
ACMT Toxicology Visual Pearl: Danger in the Shallows
In addition to local pain and dermal injury, stings from this marine animal can result in what systemic symptoms? Acute liver injury Hypotension, arrhythmia, and cardiac arrest Nausea, vomiting, and respiratory arrest Numbness, tingling, and muscle paralysis [Image courtesy of Guido Gautsch, Wikimedia Commons] [+]
SAEM Clinical Images Series: Bulge in the Belly
A 45-year-old male status-post right nephrectomy secondary to a renal mass presented to the emergency department with right-sided flank pain. He endorsed low-grade intermittent right-sided flank pain since [+]
SAEM Clinical Images Series: Penile Lesion with a Poor Prognosis
A 49-year-old male presented to the emergency department of an academic hospital with the chief concern of penile pain. Prior medical history is notable for end-stage renal disease [+]
SAEM Clinical Images Series: Face and Chest Rash
A 23-year-old female with a past medical history of asthma presented with a rash that began five days ago on her face and spread to her chest. The [+]

SAEM Clinical Images Series: Painful Great Toe
A 63-year-old-male with a past history of hypertension, renal failure with dialysis three times per week, and prior infective endocarditis appropriately treated with a regimen that ended four weeks ago presented with left great toe pain that started three weeks ago. The toe began swelling two weeks ago with continued pain and tenderness, becoming discolored approximately one week ago. He noted subjective fever and chills, but had no other complaints. [+]
ALiEM AIR Series | Respiratory 2023 Module
Welcome to the AIR Respiratory Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Digital Impact Factor [1], the ALiEM AIR Team [+]
ACMT Toxicology Visual Pearls: A Meal Worth Dying For
What is the most common primary cause of death from ingesting the pictured marine animal? Acute liver failure Acute renal failure Coagulopathy and DIC Respiratory failure Status epilepticus [+]
SAEM Clinical Images Series: A Rare Cause of Recurrent UTI
A 52-year-old male presents to the Emergency Department with a chief complaint of right lower abdominal pain with urinary frequency and urgency over the past week. The pain [+]

Human Trafficking in the ED – What you need to know
Human trafficking is a devastating crime, where a human being’s labor is exploited through force, fraud, or coercion, for someone else’s profit (1). For survivors, connecting to support in the community can be incredibly difficult, and may come at the expense of their personal safety (1, 2). The emergency department (ED) is a rare exception, with some studies estimating that over 60% of trafficked persons will present at some point during their exploitation to [+]
SplintER Series: Delayed pain in an injured knee
Image 1. Case courtesy of Radswiki, Radiopaedia.org A 26 year-old male presents with new medial right knee pain after twisting his knee playing soccer 3 weeks [+]
Future of ALiEM: Need YOUR Input
With the arrival of a new decade, the ALiEM team has gotten quite reflective. Our last readership survey was in 2015 and it’s time for another check-in. We can track many things through [+]
EM Fellowship Match Advice: Medical Education Fellowship
One of the more popular fellowships in Emergency Medicine (EM) is the Medical Education Fellowship. These fellowships come in 1- and 2-year formats and some also come with an advanced degree. What do [+]

TLDR Book Review: The Culture Code – The Secrets of Highly Successful Groups
Have you had shifts or worked on committees where everything went smoothly? Closed loop communication happened, there was mutual respect among all the team members, and each individual felt empowered to give input even if it differed from what had already been said or done? You’ve probably also worked on shifts, in meetings, or participated in projects where it seemed like the team was falling apart, communicating on different wavelengths, and failing to have a [+]
I am Dan Egan, EM Residency Program Director at St. Luke’s-Roosevelt: How I Stay Healthy in EM
Dr. Dan Egan is currently an emergency physician and the Program Director of Emergency Medicine at Mount Sinai St. Luke’s Roosevelt. Although a large amount of this time is split between clinical duties and [+]
Congrats to Dr. Delphine Huang: 2016 ALiEM-Essentials of EM Fellow
We are incredibly honored and excited to announce the contest winner for the ALiEM-hosted 2016 Essentials of Emergency Medicine (EM) Fellow position — Dr. Delphine Huang, a UCSF-SFGH senior resident! Competition was incredibly tight, and [+]
How I Podcast Smarter: Pearls of Wisdom
Thus far, How I Podcast Smarter has covered the gear you’ll need to podcast and the workflow of veteran EM podcaster. In this last post in the mini-series, we gave our guest authors [+]






































