A 5-year-old boy presents with right leg pain and a limp. His parents report it started after he was bouncing on the trampoline with his older sibling but they did not notice any specific trauma. He has tenderness over his proximal shin with no obvious injury. You suspect a fracture and obtain x-rays of the right knee (Figure 1). Figure 1. AP and Lateral x-rays of the right [+]
Background Naloxone can be administered via multiple routes, with nebulization gaining popularity in the past decade. A previous ALiEM Trick of the Trade presented this unique method of administration. In order for nebulized [+]
Which of the following medications is likely responsible for this urine discoloration in an intubated and sedated ICU patient? Fentanyl Ketamine Lorazepam Midazolam Propofol [+]
Find it hard to keep current with all the new clinical updates? Get caught up on key evidence-based guidelines, clinical pearls, and patient-centered recommendations for your patients in Emergency Medicine.
30-year-old male presents to the ED with pain over the right shoulder after being assaulted by a bat. The right arm is held in adduction and has a limited range of motion due to pain. An x-ray of the right shoulder was obtained and is shown above (Figure 1. Case courtesy of Dr. Ian Bickle, Radiopaedia.org, rID: 74640). [+]
Background A previous ALiEM post from 2013 by an EM pharmacist colleague argued the case against one-time vancomycin doses in the ED prior to discharge. The take-home points from this post were: No [+]
Everything you need to survive and thrive in academia, focusing on professional development across the spectrum of life-long learners including medical students, residents, and faculty
During the pandemic, similar to how a work-from-home mentality has become more accepted, a learn-on-own mentality has arisen for medical students. The success of the 9-part Bridge to Emergency Medicine (EM) self-guided curriculum for senior medical students interested in EM has confirmed this. This was evidenced by over 130,000 page views about the Bridge curriculum since March 2020 and 609 awarded ALiEMU certificates since April 2021 (launched only 2 months ago!). GroundED in EM: A [+]
Point-of-care ultrasound (PoCUS) has become an essential skill that emergency medicine (EM) residents learn during their training . Accordingly, most EM programs schedule a block early in residency dedicated to obtaining and interpreting [+]
Being a well-rounded healthcare professional goes beyond just knowing the scientific facts. Get inspired about your wellness, staying healthy, improving your efficiency, and finding a balanced work-life integration.
As we submit our responses to the daily health screen for the thousandth time; realize, after having removed a mountain of PPE and sanitized our hands, that we left our phone in the patient’s room and would need to re-don everything; repeatedly observe the inevitable struggle with mute/unmute on Zoom; with all of these regular tasks and activities enveloping our lives these days, it’s hard to feel creative. Is the practice of emergency medicine a [+]
We would be remiss to not acknowledge the unique challenges we as emergency providers have faced over the last few months. Prevention of burnout and active wellness management is more important now than [+]
The COVID-19 pandemic has changed our world in many ways, and for trainees in medicine, the new day-to-day experience of residency continues to adapt and take shape. COVID-19 has undoubtedly affected clinical experiences [+]