Opportunities for Naltrexone: AUD and the Emergency Department
Take-Home Point: Naltrexone is a safe and effective medication for patients with alcohol use disorder that can improve morbidity by decreasing alcohol intake, and most importantly, can be initiated in the emergency department (ED). The Problem: Alcohol Use Disorder in the Emergency Department Alcohol use and its varied consequences, from trauma to withdrawal, are frequently encountered in the ED. Despite being ubiquitous in the ED, alcohol use disorder (AUD) often goes under-recognized and undertreated [+]
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 [+]
SAEM Clinical Images Series: Workout Gone Wrong
A 28-year-old male presented to the ED for evaluation of an injury to his right eye. While working out with an exercise band, it snapped back, hitting the [+]
The Discharge Severity Index: Early Research on ED Readmission Risk Assessment
From Triage to Discharge: As an emergency medicine clinician, you've likely become comfortable using the Emergency Severity Index (ESI), a critical tool helping triage patients entering the ED. But what happens when these patients leave your care? How can we anticipate who might need extra support to avoid readmission? Let’s discuss why ED discharge risk stratification matters, the landscape of existing tools, and introduce a new effort called the Discharge Severity Index (DSI), in [+]
SAEM Clinical Images Series: Fever with Rash
A 40-year-old male, tailor by occupation, was brought to the Emergency Department with complaints of high-grade fever for the past 11 days. Fever was documented to be 102°F [+]
SAEM Clinical Images Series: Post-Vaccination Rash
A 42-year old Bengali man with a history of hyperlipidemia presented to the Emergency Department with facial swelling, diffuse rash, renal insufficiency and proteinuria after receiving his COVID-19 [+]
SAEM Clinical Images Series: A Lethal Combination of Skin and Lung Findings
A 49-year-old female with a past medical history of recurrent diverticulitis initially presented with one month of shortness of breath and a minor nonproductive cough for which she [+]
EM Match Advice 37: EM Program Directors Reflect on the 2022 Match
In this 37th episode of EM Match Advice, we discuss the results of the 2021-22 EM Residency Match with lots of shocking numbers and surprises to review. The table above lists the trends and data since 2014, extracted from the National Resident Matching Program (NRMP) site [1]. Could this have been foreseen? What does this mean for the 2022-23 EM Match season? In this podcast, Dr. Mike Gisondi and Dr. Michelle Lin host the following [+]
Banishing Busy: Part 1
Medical professionals are busy people and exist in a constant state of “being busy.” How do we resolve chronic “busy-ness”? How do we manage our time effectively? In [+]
Silence is not an option: Addressing structural racism in medical education
The year 2020 has been a year of upheaval. The COVID pandemic revealed disparities in healthcare and its effects on marginalized groups such as the Black community. The pervasive effects of structural racism [+]
EM Match Advice: Program Directors Reflect on the 2020 Residency Match
How competitive was the 2020 EM residency match? Although COVID-19 has changed some of the rules and planning for the 2020-21 residency application season, historical data still remains a helpful guide. We have [+]
Wellness Perks for Healthcare Workers During COVID-19
Many companies have stepped up, eager to encourage and support those of us on the “front lines.” Here are some discounts and freebies that might help mitigate internal and external stressors that many are facing or will face as we enter a period of incredible uncertainty and fear. [+]
I am Dr. Sam Ko, Associate Medical Director: How I Stay Healthy in EM
Dr. Sam Ko (@drsamko) is an emergency physician from Southern California. Wellness is something very important to him, and it totally reflects on how present it is in his daily life. From practicing daily [+]
Interview with Drs. Michael Callaham and Ellen Weber: Behind the scenes of journal peer review
As part of the ALiEM Faculty Incubator Program, Dr. Mike Callaham (Editor-in-Chief of Annals of Emergency Medicine) and Dr. Ellen Weber (Editor-in-Chief of Emergency Medicine Journal) participated in a Google Hangout where they [+]
I am Dr. Michelle Lall – How I Promote Wellness in EM
Dr. Michelle Lall, an Assistant Professor and Assistant Residency Director is dedicated to promoting work-life balance and resilience among her co-workers and nationally. She was inspired in part by her experience growing up [+]
