podcasts. A quiz is available to complete after each module to obtain residency conference credit. Once completed, your name and institution will be logged into our private database, which participating residency program directors can access to provide proof of completion.

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By Andrew Grock, MD|2019-02-19T18:25:14-08:00Apr 29, 2015|Approved Instructional Resources (AIR series), Genitourinary, Renal|

Piperacillin/Tazobactam and Risk of Acute Kidney Injury with Vancomycin

There are a few reasons why piperacillin/tazobactam (Zosyn) is not usually my first choice for a broad-spectrum gram-negative agent in the ED. First, at my institution, the Pseudomonas aeruginosa susceptibilities to pip-tazo are lower than that for cefepime. Second, pip-tazo does not have great CNS penetration, especially compared to ceftriaxone, cefepime, or even meropenem. Third, do we really need the anaerobic coverage that pip-tazo provides for every sick patient? Pip-tazo is great for empiric treatment of intra-abdominal and severe diabetic foot infections, but may not be needed for a hospital-acquired pneumonia. Fourth, with its frequent dosing (every 6 hours), too often the second dose is missed if the patient is still boarding in the ED.

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By Bryan D. Hayes, PharmD, DABAT, FAACT, FASHP|2019-02-12T06:02:25-08:00May 20, 2014|Renal, Tox & Medications|

Bicarbonate: Completely Useless?

Intravenous sodium bicarbonate seems like a wonderful drug. It fixes acidosis, pushes potassium into cells, alkalinizes urine, and even helps with smelly feet. However, this literature review of four conditions casts some doubt into the seemingly cure-all that is bicarbonate.

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By Andrew Grock, MD|2016-11-11T19:17:46-08:00Dec 4, 2013|Endocrine-Metabolic, Expert Peer Reviewed (Clinical), Pulmonary, Renal|

52 Articles in 52 Weeks: Landmark EM Articles 2013

To provide a resource for evidence-based Emergency Medical education, this list of must-read landmark articles was created to supplement the Emergency Medicine (EM) internship year of training. There are 52 articles so that one article can be read at leisure each week of the year. I searched national databases and polled faculty at the University of Washington to identify articles that faculty would expect any EM resident to be familiar with or that they felt were practice-changing in EM. Articles were selected for the final list based on the quality of study design, sample size, and relevance for EM residents.