SAEM Clinical Images Series: Painful Red Eye
The patient is a 60-year-old male with a history of insulin-dependent diabetes, hypertension, and hyperlipidemia who presents to the Emergency Department after one day of sudden onset right eye pain associated with nausea and vomiting. He notes progressively blurring vision and vision loss in his right eye since the onset of the pain. His wife noted redness of his sclera and urged him to go the [+]
SAEM Clinical Images Series: A Pedunculated Bone to Pick
The patient is a 46-year-old male with a past medical history of chronic left knee pain, hypertension, and [+]
SAEM Clinical Images Series: Wake-up Call
The patient is a 53-year-old anuric female with a history of kidney/liver transplant, ESRD on hemodialysis, diabetes mellitus, [+]
SAEM Clinical Images Series: Can I Snooze on This Bruise?
The patient is a 21-month-old male with no medical problems who is brought into the Emergency Department with concerns for bruising of the lower [+]
Trick of Trade: Using Sterile Lubricating Gel to Manage Bloody Scalp Lacerations | A Simple Gel, a Big Fix
One of the classic scenarios encountered in the emergency department involves an elderly patient with medium to long hair who sustains a scalp laceration after a ground-level fall. They often arrive hemodynamically stable and without bony crepitus, yet the wound itself is challenging to evaluate. During transport, clotted blood frequently becomes entangled in their hair, forming a dense mat that obscures the laceration. The care team—technicians, nurses, residents, and physicians alike—may spend several minutes [+]
Gamechanger: Do we really need a lumbar puncture for all febrile infants 0-28 days old?
A new international pooled analysis challenges the age-old dogma that all febrile infants 0-28 days require a lumbar puncture (LP). Can the PECARN febrile infant prediction rule safely identify a low-risk subset for [+]
SAEM Clinical Images Series: I Cannot Control My Right Side
The patient is a 47-year-old female whose past medical history includes ESRD on dialysis, type [+]
SAEM Clinical Images Series: Ocular Trauma Following Ground Level Fall
The patient is an 82-year-old female who presents to the Emergency Department after an unwitnessed fall from standing approximately 2 hours [+]
The First Pulse Check: How to set yourself up for success in EM residency
“Are you ok?” My wife asked as I flopped onto the bed, which was still just a mattress on the floor. I (KL) had just finished my first shift as a resident and was overwhelmed. We still had furniture to buy, boxes to unpack, and countless things to repair. The house we were so excited to move into had not lived up to our expectations when we saw it for the first time in [+]
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. [+]
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 [+]
How I Educate Series: Mark Ramzy, DO
This week’s How I Educate post features Dr. Mark Ramzy, an EM attending and Intensivist at RWJBH Community Medical Center in New Jersey. Dr. Ramzy spends approximately 90% of his shifts with [+]
How I Work Smarter: Al’ai Alvarez MD
One word that best describes how you work? Compassion Current mobile device iPhone 12 Computer MacBook Pro What is something you are working on now? Where do I begin? The pandemic has opened doors for virtual talks and conferences, so I’m just taking it week by week sometimes. I’m also doing a fellowship, the Stanford Byers Center for Biodesign Faculty Fellowship. I’m learning how to apply design thinking to well-being interventions in the ED, [+]
ALiEM Stands in Solidarity with Our Asian American and Pacific Islander (AAPI) Community
We at ALiEM wholeheartedly condemn the xenophobia, intolerance, and hate crimes directed towards Asians and the Asian American and Pacific Islander (AAPI) communities. Recent events spurred by the COVID-19 pandemic are hurtful, “othering,” [+]
Teaching LGBTQ+ Health: 10 Clinical Pearls
Are you confident in your skills when taking care of LGBTQ+ patients? Are you able to teach principles of LGBTQ+ health to trainees in your clinical practice and the classroom setting? Learners across [+]
How I Work Smarter: Molly Estes, MD, FACEP, FAAEM
One word that best describes how you work? Efficiently Current mobile device iPhone 11 Pro Computer MacBook Air What is something you are working on now? This survey :) In seriousness, trying to [+]
