INSTAGRAM

ALiEM presents Trick of the Trade: Improvised Collar and Cuff Sling Using Soft Limb Holders

Initial management for a non-displaced humerus fracture is immobilization in a sling for 1-3 weeks. A collar and cuff sling is an appropriate management plan to allow the elbow to hang free, so gravity applies gentle traction that helps maintain fracture alignment. But, what if your ED does not stock such a sling?

Trick of the Trade

Build a collar and cuff sling from 2 Posey soft limb holders, the padded wrist restraints most EDs already stock. In our case, this improvised collar and cuff sling provided adequate support to the wrist and a cushion for the patient’s neck.

Steps

- Wrap one cuff around the wrist of the injured arm.
- Remove the padding from the second cuff, and thread that padding onto the long strap of the first cuff.
- Pass the strap behind the patient’s neck. Slide the padding along the strap until it cushions the back of the neck. This is the collar.
- Adjust the strap length so the elbow rests at 90 degrees with the wrist slightly above the elbow, and secure the buckle.
- Improvised collar and cuff sling made from a Posey soft limb holder, worn with the elbow at 90 degrees and the wrist supported

Click link in bio for more info! 📲

https://www.aliem.com/trick-trade-improvised-collar-cuff-sling/

#EmergencyMedicine #MedicalEducation #medicalstudent #medschool #EMResident ...

ALiEM presents the PRoMPT BOLUS: A Landmark PECARN Trial Defining Fluid Choice in Pediatric Sepsis

Bottom Line:

The PRoMPT BOLUS trial provides the strongest evidence to date addressing fluid choice in children presenting to the ED with suspected sepsis. Both 0.9% saline and balanced crystalloids are safe and effective for resuscitation in children with suspected septic shock.

Click link in bio to learn more!

https://www.aliem.com/prompt-bolus-pediatric-sepsis-fluid-trial/

#aliem #meded #medicaleducation #medschool #medstudent #medicalstudent #foamed #emergencymedicine #emdoc #emdoctor #emresident #emresidency #residentlife #PEM #pedsEM #pediatricEM ...

ALiEM presents ACMT Toxicology Visual Pearl: Pit Viper

The venom of the pictured creature causes tissue inflammation and necrosis through which of the following mechanisms:

a. Alpha-bungarotoxin
b. Alpha-latrotoxin
c. Domoic acid
d. Phospholipase A2

@acmtmedtox

Watch the video to find out! 👀

Click link in bio for more info! 📲

https://www.aliem.com/acmt-visual-pearl-pit-viper/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #tox #toxicology #EMResident ...

ALiEM presents ACMT Toxicology Visual Pearl: Clutching Your Perles!

What type of EKG changes may be seen following ingestion of this medication, often prescribed for an upper respiratory infection?

- AV block
- Diffuse ST elevation
- Prolonged QTc
- Widened QRS

@acmtmedtox

Watch the video to find out! 👀

Click link in bio for more info! 📲

https://www.aliem.com/acmt-clutching-your-perles/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #tox #toxicology ...

ALiEM presents ACMT Toxicology Visual Pearl: Saute Gone Sour

Ingestion of the pictured mushroom is most associated with which toxicity?

- Disulfiram-like reaction
- Hallucinations
- Liver failure
- Seizures

Watch the video to find out! 👀
@acmtmedtox

Click link in bio for more info! 📲

https://www.aliem.com/acmt-gone-sour/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #tox #toxicology ...

ALiEM presents ACMT Toxicology Visual Pearl: Big Spider, Small Risk

What is this spider?

- Atrax robustus (Sydney funnel-web spider)
- Phoneutria nigriventer (Brazilian wandering spider)
- Trichonephila clavata (Joro Spider)
- Trichonephila clavipes (Golden Silk Orb-Weaver)

Watch the video to find out! 👀
@acmtmedtox

Click link in bio for more info! 📲

https://www.aliem.com/acmt-big-spider-small-risk/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #tox #toxicology#meded #emdoc #emdoctor #emresident #meded ...

EM Match Advice 51: 2026 EM Match by the Numbers

Check out this new podcast episode!

The Emergency Medicine (EM) Match process continues to evolve, with 2026 bringing a mix of growth, new variables, and some familiar uncertainties. In this 51st installment of the EM Match Advice podcast series, Dr. Sara Krzyzaniak (Stanford EM PD) hosts the annual program director reflection on the Match with Dr. Abra Fant (Northwestern EM PD), now returning for her sixth consecutive year to share insights on the NRMP match trends and data.

Click link in bio for more info! 📲

https://www.aliem.com/em-match-advice-51-em-match-by-numbers/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency ...

ALiEM presents ACMT Toxicology Visual Pearl: Blue to the Rescue

The medication shown in the image is used to treat which type of toxic exposure?

Beryllium
Cadmium
Cesium
Iron

@acmtmedtox

Watch the video to find out! 👀

Click link in bio for more info! 📲

https://www.aliem.com/acmt-blue-to-the-rescue/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #Tox #Toxicology #EMdoc #EMdoctor #EMResident #meded ...

ALiEM presents ACMT Toxicology Visual Pearl: Sleeping with the Fishes
@acmtmedtox

What recreationally used substance has been dispensed in this fish-shaped dropper?

- Amyl nitrite
- Gamma-hydroxybutyrate (GHB)
- Heroin
- Ketamine

Watch the video to find out! 👀

Click link in bio for more info! 📲

https://www.aliem.com/acmt-sleeping-with-the-fishes/

#FOAMEd #FOAM #EmergencyMedicine #MedicalEducation #medicalstudent #residentlife #medschool #Emergency #EmergencyMedicineResidency #EMResidency #toxicology #tox ...