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2 10, 2017

ALiEMU Capsules Module 9: Hospital Acquired Pneumonia

2017-10-19T18:01:34+00:00

We are proud to present CAPSULES Module 9: Hospital Acquired Pneumonia (HAP), now published on ALiEMU. Here is a summary of the key points from a stellar module by Drs. Jamie Rosini and Matt Stanton. When you’re finished, head over to the Capsules page for even more practical pharmacology for the EM provider.
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29 09, 2017

MEdIC Series: The Case of the Discriminatory Patient 

2017-09-28T21:45:56+00:00

Welcome to season 5, episode 1 of the ALiEM Medical Education in Cases (MEdIC) series! Our team (Drs. Tamara McColl, Teresa Chan, John Eicken, Sarah Luckett-Gatopoulos, Eve Purdy, Alkarim Velji, and Brent Thoma) is pleased to welcome you to our online community of practice where we discuss the practice of academic medicine!

This month, we present a case of a junior resident faced with discrimination while treating a patient who refuses to be seen by a “non-white” or “non-Canadian” physician.

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28 09, 2017

Atraumatic Low Back Pain: ACEP E-QUAL Network Podcast

2017-09-27T21:59:35+00:00

Atraumatic low back pain is a common complaint in the ED. For most patients, a thorough history and physical exam is sufficient to exonerate causes that threaten life or neurological function. For a small subset, however, MRI may be required. ALiEM has partnered with the ACEP E-QUAL Network to promote clinical practice improvements through a series of podcasts. In our first installment, we focus on this common presentation. We review highlights from an interview with Dr. Jonathan Edlow, Vice Chair of Emergency Medicine at Beth Israel Deaconess, about the presentation and evaluation of low back pain. Afterward be sure to check out the podcast in full.
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26 09, 2017

Pronouncing ALiEM

2017-09-26T10:24:59+00:00

ALiEMSaying “Academic Life in Emergency Medicine” is a mouthful. Over the years there has been great controversy on our team about how to pronounce the abbreviated name “ALiEM.” Is it a long A like cake? Or is it a short A like apple? People were pronouncing it all sorts of creative ways. In the hopes of making our identity clear, we had heated discussions about this on the team. After much debate (and punitive push-ups), we resolved to pronounce it with a long A – like “alien”. This applies to all our ALiEM projects and initiatives such as ALiEMU.

21 09, 2017

IDEA Series: Teaching ECGs through a Written Competition

2017-11-01T22:03:01+00:00

The Problem

Idea Series LogoECG interpretation is a cornerstone of Emergency Medicine (EM). It requires both rapid identification of life-threatening abnormalities and fastidious attention to detail. This pairing can intimidate some junior learners, and identifying an effective and engaging method for teaching ECGs is important to resident education. We report a teaching method that addresses this problem with an annual residency ECG competition.

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19 09, 2017

SplintER Series: Splint Principles 101

2017-09-25T15:33:29+00:00

splint plaster materialWhy do we splint? Splinting is one of the fundamental procedures of the Emergency Department (ED). How well-versed are we with it? Why do we even splint? By the end of this post, you will know the reason why we splint, when to splint, and just as importantly — when NOT to splint in the ED.
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18 09, 2017

SplintER: A New Series on Orthopedic Injuries and Splinting

2017-09-25T15:45:45+00:00

splintingThe purpose of the SplintER series is to teach the fundamentals and introduce advanced concepts of splinting to the Emergency Medicine (EM) professional. Humans have been splinting their injuries since 1300 B.C.1 Although the fundamentals have not changed, splint selection and application require some thoughtful consideration. A 2017 prospective, observational study in the Journal of Pediatric Orthopaedics demonstrated that more than 90% of splints applied in the Emergency Department were inappropriate (30% applied by EM attendings), as evaluated by orthopaedic surgeons.2 While that number may not be representative in your institution, it certainly highlights the inadequacies that many of us feel when approaching a splint!

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