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  • Pneumothorax CT

Significance of a traumatic pneumothorax or hemothorax found only on CT imaging

A 32 year old woman arrives in your emergency department after being in a motor vehicle collision where she was the seat-belted driver. She undergoes chest CT imaging despite a negative chest x-ray because of her ongoing anterior chest wall diffuse tenderness. You discover a small 10% pneumothorax (PTX), but no other associated thoracic injuries. Should you place a tube thoracostomy (chest tube)? Should this patient be admitted to the hospital? A 2019 Annals of [...]

Dec 17, 201512, 2015

What is International Emergency Medicine?

First and foremost, international emergency medicine (IEM) is a big tent. We’ve got clinicians with an interest in tropical medicine and trauma, systems experts, inventors, educators, missionary families, public health experts, thrill-seekers, and [...]

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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ALiEMCards: The Red and Painful Eye

There is significant overlap among conditions that cause a red, painful, or red AND painful eye. Having trouble keeping them all straight? Need a refresher before heading in to see a patient with a new eye complaint? Check out our brief, practical ALiEM Cards on the topic: The Painful Eye (Author: Puja Gopal, MD) The Red Eye (Author: Michelle Lin, MD) Eye Differential Diagnoses (Author: Puja Gopal, MD) […]

May 25, 201305, 2013

On the Horizon: Propofol for Migraines

Propofol for the treatment of migraines in the ED might be on the horizon. This will possibly be a new practice in emergency medicine, although it has been known for some time. Propofol, when given [...]

May 23, 201305, 2013

PV Card: Contraindications to Thrombolytics in Stroke

This Paucis Verbis (PV) card is an updated version of the PV card on Contraindications to Thrombolytics for CVA from September 10, 2010, based on the Stroke 2013 AHA/ASA new guidelines that were just published.1 Some changes [...]

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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  • medic document

MEdIC Series: Case of the Terrible Code – Expert Review & Curated Commentary

The Case of the Terrible Code outlined a scenario where a resident observed a resuscitation that was not going well. Should he intervene even though the code leader was an attending? How? This month the MEdIC team (Brent Thoma, Sarah Luckett-Gatopoulos, Tamara McColl, Eve Purdy, John Eicken, and Teresa Chan), hosted a discussion around these questions with insights from the ALiEM community. We are proud to present to you the Curated Community Commentary and our 3 expert opinions. Thank-you [...]

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: Brain on Fire – My Month of Madness

“Looking back at this time, I see that I’d begun to surrender to the disease, allowing all the aspects of my personality that I value – patience, kindness, and courteousness – to evaporate. I was a slave to the machinations of my aberrant brain. We are, in the end, a sum of our parts, and when the body fails, all the virtues we hold dear go with it.” – Brain on Fire, Susannah Cahalan […]