Free ALiEMU Course: In-Training Exam Prep
We are thrilled to launch the ALiEMU In-Training Exam Prep Course! These 250 multiple-choice questions derive from the ALiEM In-Training Exam Prep Book, a project launched from the 2016-17 Chief Resident Incubator. Led initially by editors Dr. Michael Gottlieb, Dr. Dorothy Habrat, Dr. Margaret Sheehy, Dr. Samuel Zidovetsky, and Dr. Adaira Chou in the first edition, we are now in the updated second edition with editors Dr. Michael Gottlieb, Dr. Rochelle Zarzar, and Philippe Bierny. This content is now available as 50 sets of 5 questions, free on ALiEMU, and just in time for the upcoming exam! Update February 22, 2018 150 New Questions [+]
12 Must-Know EM Pharmacotherapy Articles of 2017
Welcome to the 4th annual installment of our must-know Emergency Medicine pharmacotherapy articles post, this time for 2017. We summarize some important EM pharmacotherapy articles from the last 12 months. We have tried to focus on articles that you may have missed, but are potentially high-impact for improving clinical practice in the ED. Without further ado, we present the 12 must-know EM pharmacotherapy articles of 2017. [+]
Prochlorperazine, Metoclopramide, and Diphenhydramine for Acute Migraine Headache
The 2016 American Headache Society (AHS) released recommendations on managing adults with acute migraine headaches.1 In the November 2017 EM:RAP LIN Sessions podcast episode that I recorded, I realized that I overgeneralized several statements about anti-dopaminergic agents and the use of concurrent diphenhydramine for akathisia risk reduction. So I wanted to clarify things and share a deeper-dive on the topic, thanks to the constructive feedback and help of headache guru Dr. David Vinson and EM pharmacists Dr. Curtis Geier, Dr. Bryan Hayes, and Dr. Zlatan Coralic. Below summarizes the nuanced thought processes in the anti-dopaminergic treatment of migraines. [+]
Trick of the Trade: Fishhook Removal Techniques
Penetrating fishhook injuries can be a common occurrence during the warm weather months. Initially, it is important to evaluate what type of fishhook was being used. How many and where are the barbs? What shape is it (treble hook, single hook)? The physical examination requires a thorough neurovascular exam and, if penetration depth is difficult to assess, radiographs should be utilized for further evaluation. What approach do you use to remove these barbed fishhooks? [+]
I am Dr. Jennifer Stahl, EM and Critical Care Physician: How I Stay Healthy in EM
Dr. Jennifer Stahl is an emergency and critical care physician from North Carolina. Despite juggling busy ED and ICU schedules, Dr. Stahl finds ways to stay active and spend time with her family and friends. From eating well, to practicing reflection and mindfulness, Dr. Stahl has more than a few tips on wellness. Here’s how she stays healthy in EM! [+]
ALiEM Book Club: Medical Apartheid
Rallies by white supremacists in Charlottesville, VA and the subsequent milquetoast response from the White House shocked many Americans. These events invoked a national discussion about how many of our public monuments, built to celebrate triumphs and critical moments from our country’s past, can also exhibit appalling acts of malevolence and cruelty, treatment that today is unacceptable. Similarly, our understanding of medical history has evolved. While many of us are aware of particular atrocities, such as the Tuskegee study or the nonconsensual obtaining of Hela cells from Henrietta Lacks, these stories are by no means isolated, and there are times in [+]
2018-2019 ALiEM Faculty Incubator: 6 Reasons To Get Excited!
The ALiEM Faculty Incubator is thrilled to announce that applications are now open for its THIRD year! We plan to build on the success of the last 2 years to create the best Faculty Incubator yet. The deadline to apply is Sunday, February 18 at 5 pm EST. Check out 6 reasons to get excited below: [+]
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Top 10 ALiEM Clinical Posts in 2017
Seasons greetings from the ALiEM team. We have published so many posts this year that you may have missed a few. Did you at least catch the top 10 ALiEM clinical posts in 2017? These are the most-viewed posts in the past calendar year. From nerve blocks, to managing epistaxis, head bleeds, and providing post-ROSC care – check these out as you ring in the New Year! [+]
PEM Pearls: Pediatric Lung Ultrasound for Diagnosing Pneumonia | The Wave of the Future
The standard for diagnosing pneumonia is a combination of the clinical history, physical examination, and chest x-ray (CXR) findings. However, lung ultrasound (US) has been shown to be a reasonable alternative to CXR in children, and may be an appropriate alternative diagnostic imaging modality in the Emergency Department (ED). [+]
Jessica Zhang, MD
University of California San Francisco
60 Second Soapbox: Autoimmune Disease, Ultrasound Teaching, 3rd Nerve Palsy
It’s time for another installment of 60 Second Soapbox! Each episode, 1 lucky individual gets exactly 1 minute to present their rant-of-choice to the world. Any topic is on the table – clinical, academic, economic, or whatever else may interest an EM-centric audience. We carefully remix your audio to add an extra splash of drama and excitement. Even more exciting, participants get to challenge 3 of their peers to stand on a soapbox of their own! [+]