ACMT Toxicology Visual Pearl: Danger in the Shallows
In addition to local pain and dermal injury, stings from this marine animal can result in what systemic symptoms? Acute liver injury Hypotension, arrhythmia, and cardiac arrest Nausea, vomiting, and respiratory arrest Numbness, tingling, and muscle paralysis [Image courtesy of Guido Gautsch, Wikimedia Commons] [+]
Samuel Kerans, MD
Carolinas Medical Center
Charlotte, NC
The Discharge Severity Index: Early Research on ED Readmission Risk Assessment
From Triage to Discharge: As an emergency medicine clinician, you've likely become comfortable using the Emergency Severity Index (ESI), a critical tool helping triage patients entering the ED. But what happens when these patients leave your care? How can we anticipate who might need extra support to avoid readmission? Let’s discuss why ED discharge risk stratification matters, the landscape of existing tools, and introduce a new effort called the Discharge Severity Index (DSI), in the context of this evolving conversation. History of Emergency Severity Index (ESI) As emergency medicine clinicians, we’ve all become comfortable with using the ESI. It’s [+]
ACMT Toxicology Visual Pearl – Lead it Be?
Which retained ballistic fragment(s) would be expected to result in elevated blood lead levels in a patient? Fragments in or near a joint space Fragments with an associated fracture Multiple fragments Soft tissue fragments All of the above [Author’s own image] [+]
Madison Watts, MD
Atrium Health Carolinas Medical Center
ALiEM AIR Series | Vascular Module (2025)
Welcome to the AIR Vascular 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 HEENT emergencies in the Emergency Department. 8 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 5 Honorable Mentions. We recommend programs give 4 hours of III credit for this module. AIR Stamp of Approval and Honorable [+]
When Research Meets Social Media Expertise: Lessons from the PECARN-ALiEM Partnership
From Pipe Dream to Proven Strategy: How a 4-year partnership between PECARN and ALiEM created a replicable framework for evidence-based research dissemination Sometimes the best collaborations begin with simple questions. Following Dr. Nathan Kuppermann's grand rounds presentation in 2018, I had the opportunity to discuss an idea with him as PECARN's Steering Committee Chair: might there be untapped potential in using social media platforms like Twitter to amplify PECARN's research impact? Five years later, that initial conversation has grown into a reality with a systematic approach and measurable outcomes. Social media is not just about fads and marketing. In [+]
ACMT Toxicology Visual Pearl: Not Very A-peel-ing
Which of the following chemicals, commonly used in chemical peels, can cause severe, gray colored skin burns upon direct contact? Acetone Hydrogen peroxide Phenol Salicylic acid [Author’s own image] [+]
Emma Lindemann, MD
Corewell Health West - Butterworth Hospital
Grand Rapids, MI
Latest [+]
PEM POCUS Series: Pediatric Cardiac
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric cardiac evaluation. 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 Cardiac Module Goals List the indications and limitations of pediatric cardiac point-of-care ultrasound (POCUS) Describe the technique for performing cardiac POCUS Identify anatomical landmarks accurately on cardiac POCUS Interpret abnormal findings on cardiac POCUS Describe the basic literature behind pediatric cardiac POCUS Case Introduction: Child with respiratory distress You are in [+]
SAEM Clinical Images Series: Pain and Swelling in a Roofer’s Right Wrist
A 27-year-old male with no significant past medical history presented to the ED due to right hand pain and swelling. The patient reported that he works as a roofer and felt severe, sharp pain in his right hand immediately after using a nail gun this morning. The pain was followed by gradual swelling of the right wrist and hand. There was no loss of sensation or bleeding from the injury site. He additionally denied any injury from the nail itself. The patient was in moderate pain but hemodynamically stable while in the ED. [+]
SAEM Clinical Images Series: Painful Great Toe
A 63-year-old-male with a past history of hypertension, renal failure with dialysis three times per week, and prior infective endocarditis appropriately treated with a regimen that ended four weeks ago presented with left great toe pain that started three weeks ago. The toe began swelling two weeks ago with continued pain and tenderness, becoming discolored approximately one week ago. He noted subjective fever and chills, but had no other complaints. Vitals: Heart Rate 104, BP 111/69 mmHg, Temperature oral 38.1°C, Respiratory Rate 16; SpO2: 99% on room air Skin: The plantar [+]
ALiEM AIR Series | Environmental Module (2025)
Welcome to the AIR Environmental 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 Environmental emergencies in the Emergency Department. 5 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 4 Honorable Mentions. We recommend programs give 3 hours of III credit for this module. AIR Stamp of Approval and Honorable Mentions [+]
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