The Problem The peri-mortem cesarean section, rebranded in recent years as the “Resuscitative Hysterotomy”, is a potentially lifesaving procedure for both a pregnant mother and her child. It is both daunting and infrequently performed, necessitating frequent review of indications, techniques, and pitfalls to ensure the best possible outcome for mother and baby. The decision to perform this procedure should be made only in pulseless women with a uterine fundus above the umbilicus, which indicates a [...]
A 26-year-old woman presented to an urban Detroit emergency department complaining of bilateral foot pain after walking outside in the snow for 30 minutes without shoes or socks. She was unable to ambulate secondary [...]
It is with great pleasure that announce our 2015-2016 ALiEM-AgileMD Design Fellows: Drs. Catherine Patocka and Jeremy Voros. It was a fierce competition with lots of qualified applicants with great ideas and visions, but [...]
In the emergency department (ED), failure to comply with discharge instructions has been associated with an increased rate of adverse outcomes for patients. 1,2 There is tremendous variability in the information that is [...]
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.
After a STEMI activation from the field on Monday morning, the cardiac catheterization team scoops the patient away shortly after the paramedics arrive in the Emergency Department (ED). “Well that was a smooth and seamless resuscitation. The patient was barely in the ED for more than 15 minutes,” you think to yourself. You diligently complete your critical care documentation, noting 20 minutes of critical care time, before seeing your next patient. A few weeks later [...]
MIA 2012: Pearce MS et al. Radiation exposure from CT scans in childhood and subsequent risk of leukaemia and brain tumours: a retrospective cohort study. Lancet. 2012 Aug 4;380(9840):499-505.
Bottom Line 1 Interpret this data how you will: Exposure to 2-3 CT scans of the head will triple the risk of brain tumors; 5-10 head CT scans will triple the risk of [...]
MIA 2012: IST-3 collaborative group et al. The benefits and harms of intravenous thrombolysis with recombinant tissue plasminogen activator within 6 h of acute ischaemic stroke (the third international stroke trial [IST-3]): a randomised controlled trial. Lancet. 2012 Jun 23;379(9834):2352-63.
Bottom Line 1 Giving tPA to stroke patients within 6 hrs of symptom onset does not improve mortality or independence at 6 months. However, patients might be a little “less disabled” while they are alive. [...]
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
This ALiEM MEdIC series is part of a very special event! In a few days in Nashville, TN the ALiEM Design Fellows (Dr. Catherine Patocka & Dr. Jeremy Voros) and I will be joining forces with CORD’s Dr. Rob Cooney to organize a special Design Thinking Hackathon. This workshop will take place at CORD’s 2016 Academic Assembly, which is only a few days away. We are very excited that our Design fellows team will be helping [...]
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 feature Dr. Rob Mac Sweeney (@CritCareReviews), who is the editor for the prolific and very popular blog Critical Care Reviews. Twitter fans nominated him: “Everyone would like to know how you manage to produce such a resource and find the time to breath!” and “Rob never sleeps. Can be no other explanation!” Rob has agreed to share his trade secrets on how he works smarter and seeming finds more time [...]