PRoMPT BOLUS: A Landmark PECARN Trial Defining Fluid Choice in Pediatric Sepsis
Article reviewed: Balamuth F, Weiss SL, Long E, et al; PRoMPT BOLUS Investigators of the PECARN, PERC, and PREDICT Networks. Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock. N Engl J Med. Published online April 24, 2026 DOI: 10.1056/NEJMoa2601969 | PubMed: PMID 42028918 For years, clinicians and researchers have debated a fundamental question in pediatric emergency care: does the type of fluid used in pediatric sepsis resuscitation matter? The PRoMPT BOLUS [+]
ACMT Toxicology Visual Pearl – Big Spider, Small Risk
What is the spider pictured below? Atrax robustus (Sydney funnel-web spider) Phoneutria nigriventer (Brazilian wandering spider) Trichonephila clavata (Joro Spider) Trichonephila clavipes (Golden Silk Orb-Weaver) [Author’s own image] [+]
EM Match Advice 51: 2026 EM Match by the Numbers
The Emergency Medicine (EM) Match process continues to evolve, with 2026 bringing a mix of growth, new variables, and some familiar uncertainties. In this 51st installment of the EM Match Advice podcast [+]
ACMT Toxicology Visual Pearl: Breathtaking Emergencies
What toxic gas is created by mixing these two household products? Chloramine gas Chlorine gas Chloroform Peracetic acid [Author’s own image] [+]
PRoMPT BOLUS: A Landmark PECARN Trial Defining Fluid Choice in Pediatric Sepsis
Article reviewed: Balamuth F, Weiss SL, Long E, et al; PRoMPT BOLUS Investigators of the PECARN, PERC, and PREDICT Networks. Balanced Fluid or 0.9% Saline in Children Treated for Septic Shock. N Engl J Med. Published online April 24, 2026 DOI: 10.1056/NEJMoa2601969 | PubMed: PMID 42028918 For years, clinicians and researchers have debated a fundamental question in pediatric emergency care: does the type of fluid used in pediatric sepsis resuscitation matter? The PRoMPT BOLUS [+]
ACMT Toxicology Visual Pearl – Big Spider, Small Risk
What is the spider pictured below? Atrax robustus (Sydney funnel-web spider) Phoneutria nigriventer (Brazilian wandering spider) Trichonephila clavata (Joro Spider) Trichonephila clavipes (Golden Silk Orb-Weaver) [Author’s own image] [+]
ACMT Toxicology Visual Pearl: Breathtaking Emergencies
What toxic gas is created by mixing these two household products? Chloramine gas Chlorine gas Chloroform Peracetic acid [Author’s own image] [+]
Who Gets Mistriaged? Disparities in Pediatric Behavioral Health ED Triage | A PECARN multicenter analysis
A 14-year-old Hispanic girl presents to the Emergency Department with her mother for suicidal ideation after a conflict at home. The girl is quiet and cooperative. Her mother, who speaks primarily Spanish, [+]
EM Match Advice 50: Making Your Rank List | Program Directors Share Their Best Advice
With interview season behind you, it's time for one of the most important decisions of your medical career: creating your rank list. In this episode of ALiEM Match Advice, host Dr. Sara Krzyzaniak (Stanford EM Program Director) sits down with Dr. Elaine Rabin (Mount Sinai Hospital, Elmhurst Program) and Dr. Miriam Kulkarni (St. John's Riverside Hospital) to discuss what really matters when ranking programs—and what doesn't. Key Dates to Remember February 2, 2026: Rank [+]
EM Match Advice 49: 5 Keys to Crush Your EM Residency Interview
It’s fall, which means goofy costumes, crisp apples, pumpkin spice latte, and the official start of the Residency Recruitment Season! Programs are furiously reviewing your applications right now, and this is a [+]
The Discharge Severity Index: Early Research on ED Readmission Risk Assessment
From Triage to Discharge: As an emergency medicine clinician, you've likely become comfortable using the Emergency Severity Index (ESI), a critical tool helping triage patients entering the ED. But what happens when [+]
When Research Meets Social Media Expertise: Lessons from the PECARN-ALiEM Partnership
From Pipe Dream to Proven Strategy: How a 4-year partnership between PECARN and ALiEM created a replicable framework for evidence-based research dissemination Sometimes the best collaborations begin with simple questions. Following Dr. [+]
SAEM Clinical Images Series: Pediatric Forehead Swelling
A 12-year-old male with a history of autism spectrum disorder and chronic sinusitis presented for forehead swelling. His mother reported that she noticed progressive forehead swelling for about one month. She had followed up with the patient’s pediatrician and ENT and was given oral cephalexin and fluticasone nasal spray which did not make any changes in his symptoms. The patient denied any fevers or headaches. Vitals: Temp [+]
The Fall of FOAM
The landscape of emergency medicine and critical care (EM/CC) blogs and podcasts has changed dramatically over the past 20 years. The number of free, open-access EM/CC blogs and podcasts has plummeted. As [+]
Need your help: A master list of free EM and Critical Care blog and podcast sites
Calling all who read or listen to emergency medicine/critical care (EM/CC) blogs or podcasts. In 2014, we helped to publish the master inventory of free open-access medical education (FOAMed) resources spanning the period [+]
The 1440 Doctor: Achieving Precision Focus – 3 Ways to Strengthen Your Attention Muscle
If you're like most people, your mind wanders. You may be sitting down to finish your charts, make that presentation (or write that blog) and your mind is off thinking about what you're [+]
