SAEM Clinical Image Series: Rash with Blood Pressure Cuff Inflation
[Click for larger view] Chief Complaint: Possible seizure, Left arm rash History of Present Illness: A 29-year-old with a history of migraine headaches, thalassemia of unknown phenotype, and no history of hypertension or epilepsy arrived to the emergency department via ambulance after possible seizure. The patient had nausea and vomiting the morning after a night of heavy drinking. After several rounds of vomiting, she felt shaky, lightheaded and experienced paresthesia in both of her hands and feet. There was no loss of consciousness, confusion or incontinence. EMS reported hypertension and tremors with upper extremity spasms. [+]
Pediatric Point of Care Ultrasonography ALiEMU Course on Intussusception
Our ALiEMU learning management system, which currently houses the AIR series, Capsules series, and In-Training Exam Prep courses, is ready to slowly open the doors to welcome external authors with high quality content. We are thrilled to welcome a UCSF-sponsored pediatric emergency medicine (EM) point of care ultrasonography (POCUS) series, led by Dr. Margaret Lin. The first course is on the intussusception scan, filled with multiple ultrasound scans showing normal variants and two different types of intussusception. [+]
ACMT Toxicology Visual Pearls: Abnormal ECG
This abnormal ECG would be typical following an overdose on which of the following medications? Amitriptyline Buspirone Citalopram Haloperidol [+]
Colin O'Neill, MD
Carolinas Medical Center, Charlotte, NC
Latest posts by Colin O'Neill, MD (see all)
- ACMT Toxicology Visual Pearls: Abnormal ECG - June 26, 2019 [+]
ALiEM “Gram” Rounds | Contest Announcement!
In January of 2019, ALiEM was able to continue leveraging the power of social media by delivering high quality educational content to Instagram. We love your enthusiasm for our weekly #TrickoftheTradeTuesday posts and hope you check out our content if you haven’t visited yet. It has been inspiring to follow the many residency programs who have a presence on Instagram, and so we’ve come up with a way to try and help you disseminate all of your hard work. Read on to learn more about the ALiEM “Gram” Rounds! [+]
ALiEM AIR | Cutaneous 2019 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 cutaneous emergencies. 6 blog posts within the past 12 months (as of February 2019) met our standard of online excellence and were curated and approved for residency training by the AIR Series Board. We identified 3 AIR and 3 Honorable Mentions. We recommend programs give 3 hours (about 30 minutes per article) of III credit for this module. [+]
New PECARN Febrile Infant Rule: A 3-Variable Approach for Ages 29-60 Days | Interview with Dr. Kuppermann
The diagnosis and risk stratification of febrile young infants continues to present a clinical challenge. Serious bacterial infection (SBI) rates in infants ≤60 days have continued to be reported between 8-13%. Despite several different classification rules and pathways, we continue to struggle to accurately delineate which infants have SBI and which do not. A paper titled “A Clinical Prediction Rule to Identify Febrile Infants 60 days and Younger at Low Risk for Serious Bacterial Infections” was published in JAMA Pediatrics in February of 2019.1 The authors sought to derive a new clinical prediction rule for infants with fever. The research [+]
The Leader’s Library: Dare To Lead | Curated Summary of the Discussion
In April 2019, a group of intrepid readers embarked on an adventure together: the debut session of The Leader’s Library, ALiEM’s new career development book club. Learners and instructors from around the world read and discussed Dr. Brené Brown’s newest book, Dare to Lead, on a 5 day journey via Slack. Each day had its own theme (Rumbling with Vulnerability, Values, Empathy and Shame, Learning to Rise, and Toolkit), and the asynchronous discussion was robust. A day-by-day breakdown of our conversation, along with tangible takeaways and recommendations for further reading, is summarized below. [+]
Teaming Tips Case 9: Organizing through Social Platforms | ALiEM Faculty Incubator
Many of you are asked to take a leadership role within a team, whether it’s for research, administration, or even clinical practice. It is easy to feel unprepared for these roles, and there are many pitfalls waiting to sabotage your team’s productivity. The ALiEM Faculty Incubator has created a series of 10 case-based teaming problems to provide you with evidence-based advice and solutions for tackling some of the more common problems encountered in our professional team experiences. This provides tips for using social platforms to enhance collaboration across your internal and virtual teams. [+]
ACMT Toxicology Visual Pearls: Eating Foraged Wild Mushrooms
What clinical symptoms would be expected after eating a meal made with the pictured foraged wild mushrooms? Bradycardia, urinary incontinence, and bronchospasm Hallucinations Seizures and rhabdomyolysis Skin flushing and palpitations [+]
SplintER Series: A Case of Severe Shoulder Pain
A 45 year old woman presents with several days of gradually worsening right shoulder pain and stiffness. Her shoulder is very warm to the touch but not erythematous. You obtain shoulder x-rays and see a linear density in the AP view (photo credit). What is the most likely diagnosis, the differential diagnosis, and management plan? [+]