SAEM Clinical Images Series: A Case of Painful Skin Lesions
A 50-year-old Caucasian female with a history of hypertension, coronary artery disease, and insulin-dependent diabetes mellitus presents to the emergency department with a complaint of painful sores on the top of her left foot. She notes that ulcerations have formed over the past two weeks and reports a history of multiple recurrent usually non-tender skin lesions to her lower extremities, forearms, and hands over the past twenty years. She is [+]
A Pop in the Calf – Plantaris Rupture
A 32 year-old male presents to the Emergency Department after he felt a “pop” in his posterior-medial calf while playing tennis. He was able to ambulate but had [+]
LVAD Part IV: Non-Device Pathology
Left ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart failure. Although their use in the general public has increased, [+]
I’m an Emergency Medicine Physician With COVID-19, Now What?
A 35-year-old female emergency medicine physician presents for evaluation for severe myalgias, headache, fatigue, mild nasal congestion, profound anosmia, cough, and subjective fevers and chills. She has no measured temperature above 100.4°F, but [+]
Find it hard to keep current with all the new clinical updates? Get caught up on key evidence-based guidelines, clinical pearls, and patient-centered recommendations for your patients in Emergency Medicine.
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Trick of Trade: Alternative to a Pressure Bag for IV Fluids
You have a severely dehydrated patient with a peripheral IV line, requiring urgent fluid resuscitation. However, the crystalloid fluids are not flowing freely. Multiple attempts were made to place this line with the latest having a flash of blood return and a smoothly flowing saline flush. You can not seem to find your pressure infusion cuff to squeeze the IV bag and accelerate fluid administration. Trick of the Trade: Manually provide positive pressure fluids [+]
Ultrasound Gel Warmers in the Emergency Department?
How many times have you told a patient “The gel will be cold?” How many times have you watched a patient retract from the transducer because of the cold gel? How about a [+]
SplintER Series: Case of a First Metacarpal Fracture
Click image to enlarge view A 22 year-old male was playing football when he fell, landing on his outstretched left arm with his thumb flexed. He [+]
ALiEM AIR | Neurology 2019 Module
Welcome to the Neurology 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 neurological [+]
Everything you need to survive and thrive in academia, focusing on professional development across the spectrum of life-long learners including medical students, residents, and faculty
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Beyond the Abstract: A Return to Work Policy for New Resident Parents
More women than men entered medical school in the United States for the first time in 2017. Will this generation also set new trends in parenting during their training? One study suggests that 40% of female residents plan to have a child while in residency.1 Can our graduate medical education system withstand even a modest increase in the number of resident parents? Can your hospital? [+]
Should physicians be trained as “knowledge workers”?
According to Wikipedia a Knowledge Worker is someone whose main job is to employ creative, divergent, convergent thinking to solve problems with the help of searching new information. In the 21st century these Knowledge Workers [+]
EM-IM Residency Training: Is 5 Years Worth It?
As a new member of the ALiEM team, I am joining Dr. Salim Rezaie as the second member to be board certified in both Emergency Medicine and Internal Medicine. Since 2006, I have [+]
Why do we lecture?
The video lecture below is from Rhona Sharpe (@rjsharpe), the Head of the Oxford Center and Learning Development and Deputy Director of the Directorate of Human Resources at Oxford Brooks University. It is taken from First [+]
Being a well-rounded healthcare professional goes beyond just knowing the scientific facts. Get inspired about your wellness, staying healthy, improving your efficiency, and finding a balanced work-life integration.
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ALiEM Bookclub: Beyond the ED – Recommendations by Dr. Shannon McNamara
As a busy Emergency Physician, I find that I am always happier when I have a mystery novel to read during my free time. I’ve been a mystery fan since I was a kid, growing up on Nancy Drew and Encyclopedia Brown. Below I’d like to share some of my favorites. These authors are chosen for quality and readability with a preference for the prolific. If you like one of their books, you will likely [+]
