PEM POCUS Series: Pediatric First-Trimester Pregnancy
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric first-trimester pregnancy evaluation. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Pediatric First-Trimester Pregnancy Module Goals List the indications for performing an obstetric point-of-care ultrasound (POCUS) Identify the characteristic findings of an intrauterine pregnancy in the first-trimester Describe how to measure fetal heart rate (FHR) and methods of estimating gestational age using POCUS Identify findings concerning for ectopic pregnancy in the first-trimester [+]
ACMT Toxicology Visual Pearl – Sauté Gone Sour
Ingestion of the pictured mushroom is most associated with which toxicity? Disulfiram-like reaction Hallucinations Liver failure Seizures [Image credit to William Morris via Creative Commons] [+]
Omar El Hely, MD
Carolinas Medical Center, Charlotte NC
Latest posts by Omar El [+]
PRoMPT BOLUS: A Landmark PECARN Trial Defining Fluid Choice in Pediatric Sepsis
Article reviewed: Balamuth F, Weiss SL, Long E, et al; PRoMPT BOLUS Investigators of the PECARN, PERC, and PREDICT Networks. Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock. N Engl J Med. Published online April 24, 2026 DOI: 10.1056/NEJMoa2601969 | PubMed: PMID 42028918 For years, clinicians and researchers have debated a fundamental question in pediatric emergency care: does the type of fluid used in pediatric sepsis resuscitation matter? The PRoMPT BOLUS trial was designed to answer this question. Conducted across 47 international sites in 5 countries and enrolling more than 9,000 children, this large, pragmatic randomized [+]
ACMT Toxicology Visual Pearl: Delayed Skin Burn
What type of burn may not develop findings shown until days to weeks after the exposure? Chemical Electrical Radiation Thermal [Image generated via Google Gemini] [+]
Kevin Black, DDS, MD
Carolinas Medical Center
Latest posts by Kevin Black, DDS, [+]
ALiEM AIR Series | Non-ACS Cardiology Module (2026)
Welcome to the AIR Non-ACS Cardiology Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to non-ACS cardiology emergencies in the Emergency Department. 9 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board. More specifically, we identified 6 AIR and 3 Honorable Mentions. We recommend programs give 5 hours of III credit for this module. AIR Stamp [+]
ACMT Toxicology Visual Pearl – Big Spider, Small Risk
What is the spider pictured below? Atrax robustus (Sydney funnel-web spider) Phoneutria nigriventer (Brazilian wandering spider) Trichonephila clavata (Joro Spider) Trichonephila clavipes (Golden Silk Orb-Weaver) [Author’s own image] [+]
Fernando Tejeda-Castro, DO
Jefferson Einstein Hospital of Philadelphia
ACMT Toxicology Visual Pearl: Breathtaking Emergencies
What toxic gas is created by mixing these two household products? Chloramine gas Chlorine gas Chloroform Peracetic acid [Author’s own image] [+]
Teresa Crow, MD
Carolinas Medical Center, Charlotte, NC
Latest posts by Teresa Crow, MD (see all)
Who Gets Mistriaged? Disparities in Pediatric Behavioral Health ED Triage | A PECARN multicenter analysis
A 14-year-old Hispanic girl presents to the Emergency Department with her mother for suicidal ideation after a conflict at home. The girl is quiet and cooperative. Her mother, who speaks primarily Spanish, is trying to explain the situation. The nurse assigns an ESI level 2, the same score given to nearly every child who walks through the door with a behavioral health complaint. But does that score accurately capture this patient's needs? A new multicenter PECARN study published this week in JAMA Network Open takes a close look at triage accuracy for pediatric behavioral health ED visits. The findings: [+]
Dump the Myths, Not the Milk: Medication and Imaging Considerations for Lactating Patients in the Emergency Department
The challenges in lactation are often compounded by outdated beliefs held by clinicians. Most of the medications we administer in the emergency department (ED) do not warrant any interruption in expression or feeding of breastmilk. Most imaging we perform in the ED is safe in the lactating patient and likewise does not need interruption. Let us convince you to trash the phrase, “Pump and Dump” in the ED. Most medications commonly given in the ED are safe in lactation Evidence suggests medication transfer through breast milk is frequently overestimated, with actual infant exposure typically minimal for most medications commonly [+]
ACMT Toxicology Visual Pearl: Blue to the Rescue
The medication shown in the image is used to treat which type of toxic exposure? Beryllium Cadmium Cesium Iron [Image from Saalebaer via Wikimedia Commons] [+]
Victoria Soewarna, MD
Carolinas Medical Center, Charlotte, NC
Latest posts by Victoria Soewarna, MD (see [+]
Director of Growth, Strategic Alliance Initiative, Center for Innovation and Digital Health
Massachusetts General Hospital;
Chief Scientific Officer, Conductscience.com
Latest posts by Shuhan He, MD (see all)
- The Discharge Severity Index: Early Research on ED Readmission Risk Assessment - August 14, 2025
- Suboxone and the Emergency Physician: Get Waivered Training - August 12, 2022
- A Tale of Two Epidemics: COVID-19 and the Opioid Crisis - April 23, 2020