INSTAGRAM

Check out the latest from ALiEM! Techniques for Ultrasound-Guided IV Placement⠀ ⠀ Imagine a busy evening shift interrupted by the news that the unstable dialysis patient still has no access. Begrudgingly, you drag the ultrasound into the patient’s room. Buried beneath a layer of muscle, a tiny vein lurks below an intimidating artery with a nerve nestled close by. Making matters worse, the patient is becoming increasingly more frustrated. “This always happens. I told them not to remove my last PICC line,” he notes. The use of ultrasound-guided IV improves successful cannulation and decreases complications, but cases like this have caused many emergency providers to resent, even fear, this basic procedure.​We provide additional techniques to increase your success and to avoid the risks associated with central line placement. Be sure to click the link in our bio to check out the full article and detailed description of our tips 📲!⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #nursepractitioner #emergencyroom #residentlife #medschool #Procedures #Emergency #ALiEM #MedEd ⠀ ⠀ https://www.aliem.com/2019/09/techniques-ultrasound-guided-iv/ ...

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@aliemteam welcomes you to join our second installment of The Leader's Library! Featuring RADICAL CANDOR by @kimmalonescott, this professional development book club discusses critical leadership skills like building trust relationships and feedback. Led by @diney1115 & a global team of facilitators. Come join! Click link in bio to sign up 👉🏾📱 ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #nursepractitioner #emergencyroom #residentlife #medschool #Procedures #Emergency #ALiEM #MedEd #leadership #healthleadership #leadershipinhealthcare #feedback #radicalcandor https://www.aliem.com/2019/09/leaders-library-radical-candor/ ...

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#TBT to ALiEM CRIncubator Mixer 2017⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #emergencyroom #residentlife #medschool ...

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ALiEM is back with another #TrickofTheTradeTuesday: ⠀ ⠀ Low back pain is one of the most common chief complaints that we see in the Emergency Department. In addition to the examination of the back and distal neurovascular function, we also need to test for evidence of a radiculopathy (compression or inflammation of a nerve root typically from a herniated disk). Because most disk herniations occur at the L4-L5 and L5-S1 level, you should test for irritation of the L4-S1 nerve roots. This is the sciatic nerve.⠀ ⠀ 💥💥For a patient with back pain radiating down their right leg, also perform the crossed SLR maneuver. If elevating their LEFT leg passively reproduces pain down his/her affected RIGHT leg, this is highly predictive of a sciatic radiculopathy and disk herniation. The crossed SLR maneuver essentially stretches the left L4-L5-S1 nerve root and thus tugs on the right L4-L5-S1 nerve root.⠀ ⠀ The 2010 Cochrane review shows that the crossed SLR has a low sensitivity (28%) but really high specificity (90%) for disk herniation. 💥💥 ⠀ ⠀ Remember to click the link in bio for full article! 📲 ⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #nursepractitioner #emergencyroom #residentlife #medschool #Procedures #Emergency #ALiEM #MedEd ⠀ ⠀ https://www.aliem.com/2011/08/trick-of-trade-crossed-straight-leg/ ...

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ALiEM is back with another #FBF from #BestOfALiEM: ABG vs VBG⠀ ⠀ You obtain a venous blood gas (VBG) on a patient with a COPD exacerbation because you are concerned about hypercarbia. You get a value of 55 mmHg. How correlative is that compared to an arterial blood gas (ABG). There has been a lot of literature on how well the pH correlates between the ABG and VBG but what about pCO2?⠀ ⠀ Remember to click the link in bio for full article and link to PV card regarding this clinical question! 📲⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #nursepractitioner #emergencyroom #residentlife #medschool #Procedures #Emergency #ALiEM #MedEd⠀ ⠀ https://www.aliem.com/2013/01/pv-card-vbg-versus-abg/ ...

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ALiEM is back with another #TrickofTheTradeTuesday: Nail Bed Repair With Tissue Adhesive Glue⠀ ⠀ Patients with fingertip injuries involving the nail bed typically present to the emergency department and require meticulous repair of the nail bed to prevent long-term cosmetic and functional disability. There are several methods to repair nail beds, typically involving absorbable suture, but maybe there is a faster way with similar cosmetic and functional outcomes. ⠀ ⠀ Instead of sutures, tissue adhesive can be used for 2 purposes:⠀ ⠀ Repairing a nail bed laceration⠀ Holding the nail in place ⠀ ⠀ Remember to click the link in bio for full article! 📲 ⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #nursepractitioner #emergencyroom #residentlife #medschool #Procedures #Emergency #ALiEM #MedEd ⠀ ⠀ https://www.aliem.com/2014/05/trick-trade-nail-bed-repair-tissue-adhesive-glue/ ...

