Who Gets Mistriaged? Disparities in Pediatric Behavioral Health ED Triage | A PECARN multicenter analysis
A 14-year-old Hispanic girl presents to the Emergency Department with her mother for suicidal ideation after a conflict at home. The girl is quiet and cooperative. Her mother, who speaks primarily Spanish, is trying to explain the situation. The nurse assigns an ESI level 2, the same score given to nearly every child who walks through the door with a behavioral health complaint. But does that score accurately capture this patient's needs? A new [+]
SAEM Clinical Images Series: Green Foot
The patient is a 59-year-old male with a history of prior DVT, atrial fibrillation, HTN, alcohol use and COPD who presents to the Emergency [+]
ACMT Toxicology Visual Pearl – Master of Deceit
What venomous marine animal is pictured? Fire coral Lionfish Sea urchin Stonefish [Image from Rapheal Duprat via Wikimedia] [+]
SAEM Clinical Images Series: Connect the Dots
The patient is a 39-year-old female with past medical history of polysubstance use disorder and seizures who presents to the Emergency Department complaining of [+]
Dump the Myths, Not the Milk: Medication and Imaging Considerations for Lactating Patients in the Emergency Department
The challenges in lactation are often compounded by outdated beliefs held by clinicians. Most of the medications we administer in the emergency department (ED) do not warrant any interruption in expression or feeding of breastmilk. Most imaging we perform in the ED is safe in the lactating patient and likewise does not need interruption. Let us convince you to trash the phrase, “Pump and Dump” in the ED. Most medications commonly given in the [+]
ACMT Toxicology Visual Pearl – Master of Deceit
What venomous marine animal is pictured? Fire coral Lionfish Sea urchin Stonefish [Image from Rapheal Duprat via Wikimedia] [+]
SAEM Clinical Images Series: Connect the Dots
The patient is a 39-year-old female with past medical history of polysubstance use disorder and seizures who presents to the Emergency Department complaining of [+]
ACMT Toxicology Visual Pearl: Sleeping with the Fishes
What recreationally used substance has been dispensed in this fish-shaped dropper? Amyl nitrite Gamma-hydroxybutyrate (GHB) Heroin Ketamine [Author’s own image] [+]
The Most Dangerous 10 Minutes of Your Shift: Mastering the ED Hand-Off
Handoffs are everywhere, from shift changes to trauma transfers. Each one is a chance for error. A standardized, structured sign-out protects patients, supports teamwork, and makes you a safer, more effective emergency physician. Why Sign-Outs Matter In emergency medicine, handoffs are constant and high-risk. Nearly a third of healthcare workers report an adverse event tied to a poor handoff. When communication falters, patients suffer: delayed results, missed diagnoses, duplicated work, or forgotten tasks. The [+]
EM Match Advice 46 | Program Directors Share Match Season Insights
As interview season wraps up, medical students across the country are preparing their rank lists for the upcoming Match. EM Match Advice podcast host, Dr. Sara Krzyzaniak (Stanford EM Program Director) recently [+]
Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment
‘Dope' is no longer heroin in an increasing number of our communities. The biggest change has been the gradual replacement of diacetylmorphine (heroin) by fentanyl and other synthetic opioids. Due in large [+]
EM Match Advice 45: 2025 ERAS Updates– What EM Applicants Need to Know
Dr. Sara Krzyzaniak, EM Match Advice Podcast Host and Stanford University PD, discusses key changes in the 2025 ERAS (Electronic Residency Application Service) application that all EM applicants should know about. Take [+]
Coaching for Faculty: The Secret to Unlocking Professional Success
Dr. Garcia is a freshly minted faculty member at Big Name University Medical Center. She's excited to have finally finished residency and dive into her career as a full time (and fully paid) attending. After spending her first year acclimating to the new department and achieving board certification, Dr. Garcia finds herself at a bit of a crossroad. She likes teaching, but are not sure residency or medical student education leadership is for her. [+]
The 1440 Doctor: How to Unplug While Working From Home
When we are scheduled for a clinical shift, we are well aware of our work hours for the day (and any added charting time afterwards). However on our academic days working from home [+]
Improving Your ED Efficiency: Upgrade This Elusive Skill
No specialty in medicine requires “efficiency” more than Emergency Medicine (EM). Being able to seamlessly and quickly move between tasks is a necessary skill to function in the Emergency Department (ED). The controlled [+]
Holiday Gift Guide for ALiEM Readers: Top 5 Favorite Tech Tools
Technology continues to integrate with our life -- for better and worse. Our team felt that the following 5 tech tools added value and joy to our lives, and so we are sharing [+]
