ALiEM AIR | Infectious Disease 2019 Module

By |Dec 13, 2019|Categories: ALiEMU, Approved Instructional Resources (AIR series), Infectious Disease|

Welcome to the AIR Infectious Disease 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 online content related to infectious disease emergencies. 9 blog posts within the past 12 months (as of September 2019) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 1 AIR and 8 Honorable Mentions. We recommend programs give 4.5 hours (about 30 minutes per article) of III credit for this module. […]

Trick of Trade: Topical lidocaine jelly takes the tears out of skin tears and road rash

By |Dec 11, 2019|Categories: Trauma, Tricks of the Trade|

Skin tears are a common injury treated in the elderly in the emergency department (ED). Often the skin is paper thin, and the area involved can have a large flap. By the time the patient has arrived, the may blood have dried with a retracted and rolled-in skin flap. Often the surface area is too big and skin to thin to inject local anesthesia around the entire site. […]

  • syncope painting

Syncope as Easy as 1-2-3

By |Dec 9, 2019|Categories: Cardiovascular|

A 66-year-old otherwise healthy man presents by Emergency Medical Services (EMS) after being found unconscious on the ground. On arrival to your emergency department, he is back to his baseline normal mental status and without complaints. His vital signs are within normal limits and his physical exam is unremarkable. Is it a syncope? What are the key features of his history and physical exam that should affect your medical decision making? What should this patient’s work-up entail? […]

EM Match Advice: Deep Dive into the SLOE

By |Dec 6, 2019|Categories: EM Match Advice|

A high-stakes component in a medical student's application for an emergency medicine (EM) residency is the Standard Letter of Evaluation, or SLOE. This is a standardized templated letter, written by an group (e.g. department) or faculty from an EM-residency program. This episode of EM Match Advice gives a behind-the-scenes peek into what letter writers are thinking and a deeper dive into the mechanics of the SLOE. Panelists Dr. Abra Fant (Northwestern University)Dr. David Gordon (Duke University)Dr. Michael Takacs (University of Iowa) Resources FAQ on SLOE for medical students (CORD website) References 1. Boysen-Osborn M, Andrusaitis J, Clark C, et al. [...]

  • Peritonsillar abscess ultrasound

Ultrasound for the Win! 3-year-old with abdominal pain #US4TW

By |Dec 4, 2019|Categories: Pediatrics, Ultrasound, Ultrasound for the Win|

A 3-year-old Hispanic female with no significant past medical or surgical history presents to the Emergency Department with her mother for a 3 day history of crampy abdominal pain, intermittent bloody diarrhea and fever. There has been no recent travel, admissions, or antibiotic use. Her older sister reports similar symptoms, which have resolved. The patient saw her pediatrician the day prior, who recommended supportive care including oral rehydration. […]

SAEM Clinical Image Series: Rash and Headache in Acute Myeloid Leukemia

By |Dec 2, 2019|Categories: Dermatology, Infectious Disease, SAEM Clinical Images|

A 25 year old male with a history of acute myeloid leukemia (AML) after an allogeneic stem cell transplant, which has been in remission for 6 years. He presents with a headache and rash. 4 days ago the patient noticed a rash on the abdomen that was itchy, but not painful. Today, he noticed a similar rash on his face. The headache started yesterday, waking him up from sleep. It is now slowly getting worse. He endorses chills, nausea, neck stiffness, neck pain, myalgias, and photophobia. He denies fevers, vomiting and phonophobia. He does have [...]

Making Heads or Tails of the Flipped Classroom: Tips and Tricks for Students

By |Nov 29, 2019|Categories: Academic, Incubators, Medical Education|

Now more than ever, medical educators are excited about the flipped classroom, defined by Bishop and Verleger as “a new pedagogical method, which employs asynchronous video lectures and practice problems as homework, and active, group-based problem-solving activities in the classroom” [1]. The premise is that students will learn basic concepts during self-study, at their own pace, and come to the classroom ready to dive into small groups and problem-based application [2]. This approach may be unfamiliar and you may find yourself asking:  Why should I care? and How do I get the most out of it? Let’s begin with the first [...]

  • Type II Salter-Harris fracture

SplintER Series: Salter-Harris Fractures

By |Nov 27, 2019|Categories: Expert Peer Reviewed (Clinical), Orthopedic, Pediatrics|Tags: , , |

A 6 year-old boy presents with left wrist pain after he fell off the monkey bars onto an outstretched hand. You obtain wrist x-rays and see an abnormality. What is the most likely diagnosis, differential diagnosis, and management plan? […]

SAEM Clinical Image Series: Bellybutton Mass

By |Nov 25, 2019|Categories: Gastrointestinal, Pediatrics, SAEM Clinical Images|

A 4 week-old female infant presents due to yellow discharge from her umbilicus and mom noticing a red mass coming from the umbilical area after changing her diaper today. She is a healthy infant born at 40 weeks by vaginal delivery without complications and weighed 6 lbs 1 oz at birth. She is feeding 4 oz of formula every 3-4 hours. She received immunizations at birth and has an established pediatrician. […]

Is Digital Attendance Enough?

By |Nov 22, 2019|Categories: Academic, Incubators, Medical Education, Social Media & Tech|

Many medical schools have responded to student requests and begun to record and stream didactic lectures.  Students report watching these lectures can be more convenient and allow them to personalize the time, location, and speed to their specific needs. Meanwhile, faculty are freed up from giving the same Powerpoint lecture every semester and schools can highlight their “digital presence.” It seems to be a win on all sides, except when you look at the outcomes. […]