Trick of the Trade: Improvised Collar and Cuff Sling Using Soft Limb Holders
A 69-year-old woman presents to the emergency department (ED) after 2 falls at home. She tripped on a rug overnight, felt dizzy as she tried to get up, and fell again. She struck her head but has no pain from it. Her chief complaint is right shoulder pain, and she reports frequent shoulder dislocations in the past. An x-ray shows an acute comminuted, non-displaced fracture of the humeral neck with involvement of the greater tuberosity. Initial management is immobilization in a sling for 1-3 weeks, and the evidence supports nonoperative treatment for most proximal humerus fractures [1,2]. A collar [+]
ALiEM AIR Series | ACS Cardiology Module (2026)
Welcome to the AIR ACS Cardiology Module! After carefully reviewing all relevant posts in the past 11 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 ACS cardiology emergencies in the Emergency Department. 5 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board. More specifically, we identified 1 AIR and 4 Honorable Mentions. We recommend programs give 3 hours of III credit for this module. AIR Stamp [+]
PERC-Peds Rule Could Change How Children Are Evaluated for Pulmonary Embolism: A PECARN Study
A new PECARN study found the PERC-Peds bedside rule safely excluded pulmonary embolism in low-risk children without imaging or labs, with 99.6% sensitivity across more than 4,000 patients.
What We Still Do Not Know About Pediatric Mental Health Emergencies: PECARN Research Agenda
PECARN's Mental Health Working Group used a modified Delphi process with parents, youth, and multidisciplinary clinicians to name 51 research priorities for pediatric mental and behavioral health emergencies. Suicide prevention dominates the top tier.
ACMT Toxicology Visual Pearl – The Fang and the Furious
Envenomation from this oceanic snake would most likely lead to which of the following symptoms? Acute renal failure Blindness Descending paralysis Localized skin necrosis [Image courtesy of Petr Hamernik – Zoo Praha, Wikimedia Commons] [+]
Scott Dimeo, MD
Carolinas Medical Center
Latest posts [+]
ACMT Toxicology Visual Pearl – Black Vomit, Big Problem
Which of the following substances available in black pellet form causes rapid onset of black emesis with a garlicky or fishy odor when ingested? Acephate Brodifacoum Iron sulfate Zinc phosphide [Author’s own image] [+]
Jessica Zavadak Tkatch, MD
Carolinas Medical Center, Charlotte, NC
ACMT Toxicology Visual Pearl: Pit Viper
The venom of the pictured creature causes tissue inflammation and necrosis through which of the following mechanisms: Alpha-bungarotoxin Alpha-latrotoxin Domoic acid Phospholipase A2 [Image by Vauxford via Wikimedia Commons] [+]
Nomerra Koreshi, DO
Jefferson Einstein Philadelphia Hospital
Latest posts by Nomerra Koreshi, [+]
ACMT Toxicology Visual Pearl: Clutching your Perles
What type of EKG changes may be seen following ingestion of this medication, often prescribed for an upper respiratory infection? AV block Diffuse ST elevation Prolonged QTc Widened QRS [Author’s own image] [+]
Stephanie Teeling, MD
Carolinas Medical Center, Charlotte, NC
Latest posts [+]
AZ-SWED Trial: Azithromycin Does Not Improve Preschool Wheezing Outcomes
Preschool wheezing is one of the most common pediatric ED presentations, and azithromycin has long been a tempting option. The AZ-SWED trial randomized 840 children to azithromycin or placebo and found no benefit, even in those with bacteria detected in the airway.
ACMT Toxicology Visual Pearl – Who Toad You to Lick It?
When people intentionally lick this toad, which toxin can they be exposed to? Bufodienolides Ciguatoxin Mescaline Psilocybin [Image by Spencer B. via iNaturalist] [+]
Ann-Jeannette Geib, MD
Department of Emergency Medicine
Carolinas Medical Center, Charlotte, NC
Latest posts by Ann-Jeannette Geib, 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