ACMT Toxicology Visual Pearl – Who Toad You to Lick It?
When people intentionally lick this toad, which toxin can they be exposed to? Bufodienolides Ciguatoxin Mescaline Psilocybin [Image by Spencer B. via iNaturalist] [+]
Ann-Jeannette Geib, MD
Department of Emergency Medicine
Carolinas Medical Center, Charlotte, NC
Latest posts by Ann-Jeannette Geib, MD (see [+]
PEM POCUS Series: Pediatric Musculoskeletal Ultrasound
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric musculoskeletal evaluation. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. TAKE THE ALIEMU PEM POCUS: PEDIATRIC MUSCULOSKELETAL Module Goals List the indications for performing pediatric musculoskeletal (MSK) point-of-care ultrasound (POCUS) Describe the technique for performing specific pediatric MSK POCUS applications List anatomical landmarks for specific MSK POCUS applications Interpret signs of fracture, effusion, dislocation, and osteomyelitis with POCUS Describe the limitations of [+]
PEM POCUS Series: Pediatric First-Trimester Pregnancy
Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric first-trimester pregnancy evaluation. Then test your skills on the ALiEMU course page to receive your PEM POCUS badge worth 2 hours of ALiEMU course credit. Take the ALiEMU PEM POCUS: Pediatric First-Trimester Pregnancy Module Goals List the indications for performing an obstetric point-of-care ultrasound (POCUS) Identify the characteristic findings of an intrauterine pregnancy in the first-trimester Describe how to measure fetal heart rate (FHR) and methods of estimating gestational age using POCUS Identify findings concerning for ectopic pregnancy in the first-trimester [+]
ACMT Toxicology Visual Pearl – Sauté Gone Sour
Ingestion of the pictured mushroom is most associated with which toxicity? Disulfiram-like reaction Hallucinations Liver failure Seizures [Image credit to William Morris via Creative Commons] [+]
Omar El Hely, MD
Carolinas Medical Center, Charlotte NC
Latest posts by Omar El [+]
PRoMPT BOLUS: A Landmark PECARN Trial Defining Fluid Choice in Pediatric Sepsis
Article reviewed: Balamuth F, Weiss SL, Long E, et al; PRoMPT BOLUS Investigators of the PECARN, PERC, and PREDICT Networks. Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock. N Engl J Med. Published online April 24, 2026 DOI: 10.1056/NEJMoa2601969 | PubMed: PMID 42028918 For years, clinicians and researchers have debated a fundamental question in pediatric emergency care: does the type of fluid used in pediatric sepsis resuscitation matter? The PRoMPT BOLUS trial was designed to answer this question. Conducted across 47 international sites in 5 countries and enrolling more than 9,000 children, this large, pragmatic randomized [+]
ACMT Toxicology Visual Pearl: Delayed Skin Burn
What type of burn may not develop findings shown until days to weeks after the exposure? Chemical Electrical Radiation Thermal [Image generated via Google Gemini] [+]
Kevin Black, DDS, MD
Carolinas Medical Center
Latest posts by Kevin Black, DDS, [+]
ALiEM AIR Series | Non-ACS Cardiology Module (2026)
Welcome to the AIR Non-ACS Cardiology Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team is proud to present the highest quality online content related to non-ACS cardiology emergencies in the Emergency Department. 9 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board. More specifically, we identified 6 AIR and 3 Honorable Mentions. We recommend programs give 5 hours of III credit for this module. AIR Stamp [+]
ACMT Toxicology Visual Pearl – Big Spider, Small Risk
What is the spider pictured below? Atrax robustus (Sydney funnel-web spider) Phoneutria nigriventer (Brazilian wandering spider) Trichonephila clavata (Joro Spider) Trichonephila clavipes (Golden Silk Orb-Weaver) [Author’s own image] [+]
Fernando Tejeda-Castro, DO
Jefferson Einstein Hospital of Philadelphia
EM Match Advice 51: 2026 EM Match by the Numbers
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. Podcast Episode: EM Match by the Numbers EM Match by the Numbers Key 2026 Match Statistics: A Mixed Picture Growth in Programs and Positions 11 new [+]
ACMT Toxicology Visual Pearl: Breathtaking Emergencies
What toxic gas is created by mixing these two household products? Chloramine gas Chlorine gas Chloroform Peracetic acid [Author’s own image] [+]
Teresa Crow, MD
Carolinas Medical Center, Charlotte, NC