ACMT Toxicology Visual Pearls: Drug-Induced Rash
Two patients with substance-use disorder present to an ED in the United States with a new rash. Which of the following is the most likely exposure? Krokodil (desomorphine) Levamisole-adulterated cocaine Methamphetamine-induced allergic reaction Wound botulism secondary to heroin use [+]
Jennifer S. Love, MD
Department of Emergency Medicine
University of Pennsylvania
Intravenous lidocaine for renal colic
Pain management in the ED has become a balancing act. EPs must continually balance adequate pain management with the risks of opioids prescribing. As providers reach into their pain management toolbox it is always nice to have as many options as possible because one size does not fit all. Specifically for the management of acute renal colic, IV preservative-free (cardiac) lidocaine has been gaining popularity as a potential alternative when opioids are unable to get job done or are contraindicated due to co-morbidities or a history of addiction. Is it safe? Does it work? [+]
PEM Pearls: Pediatric Ultrasound-Guided Peripheral IV Access
Pediatric patients are not just little adults. Placing peripheral IVs in young patients can be challenging and comes with its own set of challenges. Presented are some basic and advanced tips to maximize success in establishing peripheral IV access in pediatric patients using ultrasonography. [+]
William White, MA MD
Department of Emergency Medicine
University of California, San Francisco
Ultrasound For The Win! Case – 64M with Fever and Scrotal Pain #US4TW
Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this series, we focus on a real clinical case where point-of-care ultrasound changed the management or aided in the diagnosis. In this case, a 64-year-old man presents with acute onset scrotal pain and fever. [+]
Troubleshooting the Crashing Patient with a Tracheostomy
Patients presenting to the ED with respiratory distress and a tracheostomy can unnerve almost any provider, and management is often fraught with preventable errors.1,2 This recognition has led to the development of treatment algorithms from groups including the U.K. National Tracheostomy Safety Project to improve the safety and quality of care for patients with tracheostomies.3 Use the ABC-Ts mnemonic to help you perform a focused tracheostomy evaluation and troubleshoot in a stepwise, systematic manner while waiting for your ENT consultant to arrive. [+]
Infographic: Calcium Channel Blocker Overdose
Calcium channel blocker overdose can produce a deadly toxidrome that requires rapid recognition and intervention. Dr. Joshua C. Feblowitz, a PGY-3 EM resident at the Harvard-Affiliated Emergency Medicine Residency at Brigham and Women’s Hospital and Massachusetts General Hospital, created a high-yield infographic on the symptoms and management of this important toxidrome! [+]
Infographic: Pocket PEM
Pediatric Emergency Medicine can be intimidating for even some of the most seasoned providers, but Drs. Liz Fierro and Natasha Li (both PEM Fellows at Loma Linda University Health) have you covered! Their interactive infographic, Pocket PEM, reminds readers of some core PEM content, including pediatric fever, bronchiolitis, and the crashing neonate. [+]
Liz Fierro, MD
Infographic: Compartment Syndrome
Compartment syndrome is a true orthopedic emergency, and if you don’t consider it in your differential diagnosis, it can be missed easily! Dr. Katelyn Hanson, a combined EM-IM resident at Jefferson Health, packs the presenting symptoms, causes, and definitions into this flashy infographic. [+]
Infographic: Sepsis and Septic Shock
The definitions of sepsis and septic shock continue to evolve, but the management, including resuscitation and early antibiotics, remains a core skill of any successful EM provider. Dr. Augusto Saldana Miranda reviews these points, adding some parchment flare to his submission. [+]
ALiEMU Capsules Module 10: Concepts in Infectious Disease
We are proud to present Capsules Module 10: Concepts in Infectious Disease, now published on ALiEMU. Here is a summary of the key points from a stellar module by Drs. Meghan Groth and Paul Takamoto. When you’re finished, head over to the Capsules page for even more practical pharmacology for the EM provider. [+]
Director of Growth, Strategic Alliance Initiative, Center for Innovation and Digital Health
Massachusetts General Hospital;
Chief Scientific Officer, Conductscience.com
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