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Last month, ALiEM launched a one-of-a-kind social media contest on Instagram to find the most innovative emergency medicine residency education program. Dozens of residency programs from around the country shared incredible didactic, simulation and wellness initiatives. At the end of our contest period, one residency program stood out from the rest.⠀ ⠀ Join us in congratulating the winner of ALiEM ‘Gram’ Rounds 2019: Loma Linda Emergency Medicine (@lomalindaem @thegurneyroom ) ⠀ We were impressed with Loma Linda’s novel approach to simulation and ability to disseminate practical clinical pearls. Check out the magic behind Loma Linda’s Residency program!⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #nursepractitioner #emergencyroom #residentlife #medschool #Procedures #Emergency #ALiEM #MedEd ⠀ ⠀ https://www.aliem.com/2019/08/aliem-gram-rounds-winner-2019/ ...

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#TBT to Faculty Incubator meeting at CORD 2018. If you are a faculty member looking for a year-long professional development program for educators, check out our link in the bio. Consider applying in January 2020 for our next cycle!⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #emergencyroom #residentlife #medschool⠀ ⠀ https://www.aliem.com/faculty-incubator/ ...

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ALiEM is back with another #TrickofTheTradeTuesday: Rapid Insertion of Orogastric Tube⠀ ⠀ 💥💥We have all been in the situation: an intubated patient needs an orogastric (OG) tube and no one has been able to place it successfully. Unfortunately, we typically find out about this situation after several failed attempts, when the patient is bleeding and/or the anatomy is distorted. It may coil in the mouth or esophagus. Here I present a novel technique to rapidly place an OG tube within seconds.💥💥 ⠀ ⠀ Remember to click the link in bio for full article! 📲 ⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #nursepractitioner #emergencyroom #residentlife #medschool #Procedures #Emergency #ALiEM #MedEd ⠀ ⠀ https://www.aliem.com/2017/02/trick-rapid-insertion-orogastric-tube/ ...

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We may have a #PostIt problem. #TBT to the Wellness Think Tank 2017 at Essentials of EM⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #emergencyroom #residentlife #medschool⠀" ...

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ALiEM is back with another #TrickofTheTradeTuesday: Syringe and angiocatheter ear irrigation setup⠀ ⠀ 💥💥Ear irrigation is an important tool for adult and pediatric patients in the Emergency Department (ED) with ENT complaints. Irrigation can be used to clear ear cerumen, visualize tough-to-see tympanic membranes, and remove foreign bodies. Commercial electronic and mechanical devices are available for irrigation and have been studied. Moulton and Jones presented the improved efficacy of foreign body removal using an electric ear syringe in an (ED) population. In this trick of the trade, we present a low cost and effective way of “ear-rigation” taught to us by one of our veteran nurses using easily available tools in the ED.💥💥 ⠀ ⠀ Remember to click the link in bio for full article! 📲 ⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #nursepractitioner #emergencyroom #residentlife #medschool #Procedures #Emergency #ALiEM #MedEd #ENT⠀ ⠀ https://www.aliem.com/2016/08/trick-of-trade-ear-irrigation/ ...

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ALiEM is back with another #TrickofTheTradeTuesday: Dermal Avulsion Injuries 2.0⠀ ⠀ 💥💥Dr. Brian Lin shares a technique for avulsion injuries that he has used for several years. In brief, this involves achieving hemostasis over a fingertip skin avulsion by using a tourniquet followed by tissue adhesive glue.💥💥 ⠀ ⠀ Remember to click the link in bio for full article! 📲 ⠀ ⠀ #FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #patientcare #physicianassistant #nursepractitioner #emergencyroom #residentlife #medschool #Procedures #Emergency #ALiEM #MedEd #LacerationRepair⠀ ⠀ https://www.aliem.com/2015/11/trick-of-trade-dermal-avulsion-injuries-2-0/ ...

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Also check out Instagram feeds by Dr. Michelle Lin  and Dr. Derek Monette.

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 San Francisco General. Founder of ALiEM @aliemteam #PostitPearls https://t.co/7v7cgJqNEn
Michelle Lin, MD