INSTAGRAM

ALiEM presents SAEM Clinical Image Series:  Purple finger  A 30-year-old female with a history of Crohn’s presents to the ED with an acutely bruised, atraumatic right 4th finger.  What is this syndrome?  Watch the video!  Click link in bio to learn more! 📲  https://www.aliem.com/saem-clinical-images-series-purple-finger/  @saemonline  #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #SAEM

ALiEM presents SAEM Clinical Image Series: Purple finger

A 30-year-old female with a history of Crohn’s presents to the ED with an acutely bruised, atraumatic right 4th finger. What is this syndrome? Watch the video!

Click link in bio to learn more! 📲

https://www.aliem.com/saem-clinical-images-series-purple-finger/

@saemonline

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #SAEM
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From Collision to Clarity:  PECARN cervical spine injury prediction rule for injured children  Cervical spine injuries in children, while uncommon, can be devastating if not identified and treated promptly. Emergency physicians often face the challenge of deciding whether to proceed with imaging, given the potential risks associated with ionizing radiation from CT scans. The lack of clear guidelines specifically tailored for pediatric patients has historically led to either overuse of imaging, with its associated risks, or underuse, with the risk of missed injuries.
…until now!  Click link in bio for more info! 📲  https://www.aliem.com/pecarn-cervical-spine-injury-prediction-rule-for-injured-children/  #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #Trauma #PediatricTrauma #Cspine

From Collision to Clarity: PECARN cervical spine injury prediction rule for injured children

Cervical spine injuries in children, while uncommon, can be devastating if not identified and treated promptly. Emergency physicians often face the challenge of deciding whether to proceed with imaging, given the potential risks associated with ionizing radiation from CT scans. The lack of clear guidelines specifically tailored for pediatric patients has historically led to either overuse of imaging, with its associated risks, or underuse, with the risk of missed injuries.
…until now!

Click link in bio for more info! 📲

https://www.aliem.com/pecarn-cervical-spine-injury-prediction-rule-for-injured-children/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #Trauma #PediatricTrauma #Cspine
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ALiEM presents ACMT Toxicology Visual Pearls: Lye to the Eye!  @ACMTmedtox  What caustic exposure from the pictured item can lead to ocular injury?
 1	Acetic Acid
 2	Hydrofluoric Acid
 3	Potassium Hydroxide
 4	Sodium Hydroxide  Watch to find out! 👀  Click link in bio to learn more! 📲  https://www.aliem.com/acmt-lye-to-the-eye/  #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #Tox #Toxicology

ALiEM presents ACMT Toxicology Visual Pearls: Lye to the Eye! @ACMTmedtox

What caustic exposure from the pictured item can lead to ocular injury?
1 Acetic Acid
2 Hydrofluoric Acid
3 Potassium Hydroxide
4 Sodium Hydroxide

Watch to find out! 👀

Click link in bio to learn more! 📲

https://www.aliem.com/acmt-lye-to-the-eye/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #Tox #Toxicology
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ACMT Toxicology Visual Pearl: A Bane to Existence  What is the primary cause of death following ingestion of the plant pictured?  Watch the video to find out more! 👀  Click link in bio for more info! 📲  https://www.aliem.com/acmt-toxicology-visual-pearl-a-bane-to-existence/
@acmtmedtox 
#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #Tox #Toxicology

ACMT Toxicology Visual Pearl: A Bane to Existence

What is the primary cause of death following ingestion of the plant pictured?

Watch the video to find out more! 👀

Click link in bio for more info! 📲

https://www.aliem.com/acmt-toxicology-visual-pearl-a-bane-to-existence/
@acmtmedtox
#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #Tox #Toxicology
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ALiEM presents ACMT Visual Pearl: Watt-Ever is that Foreign Body?  What foreign body should be suspected in a young child who is drooling and has the following chest x-ray?
.
.
.
.
Button battery!  Pearls:
- Button battery ingestions can have non-specific presentations but have a high morbidity.
- Diagnosis is typically made with an x-ray. Look for a halo sign and step-off sign to help identify a button battery.
- Esophageal batteries are typically oriented in the coronal plane. Tracheal foreign bodies are typically oriented in the sagittal plane.
- Button batteries in the esophagus require urgent removal, ideally within 2 hrs.
- Honey and sucralfate can help reduce mucosal damage if given < 12 hrs post-ingestion.  Click link in bio to learn more! 📲  https://www.aliem.com/acmt-watt-ever-is-that-foreign-body/ 
@acmtmedtox 
#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency

ALiEM presents ACMT Visual Pearl: Watt-Ever is that Foreign Body?

What foreign body should be suspected in a young child who is drooling and has the following chest x-ray?
.
.
.
.
Button battery!

Pearls:
- Button battery ingestions can have non-specific presentations but have a high morbidity.
- Diagnosis is typically made with an x-ray. Look for a halo sign and step-off sign to help identify a button battery.
- Esophageal batteries are typically oriented in the coronal plane. Tracheal foreign bodies are typically oriented in the sagittal plane.
- Button batteries in the esophagus require urgent removal, ideally within 2 hrs.
- Honey and sucralfate can help reduce mucosal damage if given < 12 hrs post-ingestion.

