A middle-aged Asian female presents to the emergency department complaining of 2-3 days of mouth pain. She has chewed betel nut for a number of years. Which of the following is true regarding her presentation and management? Debridement should be avoided. Metronidazole is contraindicated due to the potential of a disulfiram-like reaction. Oral secretagogues should be used due to the anticholinergic effects. The patient is at increased risk of oral cancer. […]
Ultrasound For the Win! Case: 38-year-old pregnant woman with acute right-sided abdominal pain #US4TW
Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this peer-reviewed case series, we focus on real clinical cases where bedside ultrasound changed management or aided [...]
Our virtual school doors are open starting today to ALiEM University (ALiEMU), which can best be thought of as our open-access, on-demand, online school of e-courses for anyone practicing Emergency Medicine worldwide. This ambitious venture [...]
“In the era of colorblindness, it is no longer socially permissible to use race, explicitly, as a justification for discrimination, exclusion, and social contempt. So we don’t. Rather than rely on race, we [...]
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.
Pelvic trauma frequently is associated with other injuries from the high force required to break the pelvis. Management is focused on stabilizing the pelvis and stopping the bleeding. Due to other injuries requiring emergent surgical stabilization, pelvic trauma is primarily managed surgically with pre-peritoneal packing and external fixation, followed by angioembolization for continued bleeding. Emergency physicians must quickly resuscitate patients while gathering vital information to direct the correct definitive bleeding control strategy. New endovascular techniques [...]
MIA 2012: Nishijima DK et al. Immediate and delayed traumatic intracranial hemorrhage in patients with head trauma and preinjury warfarin or clopidogrel use. Ann Emerg Med. 2012 Jun;59(6):460-8.e1-7.
Bottom Line 1 CREST study: Patients presenting to the emergency room with blunt head trauma and preinjury warfarin or clopidogrel use have a high incidence of immediate intracranial hemorrhage, but a very low [...]
MIA 2012: Hoffmann U et al. Coronary CT angiography versus standard evaluation in acute chest pain. N Engl J Med. 2012 Jul 26;367(4):299-308.
Bottom Line 1 ROMICAT-II study: Coronary CT angiography (CCTA) is a safe and faster diagnostic strategy than the standard evaluation of low-to-intermediate risk chest pain patients. CCTA, however, results in higher radiation exposure [...]
MIA 2012: Backes D, et al. Time-dependent test characteristics of head computed tomography in patients suspected of nontraumatic subarachnoid hemorrhage. Stroke. 2012 Aug;43(8):2115-9
Bottom Line 1 100% sensitive and specific if < 6 hours from headache onset 90% sensitive if after 6 hours A noncontrast head CT can effectively rule out atraumatic subarachnoid hemorrhage (aSAH) in [...]
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
ALiEM is proud to announce the 2016 Call for Award Nominations. We believe in supporting the hard work, creativity, and scholarly output that is enhancing the experience of learners who utilize social media for their medical education. We believe it is important to recognize leaders who excel at innovative, online content creation. Consider nominating yourself or your colleagues! […]
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.
In this new installment in the “How I Work Smarter” series, we are featuring one half of ultrasonography royalty, Dr. Matt Dawson (@UltrasoundPod), who has dominated the EM ultrasound world along with Dr. Mike Mallin (who is featured next week!). I am always impressed with how Matt can do it all – create, podcast, publish e-books and journal articles, and email responsively. Take a read of his practical pearls, although now I no longer wonder how he manages to [...]