• Pills

ALiEMU Capsules Module 10: Concepts in Infectious Disease

By |Categories: ALiEMU, Capsules, Infectious Disease|

We are proud to present Capsules Module 10: Concepts in Infectious Disease, now published on ALiEMU. Here is a summary of the key points from a stellar module by Drs. Meghan Groth and Paul Takamoto. When you’re finished, head over to the Capsules page for even more practical pharmacology for the EM provider. […]

PEM Pearls: Regional Facial Nerve Blocks

By |Categories: ENT, Pediatrics, PEM Pearls|

Regional nerve blocks of the face and ear can be a wonderful choice of analgesia in a child, particularly for wounds that need to be repaired. The benefits include fewer local injections, improved cosmesis due to less wound margin distortion, and improved analgesia within the nerve region.1,2 The following blog post and brief video tutorial review the key elements of this technique. […]

ALiEM Cards: Keeping the Sepsis Definitions and Criteria Straight

By |Categories: ALiEM Cards, Critical Care/ Resus|

In 2015 the Centers for Medicare and Medicaid Services (CMS) adopted the Sepsis Bundle Project, which is a quality improvement project aimed at reducing sepsis mortality by increasing compliance with national guidelines. But the CMS definitions of sepsis, differ from those is prominent trials (ProCESS, ARISE, ProMISE), and have since diverged from the Surviving Sepsis Campaign definitions, which may be different from your hospital guidelines! Also what are the criteria for SIRS, SOFA, qSOFA? The ALiEM Card on Sepsis Definitions will help you keep it all straight.

12 Must-Know EM Pharmacotherapy Articles of 2017

By |Categories: Tox & Medications|

Welcome to the 4th annual installment of our must-know Emergency Medicine pharmacotherapy articles post, this time for 2017. We summarize some important EM pharmacotherapy articles from the last 12 months. We have tried to focus on articles that you may have missed, but are potentially high-impact for improving clinical practice in the ED. Without further ado, we present the 12 must-know EM pharmacotherapy articles of 2017. […]

Prochlorperazine, Metoclopramide, and Diphenhydramine for Acute Migraine Headache

By |Categories: Expert Peer Reviewed (Clinical), Tox & Medications|

The 2016 American Headache Society (AHS) released recommendations on managing adults with acute migraine headaches.1 In the November 2017 EM:RAP LIN Sessions podcast episode that I recorded, I realized that I overgeneralized several statements about anti-dopaminergic agents and the use of concurrent diphenhydramine for akathisia risk reduction. So I wanted to clarify things and share a deeper-dive on the topic, thanks to the constructive feedback and help of headache guru Dr. David Vinson and EM pharmacists Dr. Curtis Geier, Dr. Bryan Hayes, and Dr. Zlatan Coralic. Below summarizes the nuanced thought processes in the anti-dopaminergic treatment of migraines. […]

Trick of the Trade: Fishhook Removal Techniques

By |Categories: Trauma, Tricks of the Trade|

Penetrating fishhook injuries can be a common occurrence during the warm weather months. Initially, it is important to evaluate what type of fishhook was being used. How many and where are the barbs? What shape is it (treble hook, single hook)? The physical examination requires a thorough neurovascular exam and, if penetration depth is difficult to assess, radiographs should be utilized for further evaluation. What approach do you use to remove these barbed fishhooks? […]

  • Gold top 10 winner

Top 10 ALiEM Clinical Posts in 2017

By |Categories: Emergency Medicine|

Seasons greetings from the ALiEM team. We have published so many posts this year that you may have missed a few. Did you at least catch the top 10 ALiEM clinical posts in 2017? These are the most-viewed posts in the past calendar year. From nerve blocks, to managing epistaxis, head bleeds, and providing post-ROSC care – check these out as you ring in the New Year! […]

PEM Pearls: Pediatric Lung Ultrasound for Diagnosing Pneumonia | The Wave of the Future

By |Categories: PEM Pearls, Ultrasound|

The standard for diagnosing pneumonia is a combination of the clinical history, physical examination, and chest x-ray (CXR) findings. However, lung ultrasound (US) has been shown to be a reasonable alternative to CXR in children, and may be an appropriate alternative diagnostic imaging modality in the Emergency Department (ED). […]