EM blogger roll call

By |Mar 9, 2010|Categories: Social Media & Tech|

How do I keep up with the information from the myriad of Emergency Medicine websites out there? Blogs, Twitter, Journals, oh my. Thanks to LifeInTheFastLane, you can check out all the current EM bloggers out there with their Twitter name and RSS feed links! I had no idea there were so many. I can appreciate how much time and effort it took to compile this list. Fantastic job, guys. [+]

  • CT SAH

Paucis Verbis card: Aneurysmal subarachnoid hemorrhage

By |Mar 5, 2010|Categories: ALiEM Cards, Neurology|

Atraumatic subarachnoid bleeds are most commonly caused by ruptured intracranial aneurysms. This installment of the Paucis Verbis (In a Few Words) e-card series reviews the current management, knowledge, and challenges in aneurysmal subarachnoid hemorrhage (SAH). PV Card: Subarachnoid Hemorrhage  Adapted from [1] Go to ALiEM (PV) Cards for more resources. Reference Edlow J, Malek A, Ogilvy C. Aneurysmal subarachnoid hemorrhage: update for emergency physicians. J Emerg Med. 2008;34(3):237-251. [PubMed]

Trick of the trade: Irrigation scalp wound photos

By |Mar 3, 2010|Categories: Tricks of the Trade|Tags: |

I mentioned from an earlier post about building a "head basin" for collecting irrigation fluid prior to wound closure. This basin prevents a deluge of fluid from soaking the gurney sheets and patient. I finally managed to capture this trick in action, while a student was irrigating an eyebrow laceration. Pearl When cutting out a semi-circular or rectangular hole in the basin, be sure that there remains a 2-4 inch lip at the bottom to ensure that fluid can collect in the basin.

  • Slit Lamp

Great teaching video: Cell and flare

By |Mar 2, 2010|Categories: Ophthalmology|Tags: |

Using the slit lamp can be a challenge to learn, especially if you haven’t seen pathology before. In checking for anterior uveitis (i.e. iritis), you need to look for “cell and flare”. In theory, you know that you are looking for inflammatory cells and “flare”, which resembles a light beam being filtered through smoke. [+]

Article review: SAEM Tests

By |Mar 1, 2010|Categories: Education Articles, Medical Education|Tags: , |

This is is a great look back at how SAEM Tests were developed and now used by EM clerkships across the country. Because EM does not have a National Board of Medical Examiners shelf exam, a tremendous effort was made by the authors to create a set of validated questions for clerkship directors to use. Specifically point serial correlation coefficients (range -1 to +1) were calculated for each question. A high coefficient means a high correlation between the performance on the individual test question and the performance on the overall test. After rewriting 25% of the test questions because of [+]

Paucis Verbis card: NIH Stroke Scale

By |Feb 26, 2010|Categories: ALiEM Cards, Neurology|

Patients present with acute strokes to the Emergency Department. Time is of the essence to obtain a rapid neurologic exam, draw labs, get CT imaging, and consulting a neurologist especially if the patient presents within 3 hours of onset. To help the neurologist determine whether the patient should get thrombolytics, calculating a NIH Stroke Scale score is useful.w In this installment of the Paucis Verbis (In a Few Words) e-card series, here is the NIHSS scoresheet. Score 0 No stroke Score 1-4 Minor stroke Score 5-15 Moderate stroke Score 16-20 Moderate-severe stroke Score 21+ Severe stroke PV Card: NIH Stroke [+]

  • EB Medicine

Hot off the press: Free EM Practice articles

By |Feb 25, 2010|Categories: Medical Education|

Thanks to EB Medicine, “Emergency Medicine Practice” articles from 2007 and earlier are now free! This series is a well-written and practical evidence-based review resource for EM physicians. It’s a great place to start reading about bread-and-butter EM content, especially for medical students and junior residents. There haven’t been too much change in the past 3 years on many of the topics. [+]

  • Journal Club

Trick of the trade: Spicing up your evidence-based lecture

By |Feb 24, 2010|Categories: Medical Education, Tricks of the Trade|

Before I start creating a new talk, I ask myself 3 questions: Who will be in the audience? How can I make my talk more worthwhile to audience members, beyond their just reading the material/handout/articles on their own? Am I giving a talk before or after Dr. Amal Mattu? If so, just be resigned to being second-best. [+]

  • Ankle Injury

Paucis Verbis card: Ankle fractures

By |Feb 19, 2010|Categories: ALiEM Cards, Orthopedic, Radiology|

Ankle fractures are a common injury diagnosed in the Emergency Department. Being able to speak Ortho-ese (i.e. the language of orthopedists) is invaluable in consulting the orthopedist over the phone. One ankle fracture classification system that our orthopedists like to use is the Lauge-Hansen system. PV Card: Lauge-Hansen Classification of Ankle Fractures Go to ALiEM (PV) Cards for more resources.