IDEA Series: Pre-recorded Video Simulation Series for Residency Conference

By |Jul 29, 2020|Categories: IDEA series, Medical Education, Simulation|

During medical simulation, the inherent unpredictability of learners’ performances and decisions can make it challenging to consistently achieve desired learning objectives. The amount learned and the errors made can vary wildly between groups. Paradoxically, a stellar student can minimize the learning for the other providers if he or she takes over and effortlessly completes the case. Likewise, the visceral impact of seeing a case go horribly wrong can have tremendous teaching value.1 In addition to these challenges, the COVID-19 pandemic has introduced additional barriers to medical simulation training; physical distancing measures have resulted in limited or canceled simulation activities for [...]

IDEA Series: Big Screen Ultrasound in Resuscitation Bays

By |Jul 24, 2020|Categories: IDEA series, Medical Education, Ultrasound|

Bedside ultrasound (US) often plays a crucial role in medical and trauma resuscitations in the emergency department (ED) [1]. Performing and interpreting bedside US studies such as the Extended Focused Assessment with Sonography for Trauma (E-FAST) during traumas or echocardiography during medical resuscitations are key skills for emergency medicine residents to learn during their training and adopt into clinical practice [2]. During trauma resuscitations timely and efficient dissemination of critical information is paramount. Information obtained via bedside US can be critical in determining further clinical actions (need for urgent thoracostomy for a pneumothorax, need for urgent exploratory laparotomy in a [...]

  • normal pediatric elbow

SplintER Series: Pediatric Elbow Pain

By |Jul 22, 2020|Categories: Expert Peer Reviewed (Clinical), Orthopedic, Pediatrics, SplintER|Tags: , , |

A 9-year-old male presents with right elbow pain after a fall onto the elbow. What is your diagnosis? What common pediatric elbow findings are you looking for? What is your management and disposition in the ED? (Image 1: Case courtesy of Dr Ian Bickle, Radiopaedia.org, rID: 47354) […]

PEM Pearls: Intranasal Medications in the Pediatric ER

By |Jul 20, 2020|Categories: PEM Pearls, Tox & Medications|

Fiona is a 6 year old female who presents to your emergency department after falling onto her left hand while racing on the playground. X-ray of the left upper extremity reveals a distal radius fracture with minimal displacement and angulation. You plan to place her arm in a splint and arrange for close orthopedic follow-up. The only problem: Fiona is in a lot of pain, especially with any manipulation of her arm, and Dad is worried that she will not be able to tolerate having a splint placed. You consider reaching for an intranasal medication to help Fiona feel more [...]

Banishing Busy: Part 3

By |Jul 17, 2020|Categories: Life, Professional Development|

Medical professionals are busy people and exist in a constant state of “being busy.” How do we resolve chronic “busy-ness”? How do we manage our time effectively? In her recent talk at the CORD Academic Assembly 2020, Dr. Christina Shenvi, EM Physician and Associate Residency Director at UNC, provided 5 key actions to help us be productive, complete our work effectively, and strive for work-life balance. Dr. Shenvi recorded her lecture again to be shared with the ALiEM Faculty Incubator. This series of posts breaks down her talk into 3 sections in order to summarize her key points and to [...]

IDEA Series: Toxicology Virtual Escape Room during COVID-19

By |Jul 15, 2020|Categories: IDEA series, Medical Education, Tox & Medications|

In order to enhance emergency medicine (EM) residents’ knowledge of toxicology core content, we previously created an immersive escape room experience complete with team-based puzzle solving in a geographical maze to find an antidote. The subsequent COVID-19 pandemic and physical distancing guidelines resulted in canceled in-person EM conferences, thereby requiring a rapid adaptation to virtual formats [1-4]. Our toxicology division sought a novel method of engaging learners with toxicology core content remotely.  […]

Little Big Med Podcast: Gender Equity in Medicine

By |Jul 10, 2020|Categories: Pediatrics, Podcasts, Professional Development, Social Media & Tech|

It’s time to talk about gender equity in medicine. Significant gender disparities exist in both healthcare institutions and professional societies. These disparities persist even in fields that are predominantly female, such as pediatrics. In fact, although women comprise 72.3% of active pediatricians, only 27.5% of pediatric department chairs across US medical schools are women. Why does this disparity exist? What can we do to address it? In this episode of the Little Big Med podcast, host Dr. Jason Woods discusses these questions with Dr. Nancy Spector, Professor of Pediatrics at Drexel University College of Medicine and Executive Director of the [...]