Click link in bio to learn more! 📲

https://www.aliem.com/acmt-watt-ever-is-that-foreign-body/
@acmtmedtox
#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency
...

19 1
Cocaine for Epistaxis:  What was old is new again  In the right patient, cocaine may have a place in the management of epistaxis.  Cocaine is the only single agent that both vasoconstricts and anesthetizes.  Avoid in patients with cardiovascular disease.  How to use it: 
1.  You will need at least 80 mg of 4% cocaine hydrochloride.
- If your hospital stocks the 1 mL bottle of 40 mg/mL cocaine hydrochloride, you should obtain 2 vials (80 mg total). Use 2 separate pledgets, immersing each one in its own bottle.
-  Alternatively, if your hospital stocks the 160 mg/4 mL solution, soak 4 pledgets in the entire 4 mL solution.
-  Each pledget will absorb approximately 1 mL of the 4% solution.
2.  Once fully adsorbed, place 1-2 pledgets in the nasal cavity with epistaxis, positioned against the septum.
3.  Leave the pledgets in place for up to 20 minutes.
4.  Assess for hemostasis.
5.  If needed, you can use a maximum of 2 additional pledgets, if epistaxis does not resolve. The maximum dose should be the lower dose of 200 mg or 2 mg/kg.  Click link in bio for more info! 📲  https://www.aliem.com/cocaine-epistaxis/  #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #Epistaxis

Cocaine for Epistaxis: What was old is new again

In the right patient, cocaine may have a place in the management of epistaxis. Cocaine is the only single agent that both vasoconstricts and anesthetizes. Avoid in patients with cardiovascular disease.

How to use it:
1. You will need at least 80 mg of 4% cocaine hydrochloride.
- If your hospital stocks the 1 mL bottle of 40 mg/mL cocaine hydrochloride, you should obtain 2 vials (80 mg total). Use 2 separate pledgets, immersing each one in its own bottle.
- Alternatively, if your hospital stocks the 160 mg/4 mL solution, soak 4 pledgets in the entire 4 mL solution.
- Each pledget will absorb approximately 1 mL of the 4% solution.
2. Once fully adsorbed, place 1-2 pledgets in the nasal cavity with epistaxis, positioned against the septum.
3. Leave the pledgets in place for up to 20 minutes.
4. Assess for hemostasis.
5. If needed, you can use a maximum of 2 additional pledgets, if epistaxis does not resolve. The maximum dose should be the lower dose of 200 mg or 2 mg/kg.

Click link in bio for more info! 📲

https://www.aliem.com/cocaine-epistaxis/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #Epistaxis
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Are you a graduating medical student about to start emergency medicine residency?  Check out our Bridge to EM curriculum!  The curriculum has been viewed over 43,000 times and we have awarded over 5,000 ALiEMU course certificates. It is now a part of many residency programs’ intern boot camp.  Check out the Bridge to EM home page:
https://www.aliem.com/bridge-to-em/  Click link in bio to learn more!  https://www.aliem.com/bridge-to-em-curriculum-2nd-edition-released/  #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation  #medicalstudent #residentlife #medschool  #Emergency  #EmergencyMedicineResidency #EMResidency #ResidencyBootcamp

Are you a graduating medical student about to start emergency medicine residency? Check out our Bridge to EM curriculum! The curriculum has been viewed over 43,000 times and we have awarded over 5,000 ALiEMU course certificates. It is now a part of many residency programs’ intern boot camp.

Check out the Bridge to EM home page:
https://www.aliem.com/bridge-to-em/

Click link in bio to learn more!

https://www.aliem.com/bridge-to-em-curriculum-2nd-edition-released/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #ResidencyBootcamp
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ALiEM presents ACMT Toxicology Visual Pearls: The Kitchen Cabinet High  What is the primary toxin in Nutmeg?  Watch the video to find out! 👀  Click link in bio for more info! 📲  https://www.aliem.com/acmt-toxicology-the-kitchen-cabinet-high/
@acmtmedtox 
#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #Toxicology #Tox #EmergencyMedicineResidency #EMResidency

ALiEM presents ACMT Toxicology Visual Pearls: The Kitchen Cabinet High

What is the primary toxin in Nutmeg?

Watch the video to find out! 👀

Click link in bio for more info! 📲

https://www.aliem.com/acmt-toxicology-the-kitchen-cabinet-high/
@acmtmedtox
#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #Toxicology #Tox #EmergencyMedicineResidency #EMResidency
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Also check out the Instagram feed by Dr. Michelle Lin.

Michelle Lin, MD
ALiEM Founder and CEO
Professor and Digital Innovation Lab Director
Department of Emergency Medicine
University of California, San Francisco
Michelle Lin, MD

@M_Lin

Professor of Emerg Med at UCSF-Zuckerberg SF General. ALiEM Founder @aliemteam #PostitPearls at https://t.co/50EapJORCa Bio: https://t.co/7v7cgJqNEn
Michelle Lin, MD