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). […]

60 Second Soapbox: Autoimmune Disease, Ultrasound Teaching, 3rd Nerve Palsy

By |Categories: 60-Second Soapbox, Allergy-Immunology, Neurology, Ultrasound|

It’s time for another installment of 60 Second Soapbox! Each episode, 1 lucky individual gets exactly 1 minute to present their rant-of-choice to the world. Any topic is on the table – clinical, academic, economic, or whatever else may interest an EM-centric audience. We carefully remix your audio to add an extra splash of drama and excitement. Even more exciting, participants get to challenge 3 of their peers to stand on a soapbox of their own!  […]

AIR Series: Gastrointestinal 2017

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

Welcome to the Gastrointestinal Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online gastrointestinal content. 8 blog posts related to gastrointestinal emergencies within the past 12 months (as of September 2017) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 1 AIR and 7 Honorable Mentions. We recommend programs give 3 hours (about 22.5 minutes per article) of III credit for this module. […]

Strategies for Surviving the IV Fluid Shortage: Antibiotic IV to PO Conversions & First Dose via IV Push

By |Categories: Tox & Medications|

Hurricane Maria ravaged Puerto Rico almost 3 months ago, destroying factories that manufacture and distribute medications and related supplies. Healthcare facilities across the nation are now experiencing a critical shortage of small-volume intravenous (IV) fluids, which impacts the supply of IV antimicrobials. With no end in sight, ED providers can protect the quality of patient care by considering 2 strategies: IV to PO conversion and first-dose antimicrobials via IV push. […]

Chest Pain and Making the Most of Observation: ACEP-EQUAL Network Podcast

By |Categories: Cardiovascular, Podcasts|

Emergency Medicine has made significant contributions to the proliferation of Observation Medicine, an attractive alternative to admission for patients with low- and moderate-risk chest pain. Selecting the right patient, identifying appropriate interventions, and documenting appropriately are just some of the challenges discussed in the latest ACEP E-QUAL Network podcast, a partnership with ALiEM to promote clinical practice improvements. We review highlights from a podcast with experts Dr. Anwar Osborne (Emory University) and Dr. Michael Granovsky (LogixHealth). […]

SplintER Series: Splint Application Principles 102

By |Categories: Orthopedic, SplintER|

The SplintER Series is back with its second installment! In the first post, Splint 101, we discussed the indications and relative contraindications to splinting. In this post, we focus on the materials used in splinting and some key steps in splint application. Learning Objectives List the materials that are required to place a splint. Be able to discuss some basic principles about the application of a splint. The Bottom Line A splint consists of 3 layers:1 Deep layer = padding Middle layer = splint material Outer layer = compressive dressing There are 2 types of traditional splinting material – [...]

Trick of the Trade: Topical Treatment of Cannabinoid Hyperemesis Syndrome

By |Categories: Tox & Medications, Tricks of the Trade|

A 23-year-old female with no past medical history presents to the ED for the 4th time this month complaining of severe “10-out-of-10” abdominal pain, nausea, and intractable vomiting. She denies alcohol use, but reports she has smoked at least 1 marijuana “bud” daily for the last 3 years. In an attempt to relieve her symptoms, she has increased her marijuana use, however she has found that her pain is actually increasing, and the only thing that appears to help is taking a hot shower or bath. With this statement, the provider immediately considers cannabinoid hyperemesis syndrome (CHS). […]

Pediatric Trick of the Trade: Finger Immobilization Technique

By |Categories: Orthopedic, PEM Pearls, Trauma, Tricks of the Trade|

A 3 year-old boy presents with a deep laceration of the distal phalanx, through the nail bed, after slamming his fingers in a car door. He is crying, anxious, and uncooperative. How do you make this situation easier to evaluate and repair? Nail bed and finger laceration repairs can be challenging, and even more challenging in young patients. Preparation is key to getting a good outcome. Here we present a pediatric trick of the trade on immobilizing a finger for digit or nail bed procedures. […]

AIR-Pro: Neurology

By |Categories: ALiEMU, Approved Instructional Resources PRO (AIR-Pro Series), Neurology|

Welcome to the Neurology AIR-Pro Module. Below we have listed our selection of the 7 highest quality blog posts related to 4 advanced level questions on neurology topics posed, curated, and approved for residency training by the AIR-Pro Series Board. The blogs relate to the following questions: Intracranial hemorrhage Diagnosis of subarachnoid hemorrhages Management of subarachnoid hemorrhages Vertigo […]