SAEM Clinical Images Series: Tangled in the Toilet
An otherwise healthy 46-year-old male presented to the Emergency Department with 18 months of diarrhea and intermittent abdominal cramping that has acutely worsened in the past week. On the morning of presentation, he noticed a worm-like object in his stool, which he brought to the ED (See images), prompting his visit. Throughout these 18 months, he experienced [+]
Trick of the Trade: Ultrarapid adenosine push for SVT with a pressure bag
With some things in life, speed is everything. Adenosine is one of those things. With an ultrafast half-life estimated to be between 0.6 to 10 seconds [1], parenterally administered adenosine needs to [+]
PEM Pearls: Approach to Spontaneous Intracranial Hemorrhage in Pediatric Patients
Case: A 6-year-old female with a past medical history of immune thrombocytopenia presents to the Emergency Department (ED) for concerns of dysarthria that started the day prior to arrival. The patient’s mother [+]
From Collision to Clarity: PECARN cervical spine injury prediction rule for injured children
For years, adult literature has provided clear guidelines for cervical spine imaging through the NEXUS and Canadian C-spine Rule (CCR) tools. These have been invaluable in helping clinicians decide when to image [+]
SAEM Clinical Images Series: There’s a Bird Stuck in Your Throat
The patient is a 61-year-old female with a past medical history of hypertension who presents to the Emergency Department for dysphagia. She states that for the past couple of months, she has experienced some discomfort in her chest as well as progressively worsening pain with swallowing. She was initially able to swallow thoroughly macerated solids and liquids, however over [+]
ACMT Toxicology Visual Pearl: A Bane to Existence
What is the primary cause of death following ingestion of the plant pictured? Acute liver failure Arrhythmia Disseminated intravascular coagulation Status epilepticus [+]
SAEM Clinical Images Series: Seeing Double
A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze. She initially presented to [+]
SAEM Clinical Images Series: Purple Finger
A 30-year-old female with a past medical history of Crohn's Disease presented to the ED for evaluation of an acutely bruised right 4th finger. She stated she was [+]
How I Educate: Graham Snyder, MD
This week’s How I Educate post features Dr. Graham Snyder, the Associate Program Director at the University of North Carolina and Director of Education for WakeMed Health and Hospitals. Dr. Snyder spends approximately 90% of his shifts with learners which include emergency medicine residents, off-service residents, and medical students. He describes his practice environment as a Level 1 trauma center that sees 125,000 patients annually. Below he shares with us his approach to teaching [+]
How I Work Smarter: Geoff Comp, DO
One word that best describes how you work? Deliberate Current mobile device iPhone 7 Computer MacBook Pro What is something you are working on now? I am working on a series of [+]
EM Match Advice: Residency Virtual Interviews in the COVID-19 Era
Hosted by Dr. Michael Gisondi (Stanford) and Dr. Michelle Lin (UCSF), this podcast features program directors from esteemed residency programs on all things related to virtual residency interviews. [+]
How I Work Smarter: Meenal Sharkey, MD
One word that best describes how you work? Thoroughly Current mobile device iPhone 11 -- my whole life runs because of this phone! Computer MacBook Pro -- thank goodness for the iCloud that [+]
Work Grief: A Primer for Emergency Medicine Providers
Heartbreaking patient situations are the backbone of Emergency Medicine. Whether it’s a new cancer diagnosis, telling a family member that their loved one has died, or the creeping dread that a mistake that we’ve made will negatively impact one of our patients, we all experience extraordinary stress in our day-to-day clinical practice. Most clinicians are not tasked with routinely sharing news about the violent, unexpected, and horrific life-changing situations that occur in the emergency department, [+]
Winner of EEM Education Fellowship Contest: Dr. Moises Gallegos
After receiving numerous high-quality submissions, we are proud to announce the winner of the 2017 Essentials of Emergency Medicine (EEM) Education Fellowship Contest as Dr. Moises Gallegos from the Baylor Emergency Medicine residency program. [+]
I am Dr. James Willis, Associate Residency Director: How I Stay Healthy in EM
Dr. James Willis is an emergency physician practicing in Brooklyn, NY. Being the Associate Residency Director, he enjoys diving into the educational aspect of his portfolio, while keeping up with his clinical work. [+]
I am Dr. Michael Epter: How I Promote Wellness in EM
Promoting the wellness and resilience of his residents and colleagues is a passion for Dr. Michael Epter. He has become a leading spokesperson on the topic within the residency leadership community. With over [+]
