SAEM Clinical Image Series: Man vs Pneumatic Nail Gun

By |Sep 28, 2020|Categories: Emergency Medicine, SAEM Clinical Images, Trauma|

A 40-year-old male presents with injury to his left hand by a nail gun. While at work, the patient accidentally shot himself with a nail gun. The nail went through pneumatic air hose tubing, his third finger, and his thumb; keeping them all connected. He immediately felt uncomfortable in his left arm, and, upon arrival to the emergency department (ED), complained of swelling in his left arm extending to his neck. He feels shortness of breath and “fullness” in his throat. […]

SAEM Clinical Image Series: Worsening Sore Throat

By |Sep 28, 2020|Categories: Emergency Medicine, ENT, SAEM Clinical Images|

A 40-year-old  male presented to the emergency department (ED) complaining of a sore throat for one week. The patient had presented ten days earlier following a stab wound to the anterior neck that violated the platysma. There was no vascular injury noted on the computed tomography angiography (CTA) but there was extensive soft tissue damage with emphysema extending into the retropharyngeal space. The patient underwent a flexible laryngoscopy by ENT, which showed no airway injury. He was observed in the intensive care unit for two days, then discharged. Following discharge, the patient had progressive sore [...]

Purple Urine Bag Syndrome: A visual diagnosis and what it means for your patient

By |Sep 23, 2020|Categories: Diagnose on Sight, Genitourinary|

A 78-year-old male is brought in from his nursing home for evaluation of hypotension. He has a prior history of multiple strokes and is bed bound. He arrives febrile, tachycardic, and hypotensive. On your physical exam, you notice that he has an indwelling foley catheter. The catheter tubing and bag have a vibrant purple color. You wonder if this unusual urine color could be caused by something insidious. Could this be related to a toxin, medication, or infection? […]

SAEM Clinical Image Series: Distended Abdomen after ROSC

By |Sep 21, 2020|Categories: Critical Care/ Resus, Gastrointestinal, SAEM Clinical Images, Uncategorized|

A 64-year-old female presented to the emergency department (ED) in cardiac arrest. Her family members heard her fall in the bathroom and started CPR. EMS intubated the patient and 20 minutes of CPR was done en route. Return of spontaneous circulation (ROSC) was achieved after fifteen minutes of resuscitation in the ED. At baseline, the patient ambulated with her walker and was conversant. She was having abdominal pain and nausea for the past three days after recently being diagnosed with a urinary tract infection. On arrival to the ED, the patient was pulseless with ventricular [...]

How I Work Smarter: Meenal Sharkey, MD

By |Sep 18, 2020|Categories: How I Work Smarter, Medical Education|

One word that best describes how you work? Thoroughly Current mobile device iPhone 11 -- my whole life runs because of this phone! Computer MacBook Pro -- thank goodness for the iCloud that syncs my calendars, notes, and texts What is something you are working on now? Just finished the Grounded in EM curriculum and am now creating a Grand Rounds for Evidence-Based Medicine for Sepsis. One of my weaknesses is public speaking and also evidence-based medicine presentations. I like the concept of sepsis in general, so I picked this topic on purpose. It combined a topic I enjoy and [...]

IDEA Series: 3D-printed pediatric lumbar puncture trainer

By |Sep 16, 2020|Categories: IDEA series, Medical Education, Neurology, Pediatrics, Simulation|

Pediatric lumbar puncture trainers are less available than adult trainers; most are the newborn size and quite expensive. Due to age-based practice patterns for fever diagnostic testing, most pediatric lumbar punctures are performed on young infants, and residents have fewer opportunities to perform lumbar punctures on older children.1 Adult lumbar puncture trainers have been created using a 3D-printed spine and ballistics gel, which allows for ultrasound guidance.2 No previous model has been described for pediatric lumbar puncture. […]

Announcing ERLI and the Education Research Consult Service: Education scholarship is hard, so let us help you

By |Sep 11, 2020|Categories: Academic, Research|Tags: |

Are you a medical education fellow or budding educator-scholar struggling with ideating, designing, or conducting your education research study? Conducting and publishing education scholarship is incredibly challenging with unique considerations that are different from other forms of research. We are thrilled to announce the ALiEM Education Research Lab and Incubator (ERLI), led by the ERLI Chief Academic Officer Dr. Simiao Li-Sauerwine from The Ohio State University. […]

Announcing ALiEMU SplintER Course: Approach to Splinting

By |Sep 9, 2020|Categories: ALiEMU, Orthopedic, SplintER|

We are so thrilled to announce that we created an ALiEMU Course on the Approach to Splinting, using one of our most popular series, the SplintER Series, as the learning foundation. We have created a custom quiz assessing the learning objectives. Are you a medical student getting ready for your EM rotation or internship? Or an EM resident needing to brush up on your splinting knowledge? Take this free course for 2 hours of ALiEMU course credit, and receive your “Approach to Splinting” badge. […]