SAEM Clinical Images Series: A Man with Blurry Vision
A middle-aged man with a past medical history of hypertension and tobacco use disorder presented to the Emergency Department after evaluation by an ophthalmologist. He complained of ten days of a right-sided headache and three days of diplopia. He denied eye pain, pain with eye movements, photophobia, and vision loss. Vitals: Temp 98.4 °F (36.9 °C); BP 122/72; Pulse 90; Resp 16; SpO2 100% Neuro: Ptosis, “down and out” deviation and pupil dilation of [+]
ACMT Toxicology Visual Pearl: Out of the Blue
Exposure to which of the following could produce the pictured results? Carbon monoxide Lead paint Morphine Oral analgesic gel [+]
Rafael Lima, MD
Indiana University School of Medicine
Latest posts by Rafael Lima, MD (see all)
SAEM Clinical Images Series: The Color Purple
A 64-year-old female with a history of quadriplegia and bladder rupture secondary to a motor vehicle accident two years ago, complicated by chronic indwelling suprapubic foley, presents from her skilled nursing facility with fever, oliguria, tachycardia, low blood pressure, and a change in the color of her urine. Vitals: T 100.4°F; HR 126; BP 105/74; RR 24 General: Pleasant but mildly confused morbidly obese female smelling strongly of urine Genitourinary: Poorly maintained indwelling suprapubic catheter with purulence noted around the ostomy and purple urine in her foley tubing and bag Urinalysis (UA): [+]
PEM POCUS Series: Pediatric Lung Ultrasound
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric lung ultrasound. 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 Lung Ultrasound Quiz Module Goals List indications for performing a pediatric lung point-of-care ultrasound (POCUS). Describe the technique for performing lung POCUS. Recognize anatomical landmarks and artifacts related to lung POCUS. Interpret signs of a consolidation, interstitial fluid, effusion, and pneumothorax on POCUS. Describe the limitations of lung POCUS. Child with [+]
SAEM Clinical Images Series: Back Yard Football Injury
A 10-year-old male with no past medical history presents to the Emergency Department (ED) by EMS for evaluation of an injury sustained while playing tackle football. The patient was forcibly hit by another child against a tree. He complains of sharp right shoulder and chest pain that worsens with movement of his right upper extremity and he arrives wearing a sling to immobilize the arm. Vitals: BP 123/86; HR 121; RR 25; T 37°C General: Alert and oriented, in moderate distress Cardiovascular: RRR without murmurs, rubs, or gallops, peripheral pulses 2+ [+]
Trick of Trade: Alternative to a Pressure Bag for IV Fluids
You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. However, the crystalloid fluids are not flowing freely. Multiple attempts were made to place this line with the latest having a flash of blood return and a smoothly flowing saline flush. You can not seem to find your pressure infusion cuff to squeeze the IV bag and accelerate fluid administration. Trick of the Trade: Manually provide positive pressure fluids using a 3-way stopcock Attach a 3-way stopcock between the angiocatheter and IV tubing. In the unused port, attach a 10 or 20 cc syringe. [+]
ALiEM AIR Series | Infectious Disease 2023 Module
Welcome to the AIR Infectious Disease 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 related to infectious diseases in the Emergency Department. 6 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 5 Honorable Mentions. We recommend programs give 3 hours of III credit for this module. AIR Stamp of Approval and [+]
ACMT Toxicology Visual Pearl: The Heart Won’t Go On and On
Which cardiotoxic plant is shown? Lily of the valley Moonflower Morning glory Water hemlock White snakeroot [+]
Sheila Goertemoeller, PharmD, DABAT, ICPS
Drug and Poison Information Center
Cincinnati Children's Hospital Medical Center
Latest posts by Sheila Goertemoeller, PharmD, DABAT, ICPS [+]
ACMT Toxicology Visual Pearl: Marcel the Shell with Toxins
The venom from this pictured snail shares a primary mechanism of action with what other deadly toxin? Alpha-latrotoxin Botulinum toxin Bufotoxin Tetanus toxin Sarin [+]
ACMT Toxicology Visual Pearl: The Black Eschar
Which of the following is the most likely explanation for this skin lesion in a worker handling sheep hides? Bacillus anthracis Group A streptococcus Pseudomonas aeruginosa Staphylococcus aureus (Photo credit: CDC/ James H. Steele, Public domain via Wikimedia Commons) [+]
Alex Blackwell, MD
Department of Emergency Medicine
Carolinas Medical Center
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