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 [+]
PEM POCUS Series: Pediatric Musculoskeletal Ultrasound
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric musculoskeletal 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 MUSCULOSKELETAL Module Goals List the indications for performing pediatric musculoskeletal (MSK) point-of-care ultrasound (POCUS) Describe the technique for performing specific pediatric MSK POCUS applications List anatomical landmarks for specific MSK POCUS applications Interpret signs of fracture, effusion, dislocation, and osteomyelitis with POCUS Describe the limitations of [+]
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 [+]
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
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- A Tale of Two Epidemics: COVID-19 and the Opioid Crisis - April 23, 2020