• Knee Pain

SplintER Series: 2-Minute Knee Exam | Leg Day #3 | MSK Exam Series

By |Categories: Expert Peer Reviewed (Clinical), Orthopedic, SplintER, Trauma|

Welcome to Leg Day #3 of the SplintER Series! Performing a fast and focused history and physical examination of a patient with an acute knee injury is an important skill that has the potential to be overlooked in our busy Emergency Departments. Our hope is that after reviewing this post and with enough practice you will be able to complete your exam within 2 minutes! These are can't-miss points and expert tips on the knee exam for your next shift in the ED. Read more

ALiEM AIR | Stroke Module

By |Categories: ALiEMU, Approved Instructional Resources (AIR series), Neurology|

Welcome to the Stroke Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the AIR Team is proud to present the highest quality online content related to Stroke emergencies. 7 blog posts within the past 12 months (as of October 2018) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 0 AIR and 7 Honorable Mentions. We recommend programs give 3.5 hours (about 30 minutes per article) of III credit for this module. […]

Beyond the Abstract: A Return to Work Policy for New Resident Parents

By |Categories: Beyond the Abstract, Wellness|

More women than men entered medical school in the United States for the first time in 2017. Will this generation also set new trends in parenting during their training? One study suggests that 40% of female residents plan to have a child while in residency.1 Can our graduate medical education system withstand even a modest increase in the number of resident parents? Can your hospital? […]

Guideline Review: EAST Blunt Cerebrovascular Injury

By |Categories: Guideline Review, Trauma|Tags: , |

Blunt Cerebrovascular Injury (BCVI) can be difficult to diagnose and potentially devastating to miss because of the risk of a potential ischemic stroke. The most recent (2010) Eastern Association for the Surgery of Trauma (EAST) guidelines reviewed 68 journal publications to create the following recommendations based on the best available evidence.1 We summarize the imaging and management recommendations most pertinent to the ED as an infographic for quick and easy reference.1,2 Of note: an isolated neck seat belt sign is NOT an indication for imaging! […]

  • Intracerebral hemorrhage

ALiEMU Capsules 12: Pharmacology of Intracranial Pressure Management

By |Categories: ALiEMU, Capsules, Neurology, Tox & Medications|

The newest installment in the popular ALiEMU Capsules series is live. This module focuses on the critical care topic of intracranial pressure management. Specific topics include hyperosmolar therapy with mannitol versus hypertonic saline and blood pressure management. Go to the ALiEMU Capsule and take the quiz for your Capsules certificate. […]

End-Tidal CO2 in Cardiopulmonary Resuscitation

By |Categories: Critical Care/ Resus, Pulmonary|

End-tidal CO2 (EtCO2) monitoring is a measure of metabolism, perfusion, and ventilation. In the ED, we typically think of a EtCO2 as a marker of perfusion and ventilation. However, EtCO2 is an extremely powerful surrogate for endotracheal tube (ETT) Position, CPR Quality, Return of spontaneous circulation (ROSC), Strategies for treatment, and Termination (of CPR). Do these letters look familiar? They should! In this post we take a deep dive into each of these potential uses of EtCO2 in the ED. […]

The 4 T’s of Postpartum Hemorrhage

By |Categories: Critical Care/ Resus, Ob/Gyn|

A 28-year-old G4P3 at 41 weeks presents to the ED via EMS. She is in active labor. On exam, a neonatal head is visible. Two minutes later, you deliver a healthy vigorous baby boy and hand him to your colleague. You notice persistent bleeding from her vaginal canal. Her tachycardia climbs to 110 bpm and her latest blood pressure is 78/48 mm Hg. We review postpartum hemorrhage (PPH) and the 4 T’s – a memory aid to help ED providers manage this life-threatening presentation. […]

ALiEM AIR Non-ACS Cardiovascular Module

By |Categories: ALiEMU, Approved Instructional Resources (AIR series), Cardiovascular|

Welcome to the Non-ACS Cardiovascular Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the AIR Team is proud to present the highest quality online content related to non-acs cardiovascular emergencies. 5 blog posts within the past 12 months (as of September 2018) 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 2.5 hours (about 30 minutes per article) of III credit for this module. […]

IDEA Series: A Low-fidelity Simulation Workshop for Teaching Cricothyroidotomy

By |Categories: Critical Care/ Resus, IDEA series|

The Problem Cricothyroidotomy is an emergency life-saving procedure that involves surgical placement of a tube through the cricothyroid membrane in order to establish a patent airway for oxygenation and ventilation. The indications for this procedure are when traditional means, such as orotracheal or nasotracheal intubation, are contraindicated or have failed during attempts to establish an emergency airway.1,2 It is a critical skill for emergency physicians but the declining rate of this procedure has resulted in decreased exposure during training.3,4 […]