52 Articles in 52 Weeks, 3rd edition (2022)
How can I keep up with so many landmark articles in Emergency Medicine (EM)? This is an often asked question we hear from interns and residents. Published in 2013 (1st edition) and 2016 (2nd edition), the "52 Articles in 52 Weeks" compendium is a compilation of 52 journal articles provided interns a list to read over a 52-week period, at an average pace of 1 journal article per week. We present the updated 2022 compilation. Methodology for Article Selection We primarily build off of the original list from 2016. These 52 articles were refreshed such that newer landmark articles [+]
ALiEM AIR Series | Neurology 2022 Module
Welcome to the AIR Neurology 2022 Module! After carefully reviewing all relevant posts in the past 12 months 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 related to neurologic emergencies in the Emergency Department. 5 blog posts met our standard of online excellence and were approved for residency training by the AIR Series Board. More specifically, we identified 2 AIR and 3 Honorable Mentions. We recommend programs give 3 hours of III credit for this module. AIR Stamp of Approval and Honorable [+]
ALiEM AIR Series | Ortho Upper Extremity 2022 Module
Welcome to the AIR Orthopedic Upper Extremity 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 related to Orthopedic Upper Extremity emergencies in the Emergency Department. 3 blog posts met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 1 AIR and 2 Honorable Mentions. We recommend programs give 2 hours (about 40 minutes per article) of III credit for this module. AIR Stamp of Approval and [+]
SplintER Series: En Pointe
A 32-year-old female presents to the emergency department with right foot pain after rolling her ankle during dance class. On exam, there is mild swelling and tenderness over the 5th metatarsal. The above x-ray was obtained (Figure 1: Case courtesy of Dr. Henry Knipe, Radiopaedia.org, rID: 28104). [+]
Ko, MD, CAQ-SM
Department of Emergency Medicine [+]
ALiEM AIR Series | Cutaneous 2022 Module
Welcome to the AIR Cutaneous 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 related to cutaneous emergencies in the Emergency Department. 6 blog posts met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 0 AIR and 6 Honorable Mentions. We recommend programs give 3 hours (about 30 minutes per article) of III credit for this module. AIR Stamp of Approval and Honorable Mentions In an [+]
SAEM Clinical Images Series: An Ominous Umbilical Lesion
A 54-year-old male with a past medical history of atrial flutter and alcohol use disorder presents with an umbilical wound that has been bothering him for approximately six months. There is no history of trauma, prior infection, or umbilical surgery. There is intermittent mild pain and irritation that occurs randomly. No drainage or bleeding. He admits to picking at the wound regularly. He denies fever, chills, nausea, generalized abdominal pain, diarrhea, constipation, dysuria, and hematuria. The patient drinks four or more alcoholic beverages daily and has a long-standing history of tobacco use. [+]
How I Educate Series: Christina Shenvi, MD
This week’s How I Educate post features Dr. Christina Shenvi, the Director of the Office of Academic Excellence and former Associate Residency Director at the University of North Carolina, Chapel Hill. Dr. Shevani spends approximately 80% of her shifts with learners, including emergency medicine residents, off-service residents, and medical students. She describes her practice environment as tertiary care academic center. Below she shares with us her approach to teaching learners on shift. Name 3 words that describe a teaching shift with you. Interactive, team-based, and collaborative. What delivery methods do use when teaching on shift? Verbal discussions usually with [+]
SAEM Clinical Images Series: Dermatology Deserving a Deeper Dive
A 22-year-old female without significant past medical history presented to the Emergency Department (ED) for a progressive rash for the past six months. She had initially complained of dry and peeling skin on bilateral hands and feet and had multiple ED and dermatology encounters where topical steroids, acyclovir, and methotrexate were prescribed with no improvement. The rash continued to progress with worsening pain and inability to flex fingers secondary to lesions and scabbing at the joints. The patient also developed painful sores in her mouth primarily involving the tongue. More concerningly, she had lost 60 pounds since the onset [+]
EM Match Advice 39: Mailbag Q&A as a Mid-Interview Season Check-In
The holiday season is soon ending, but the residency interview season is only at the half-way point. Based on your recently submitted questions, you are encountering unforeseen dilemmas about navigating the interview and post-interview season. Dr. Sara Krzyzaniak (EM program director at Stanford) hosts this quick Mailbag Q&A episode with Dr. Michelle Lin (ALiEM Founder/UCSF) and featuring the ever-wise Dr. Matt Pirotte (EM program director at Vanderbilt). We discuss the nuances around: Preference signaling Writing letters or emails of interest Meaningfully connecting with busy program directors We also answer the perennial question of "Really, how important IS the interview [+]
SplintER Series: Don’t forget about the (tibial) spine!
A 13-year-old patient presents to the Emergency Department after sustaining a twisting knee injury while playing soccer. There was a pop, and the patient was subsequently unable to bear weight due to pain and knee instability. The swelling and pain increased in the hours after the injury occurred. On examination, there is a large knee effusion and a positive Lachman test. You obtain imaging (Figure 1). What is your suspected diagnosis? What is your initial workup in the ED? What imaging confirms the diagnosis? What is your management and disposition? Figure 1: AP [+]