AIR-Pro: Gastroenterology
Welcome to the Gastroenterology AIR-Pro Module. Below we have listed our selection of the 10 highest quality blog posts related to 4 advanced level questions on toxicology topics posed, curated, and approved for residency training by the AIR-Pro Series Board. The blogs relate to the following questions: Cirrhosis and variceal bleeding Food impaction Management of diverticulitis Airway management in the gastrointestinal bleed In this module, we have 8 AIR-Pro’s and 2 Honorable Mentions. To strive for comprehensiveness, we selected from a broad spectrum of blogs identified through FOAMSearch.net and FOAMSearcher. [+]
MEdIC Series: The Case of the Lazy Learners – Expert Review and Curated Community Commentary
The Case of the Lazy Learners outlined a scenario of an emergency attending, Chris, who questions the work-ethic, dedication, and professionalism of his residents after an on-shift teaching interaction. This month, the MEdIC team (Tamara McColl, Teresa Chan, Sarah Luckett-Gatopoulos, Eve Purdy, John Eicken, Alkarim Velji, and Brent Thoma), hosted a discussion around this case with insights from the ALiEM community. We are proud to present to you the Curated Community Commentary and our expert opinions. Thank-you to all participants for contributing to the very rich discussions surrounding this case! [+]
The Post-ROSC Checklist: Standardizing Clinical Practices
In emergency medicine, we are so heavily trained in resuscitation that any senior resident could recite the ACLS algorithm to you after being woken up at 3 am. However, the real work begins after the pulse return. Up to two-thirds of patients with return of spontaneous circulation (ROSC) will not survive to discharge.1,2 This approach, modeled after the 2015 American Heart Association Guidelines3 and an excellent review article by Dr. Jacob Jentzer et al,4 can help guide you through the chaos to stabilize your next post-ROSC patient. [+]
EM Match Advice Series: Advice for the Non-EM Resident Applying To EM
Match season came to a close last month – and with that, some 17,000 U.S. medical school seniors earned a PGY-1 position. Most will go on to complete these programs and have happy, successful careers in their chosen specialty. But for a small number, second thoughts will creep in during residency. Maybe a life event changes the way a resident looks at his or her role in providing care; or perhaps exposure to another specialty – EM for example – occurred late in the fourth year of medical school. For these atypical applicants, there is a dearth of resources to help [+]
ACMT Toxicology Visual Pearls: Suicide plant
The seeds of the Suicide Plant, when ingested, may result in significant toxicity, including the ECG findings shown. Which kind of toxicity does it cause? Anticholinergic poisoning Cardiac glycoside poisoning Cardiac sodium channel blockade Cholinergic poisoning Nicotinic poisoning [+]
MEdIC Series: The Case of the Lazy Learners
Welcome to season 4, episode 6 of the ALiEM Medical Education in Cases (MEdIC) series! Our team (Drs. Tamara McColl, Teresa Chan, John Eicken, Sarah Luckett-Gatopoulos, Eve Purdy, Alkarim Velji and Brent Thoma) is pleased to welcome you to our online community of practice where we discuss the practice of academic medicine! This month, we present a case of an emergency attending who questions the work-ethic, dedication and professionalism of his residents after an on-shift teaching interaction. [+]
ALiEMU Capsules Module 8: Venous Thromboembolism
We are proud to present Capsules Module 8: Venous Thromboembolism, now published on ALiEMU. Here is a summary of the key points from this outstanding module by Drs. Jill Logan and Doug Gowen. [+]
Director of Growth, Strategic [+]
Top 5 Reasons to Join the 2017-18 Chief Resident Incubator
“Leadership and learning are indispensable to each other.” – John F. Kennedy Every year without exception, a new set of Chief Residents are chosen at each Emergency Medicine program. They are always excited for the position, but hardly prepared for what’s to come. We have now had 2 successful ALiEM Chief Resident Incubators and are extremely excited and thrilled to launch the third 2017-18 ALiEM Chief Resident Incubator. If you are a Chief Resident, here are the top 5 reasons why you should join the Incubator. [+]
I am Dr. Victoria Brazil, Director of Simulation: How I Stay Healthy in EM
Dr. Victoria Brazil is an emergency physician from Australia’s Gold Coast. Despite her busy schedule, Dr. Brazil still takes the time to stay well and appreciate her environment around her. When she isn’t working in the ED or on academic work, she can be found fitting in a run or spending time with her family. Being an experienced clinician, Dr. Brazil provides us with solid advice for maintaining our careers. Here’s how she stays healthy in EM! [+]
Trick of the Trade: Sphenopalatine Ganglion Block for Treatment of Primary Headaches
It is thought that the autonomic nervous system is likely involved in migraines and other primary headache disorders given commonly associated symptoms such as nausea, lacrimation, emesis, and rhinorrhea. The sphenopalatine ganglion (SPG) is an extracranial parasympathetic ganglion with both sensory and autonomic fibers. It has therefore been hypothesized that blockade of the sphenopalatine ganglion may produce relief from primary headaches by modulating the autonomic fibers involved in headache disorders.1 While in our anecdotal experience with SPG blocks has been overall very positive, thus far there have been only a few small studies that have investigated it’s use in the [+]