• ECG T-wave inversions

Ultrasound For the Win! Case – 43-year-old Man with Syncope #US4TW

By |Categories: Cardiovascular, Ultrasound, Ultrasound for the Win|

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this peer-reviewed case series, we focus on real clinical cases where bedside ultrasound changed management or aided in diagnoses. In this case, a 43-year-old man presents to the Emergency Department after a syncopal episode. [+]

AIR Pro Series: Critical Care, Part 1 (2016)

By |Categories: Approved Instructional Resources PRO (AIR-Pro Series), Critical Care/ Resus|

Below we have listed our selection of the 12 highest quality blog posts related to 5 advanced level questions on critical care topics posed, curated, and approved for residency training by the AIR-Pro Series Board. The blogs relate to the following questions: Ultrasound fluid assessment Ultrasound in critical care Vasopressors for critical care patients Peripheral intravenous vasopressor administration Extracorporeal membrane oxygenation basics In this module, we have 8 AIR-Pro’s and 4 honorable mentions. To strive for comprehensiveness, we selected from a broad spectrum of blogs identified through FOAMSearch.net. [+]

AIR Series: Cutaneous Module

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

Welcome to the Cutaneous 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 cutaneous content. Below we have listed our selection of the 4 highest quality blog posts within the past 12 months (as of February 2015) related to dermatology emergencies, curated and approved for residency training by the AIR Series Board. More specifically in this module, we identified 0 AIRs and 4 Honorable Mentions. [+]

Trick of Trade: Build-it-yourself IV Fluid and Drug Administration Trainer

By |Categories: Expert Peer Reviewed (Clinical), Tox & Medications, Tricks of the Trade|

Simulation equipment can be rather expensive and wanting to practice fluid and drug administration does not always warrant the purchase of specialized equipment. Luckily, a simple administration trainer can be made in less than 10 minutes and only costs a few dollars (or even nothing). This is an ideal option for resuscitation training if you are already using a manikin without IV arms or an IO option. Learners can practice preparing infusions and administering fluid or preparing an injection and administering it via the syringe port. This trainer can have multiple IV cannulas in one lid and can even include an intraosseous [+]

ALiEMU CAPSULES Module 6: Pharmacology of Acute Coronary Syndromes

By |Categories: Capsules, Cardiovascular|

We are proud to present CAPSULES module 6: Pharmacology of Acute Coronary Syndromes, now published on the Academic Life in EM University (ALiEMU) website. Here is a summary of the key points from this outstanding module by Drs. Paul Takamoto and Glen Oettinger. [+]

AIR Series: Neurology Module 2 – Headaches, Seizures, and Other

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

Welcome to the Second Neurology 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 neurology content relating to headaches, seizures, and other neurologic emergencies. Below we have listed our selection of the 17 highest quality blog posts within the past 12 months (as of December 2015) related to neurologic emergencies, curated and approved for residency training by the AIR Series Board. More specifically in this module, we identified 9 AIRs and 8 Honorable Mentions. [+]

Calcium channel blockers for stable SVT: A first line agent over adenosine?

By |Categories: Cardiovascular, Expert Peer Reviewed (Clinical), Tox & Medications|

A 52-year old man presents via EMS with a chief complaint of “racing heartbeat” for one hour. He is placed on a cardiac monitor which shows a heart rate of 185, an ECG reveals supraventricular tachycardia (SVT), and his blood pressure is 143/95 mmHg. As you ask the nurse to procure 6 mg of adenosine, the patient’s eyes grow wide.”Please doc…” he pleads, “anything but that! Last time they gave that to me I thought I was gonna die!”https://www.youtube.com/watch?v=WBQrddqWhzo&feature=youtu.be&t=3m14sYou recently read about using calcium channel blockers (CCBs) for paroxysmal SVT (PSVT), but can’t recall the last time you actually considered using them. After all, it’s [+]

AIR Series: Neurology Module 1 – Bleeds and Strokes

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

Welcome to the first Neurology 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 neurology content relating to intracranial hemorrhage and stokes. Below we have listed our selection of the 17 highest quality blog posts within the past 12 months (as of November 2015) related to neurologic emergencies, curated and approved for residency training by the AIR Series Board. More specifically in this module, we identified 5 AIRs and 12 Honorable Mentions. [+]

PEM Pearls: Pediatric Concussions

By |Categories: Pediatrics, PEM Pearls, Trauma|

A 9-year boy was hit in the head during a soccer game and was out for a few seconds. He regained consciousness quickly, but was repetitive for EMS. By the time the patient arrived at the ED, he was back to his normal self. Did this patient sustain a concussion? If so, what discharge instructions, anticipatory guidance, and resources do you have for your patient and his family? Here’s a quick 170-second animated video tutorial to sum up some thing for you. [+]

Fentanyl: Adding Fuel to the Fire in the North American Opioid Epidemic

By |Categories: Tox & Medications|

Drug poisoning is now the leading cause of injury death in the United States,1 with opioids accounting for up to 40% of these deaths. In the U.S., prescription opioid death rates have more than quadrupled since 1999, and death rates exceed those due to motor vehicle crashes.2 Similar trends in opioid exposure and death rates in Canada suggest that it is not far behind. Prescriptions for opioid analgesics paralleled a rise in opioid abuse and fatalities between 2002 and 2010, leveling off between 2011 and 2013,3 only to rise again in 2014.4 Among the more frequently misused opioids nationwide are oxycodone and hydrocodone (the most widely [+]

Shuhan He, MD
ALiEM Senior Systems Engineer;
Director of Growth, Strategic Alliance Initiative, Center for Innovation and Digital Health
Massachusetts General Hospital;
Chief Scientific Officer, Conductscience.com
Shuhan He, MD