PEM Pearls: Pediatric Sepsis Management – Understanding the Basics
Just as in adults, pediatric sepsis is a complex topic with continued research. In the United States, there are an estimated 75,000 cases per year of pediatric severe sepsis with an in-hospital mortality of 5-10%.1,2 This is one of the deadliest conditions treated in children. In addition, after the Rory Staunton case, New York State passed regulations requiring all hospitals to have pediatric specific recognition, treatment, and data reporting systems. Several other states have adopted, or are considering, similar requirements. Thus it is critical that emergency physicians understand at least the basics of pediatric sepsis management. [+]
Congratulations to the 2017-18 Faculty Incubator Class of Educator-Scholars!
We are very excited to officially announce the NEW 2017-18 ALiEM Faculty Incubator Class of Educator-Scholars! We received applications from across the country and internationally with broad ranges of background and experiences. We narrowed it down to the top 30 applicants, who we know are budding leaders in the field. [+]
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MEdIC Series: The Case of Shifting Expectations
Welcome to season 4, episode 5 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 a new emergency attending who feels like she has lost control of her department while working with an overconfident senior resident. [+]
60 Second Soapbox: Messman (Vertigo), Dolcourt (Charcoal), Stiell (C-spine Rules)
After a bit of a hiatus we are back with another round of 60-Second Soapbox! Each episode, one lucky individual gets exactly 1 minute to present their rant-of-choice to the world. Any topic is on the table – clinical, academic, economic, or whatever else may interest an EM-centric audience. We carefully remix your audio to add an extra splash of drama and excitement. Even more exciting, participants get to challenge 3 of their peers to stand on a soapbox of their own! [+]
Wellness and Resiliency During Residency: Life happens despite your best plans
When I got back home from taking [my board exams], having all these [negative] feelings swirling through my head, I remember driving up and seeing my wife and baby sitting on the porch and suddenly being like, “Isn’t this what life is all about? Is it really about studying for an exam? Is it really about pushing yourself to get triple-boarded or do this or that within medicine? I mean, isn’t THIS what it’s about? Having a wife and a child, a family to call your own, aren’t these the things that are most important that we should value?” After [+]
I am Dr. Heather Farley, Director of Provider Wellbeing: How I Stay Healthy in EM
Dr. Heather Farley is an emergency physician from Newark, DE. She has the unique position of being the Director of Provider Wellbeing at the Institute for Learning Leadership and Development (iLEAD). Dr. Farley is definitely a champion of wellness. From staying active, to eating healthy, and ensuring she makes time for herself, she definitely makes wellness a priority. Her attitude of trying new things and always challenging herself, is something we should all try! Here’s how she stays healthy in EM! [+]
MEdIC Series: The Case of the Resident at Risk – Expert Review and Curated Commentary
The Case of the Resident at Risk outlined a scenario of junior resident who is unsure of how to proceed when her senior discloses thoughts of suicide while on shift. 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 3 expert opinions. Thank-you to all participants for contributing to the very rich and very important discussions surrounding this case! [+]
Epistaxis Management in the Emergency Department: A Helpful Mnemonic
Epistaxis is a common presentation to the emergency department (ED)1 that can be challenging and time consuming. Knowledge of the pearls, pitfalls, and troubleshooting tips around managing nosebleeds often can be the difference between a frustrating versus straightforward ED stay for patients. Use the EPISTAXIS mnemonic to help you remember these points. [+]
Winner of EEM Education Fellowship Contest: Dr. Moises Gallegos
After receiving numerous high-quality submissions, we are proud to announce the winner of the 2017 Essentials of Emergency Medicine (EEM) Education Fellowship Contest as Dr. Moises Gallegos from the Baylor Emergency Medicine residency program. His winning blog post is featured today on the pearls and pitfalls of epistaxis management. We look forward to seeing him in person in Las Vegas in May 2017 at the 3-day event as well as the Resident Wellness Consensus Summit preday. [+]
Trick of the Trade: 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. [+]