ACMT Toxicology Visual Pearl – Lead it Be?
Which retained ballistic fragment(s) would be expected to result in elevated blood lead levels in a patient? Fragments in or near a joint space Fragments with an associated fracture Multiple fragments Soft tissue fragments All of the above [Author’s own image] [+]
SAEM Clinical Images Series: Pediatric Genitourinary Bleeding
A 4-year-old female with no significant past medical history is brought to the Emergency Department by her grandmother for concern for two days of progressive vaginal bleeding. The [+]
ACMT Toxicology Visual Pearl – Apricot Kernels: Eat or pass?
What toxin is found in bitter apricot kernels? Cardiac glycoside Cyanogenic glycoside Dinitrophenol Lysergic Acid [+]
SAEM Clinical Images Series: More Than Skin Deep
A 57-year-old female college counselor living in the northeastern United States with no PMH presented for evaluation of rash, joint pain, and dyspnea for the past three weeks. [+]
SAEM Clinical Images Series: I Cannot See My Rashes
A 37-year-old African-American transgender patient presented with progressive, bilateral painful vision loss. The symptoms began acutely in the right eye two weeks prior to presentation, eventually extending to the left eye. Symptoms were worse in the right eye and included headache, blurry vision, photophobia, and pain with eye movement. Additionally, the patient reported the appearance of a diffuse, generalized, non-pruritic, non-tender rash of unknown duration or timeline. The rash was [+]
ACMT Toxicology Visual Pearls: Mushroom Mishap
What well-known adverse reaction results from ingestion of the pictured mushroom? Acute hepatitis Disulfiram-like reaction with ethanol consumption Pneumonitis from inhalation of spores Seizures from glutamate agonist activity [+]
SAEM Clinical Images Series: Blue is Bad
66 year-old-male with a history of type 2 diabetes and hypertension presented as a transfer for rapid progression of lower extremity pain, swelling, and blue-purple discoloration of the [+]
SAEM Clinical Images Series: Insidiously Contracted Hand
A 64-year-old Caucasian male with a history of alcohol use disorder and tobacco use disorder presents with painless bilateral hand contractures that have been worsening for the past [+]
IDEA Series: Escape the Snake Room
The Problem A snakebite from a venomous snake can result in a potentially life-threatening toxin-mediated disease (1). The WHO considers snakebites to be an important occupational disease in Southeast Asia (2). Particularly in rural areas of Pakistan, snakebites represent a common public health concern. The relatively rare nature of this condition in urban environments, however, limits exposure to it by emergency medicine (EM) residents. Thus, additional focused training is necessary to prepare EM physicians to [+]
Should the Trainee be Trusted? A User’s Guide to Assessment with EPAs
You are an attending working with a fourth-year medical student on their emergency medicine clerkship. The student sees a patient with the chief complaint of dizziness. After an initial assessment, the student says [+]
Introducing the 2020-2021 ALiEM Faculty Incubator Cohort!
We put the call out, and *wow* did the MedEd community respond! We were beyond excited this year about the quality of our applicants for the 2020-2021 ALiEM Faculty Incubator. This next cohort [+]
Peer Accountability: A Strategy for Maintaining Commitment to Personal and Professional Obligations
There are a number of personal attributes characterizing the professional identity of “physician.” We are dedicated to patients, committed to lifelong learning, and responsible for a variety of other professional obligations. Each requires [+]
The Leader’s Library: Radical Candor | Curated Summary of the Discussion
Welcome back to The Leader’s Library! In our second installment, throughout the week of October 14, 2019, a group of selected learners across the globe tackled Radical Candor by Kim Scott [ALiEM book summary], and generated another fascinating asynchronous dialogue on Slack. This go-round, we had 3 days of discussion with days for reflection in between. Below are the main points that emerged from our robust conversation. [+]
How I Podcast Smarter: The Gear
We are back this week with a new “Working Smarter” mini-series on Podcasting. An increasing number of individuals and residency programs are starting podcasts, but it’s not always obvious how to get started. [+]
Social Media Index: Entering the Debate
On February 1, 2016, the St Emlyn’s blog published a post by notable FOAMite Dr. Simon Carley (@EMManchester) that critiqued the Social Media Index (SMi) [/fusion_builder_column] [1]. The SMi is an impact metric [+]
I am Dr. Greg Wanner, Emergency Medicine Resident: How I Stay Healthy in EM
Dr. Wanner (@GregWanner) is an emergency medicine resident from Thomas Jefferson University in Philadelphia. Having been a physician assistant educator in EM for several years prior to his residency, he brings a wealth [+]
