ACMT Visual Pearl: Watt – Ever is that Foreign Body?
Which type of foreign body should be suspected in a child who is drooling and has the following x-ray? Button battery Coin Magnet Marble [+]
PEM POCUS Series: Soft Tissue Ultrasound
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric soft tissue ultrasonography. 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: Soft Tissue Quiz Case Goals List the indications of performing a pediatric soft tissue point-of-care ultrasound (POCUS). Describe the technique for performing soft tissue POCUS. Interpret signs of cellulitis, abscess, and soft tissue foreign body on POCUS. Describe the limitations of soft tissue POCUS. Differentiate abscess from other soft tissue pathologies [+]
ALiEM AIR Series | Psychosocial Module 2024
Welcome to the AIR Psychosocial 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 psychosocial emergencies in the Emergency Department. 3 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 2 Honorable Mentions. We recommend programs give 1 hours of III credit for this module. AIR Stamp of Approval and Honorable [+]
ALiEM AIR Series | Renal Module (2023)
Welcome to the AIR Renal/GU 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 renal / GU emergencies 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 3 AIR and 3 Honorable Mentions. We recommend programs give 3 hours of III credit for this module. AIR Stamp of Approval [+]
ACMT Toxicology Visual Pearls: The Kitchen Cabinet High
What is the primary toxin in the substance above? Solanine Myristicin Lysergic acid amide Phytolacca toxin [+]
Top 3 SOAR Blog Posts on Pediatric Respiratory Infectious Disease
There has been a well-documented growth in the use of FOAM in graduate medical education [1-4]. The decentralized nature of FOAM along with concerns with the lack of peer review make the assessment of the quality of information difficult. Several years ago, a group of physicians set out to solve these problems by modifying the traditional systematic review format, and created the Systematic Online Academic Resource (SOAR) review. The SOAR review aims to “systematically identify online resources by topic…[and] assess the quality of these resources with a validated tool, and collate links.” [5] Our review, "Systematic online academic resource [+]
Pigtail catheter for pleural drainage: Tips to minimize complications
Traditionally large-bore tube thoracostomy has been the standard of care for treating many acute intrathoracic pathologies [1]. However, the advent of less invasive small-bore chest tubes, also known as pigtail catheters, has gradually led to a paradigm shift. Pigtails provide a less invasive and often better tolerated alternative to traditional chest tubes and allow for adequate treatment of pneumothoraces and uncomplicated pleural effusions [1-5]. Unfortunately, these less invasive catheters are not without complications - both unique and similar to traditional chest tubes. Case A 48 year-old male with a history of hypertension and polysubstance abuse presented to the emergency [+]
ACMT Toxicology Visual Pearl: Abdominal Bruising
What could cause this finding three days after ingestion of a concentrated household substance? Duodenal ulcer Gastric perforation Necrotizing enterocolitis Post-corrosive acute pancreatitis [+]
Cocaine for Epistaxis: What was old is new again
Droperidol is back! Routine use of calcium for cardiac arrest is out? TPA is... well, we won’t go there. The landscape of medicine is continuously being reshaped. New research may question the effectiveness of an existing medication or promote the arrival of a novel treatment. Once beloved medications sit dust-laden in the back of a hospital pharmacy. But sometimes, just sometimes, an old medicine arises from that dust. Phenobarbital for alcohol withdrawal comes to mind. Could cocaine hydrochloride be one of those medications to be resurrected? Cocaine is effective in the treatment of epistaxis. Epistaxis is an exceedingly common [+]
SAEM Clinical Images Series: Red Rash on My Legs
A 23-year-old female with no known past medical history presented with a rash concentrated on her legs, with a few areas on her arms and chest. The rash began the day before presentation when she became overheated while wearing sweatpants in 104°F weather. The rash was mildly pruritic but not painful. She denied any prior reaction to her sweatpants that she has had for several months. She denied any new soap or cosmetic use, prior rash, allergy, or medication use. Her review [+]