• elbow-lateral-xray

EMRad: Radiologic Approach to the Traumatic Elbow

By |Categories: Orthopedic, Radiology, Trauma|

Radiology teaching during medical school is variable, ranging from informal teaching to required clerkships.​1​ Many of us likely received an approach to a chest x-ray, but approaches to other studies may or may not have not been taught. We can do better! Enter EMRad, a series aimed at providing approaches and improving interpretation of commonly ordered radiology studies in the emergency department. When applicable, it will provide pertinent measurements specific to management, and offer a framework for when to get an additional view, if appropriate. To begin: the elbow.  […]

  • equipment kit

Building Equipment Kits for Streamlined Care

By |Categories: Administrative, EMS|

In the setting of emergent care, the ability to access equipment rapidly and reliably can be a deciding factor in patient outcome. Poor stocking, inconsistent organization, and dispersal of equipment throughout a large geographic area are realities of practice as well as barriers to rapid and effective patient care. Equipment kits are a great way to ensure rapid access to a select set of tools to deal with emergent scenarios. They result in both decreased time to arrival and decreased time to successful completion of procedure.​1,2​ Scenarios that can benefit from organized and well provisioned kits include central or peripheral [...]

  • anterior inferior iliac spine

SAEM Clinical Image Series: Hip Pain

By |Categories: Emergency Medicine, Orthopedic, SAEM Clinical Images, Ultrasound|

[Click for larger view] Chief complaint: Left hip pain History of Present Illness: A healthy right leg-dominant 13-year-old male athlete presents with left hip pain after kicking a soccer ball. He states that he kicked the ball awkwardly and experienced hip pain immediately afterwards. He did not feel a pop or cracking sensation but could not stand after the kick and fell to the ground. He can ambulate but only with significant pain. He now has 8/10 sharp, non-radiating left hip pain that is worse with movement, weight-bearing and palpation. […]

ALiEM AIR | Procedures 2019 Module

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

Welcome to the AIR Procedures 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 content related to  emergency procedures. 10 blog posts within the past 12 months (as of April 2019) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 1 AIR and 9 Honorable Mentions. We recommend programs give 5 hours (about 30 minutes per article) of III credit for this module. […]

  • iselin disease xray

SplintER Series: Ankle and Foot Pain in a Child

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

A 10-year-old female dancer presents with sub-acute onset pain located in her lateral ankle and foot without any history of significant trauma. She has had similar pain occasionally over the past 6 months. Pain is worse while dancing and now has difficulty putting on her shoe. You obtain a foot x-ray and see the adjacent image (photo credit). What is the most likely diagnosis, differential diagnosis, and appropriate management plan? […]

SAEM Clinical Image Series: Foreign Body Ingestion

By |Categories: Gastrointestinal, SAEM Clinical Images, Tox & Medications|

[Click for larger view] Chief complaint: Foreign Body Ingestion History of Present Illness: A 4-year-old male presents to the Pediatric ED for evaluation of swallowed foreign body. The mother reports the patient was at his grandmother’s house playing near a cabinet when they witnessed him put a small unknown object in his mouth and swallow. Family denies vomiting, difficulty breathing, change in behavior, abdominal pain, or any additional symptoms at this time. […]

SAEM Clinical Image Series: Young Woman with a Headache

By |Categories: Neurology, Ophthalmology, SAEM Clinical Images|

[Click for larger view] Chief complaint: Headaches for 1 year History of Present Illness: A 31-year-old woman with no significant past history presents with a dull headache. She notes the headache is generalized, has been almost daily for a year and is worsened by bending over. She denies nausea, vomiting, photophobia, trauma, seizures, focal weakness, numbness, or vision change. Acetaminophen and ibuprofen provide only mild, short-acting relief. She takes oral birth control and her periods have been normal. […]

SplintER Series: Funny Looking Finger

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

Figure 1: Terminal extensor tendon avulsion at distal interphalangeal joint of 5th digit A 17-year-old baseball player presents complaining of finger pain and difficulty straightening his finger after a baseball game. You obtain x-rays and see the following fracture (photo credit). What is your diagnosis and emergency department management? […]

  • pericardial tamponade ultrasound

Differentiating pericardial effusion from pericardial tamponade on ultrasound

By |Categories: Cardiovascular, Radiology, Ultrasound|

Tamponade physiology, in which a pericardial effusion impedes cardiac output, is a medical emergency and requires prompt diagnosis and intervention before cardiovascular collapse ensues. However, not every fluid collection in the pericardial sac results in tamponade physiology. A clinical diagnosis of tamponade (Beck’s triad) has poor sensitivity and will occur only in the late stages of tamponade.​1​ In order to know whether or not an intervention is necessary for the setting of pericardial effusion, ultrasound diagnosis of tamponade is paramount.  […]