The Blog

Thanks for dropping by! We have curated an incredible collection of the best articles from the leading Emergency Medicine, Tactical Medicine, Prehospitial Medicine, Austere & Remote Medicine authors, as well as Survival Medicine gurus and many others!

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As always, all credit is given to the original author and origin publication.

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Tactical Medicine News

ALiEM Cards: Maternal Cardiac Arrest

by Jeremy Voros, MD
Aug 08, 2018
Maternal cardiac arrest is a low-frequency, high-risk pregnancy complication with 2 lives at stake. Incidence is approximately 1 in 12,000 to 50,00...
Tactical Medicine News

ALiEM Cards: Tumor Lysis Syndrome

Tumor lysis syndrome (TLS) is an oncologic emergency characterized by life-threatening metabolic disturbances. Although it is most frequently assoc...
Tactical Medicine News

ALiEM Cards: Acute Respiratory Distress Syndrome – Berlin Definition

Acute respiratory distress syndrome (ARDS) is a complex, life-threatening form of respiratory failure. It is responsible for almost 75,000 annual d...
Tactical Medicine News

ALiEMCards: Tranexamic Acid

Tranexamic acid (TXA) is a synthetic form of the amino acid lysine that binds to receptors on plasmin and prevents it from breaking down fibrin clo...
Tactical Medicine News

ALiEMCards: Preeclampsia

Preeclampsia is on a spectrum of pregnancy related illness that includes eclampsia and HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Plate...
Tactical Medicine News

ALiEMCards: The Red and Painful Eye

There is significant overlap among conditions that cause a red, painful, or red AND painful eye. Having trouble keeping them all straight? Need a r...
Tactical Medicine News

ALiEM Cards: Keeping the Sepsis Definitions and Criteria Straight

In 2015 the Centers for Medicare and Medicaid Services (CMS) adopted the Sepsis Bundle Project, which is a quality improvement project aimed at red...
Tactical Medicine News

Using Eye Anatomy to Recall Key Diagnoses: The Rule of 2’s

Our latest ALiEM Card introduces the “Rule of 2’s,” a simple method that uses eye anatomy to help you recall some of the major ocular diagnoses! It...
Tactical Medicine News

Announcing the new ALiEM Cards website

The PV Cards are getting a new name and their own website! Beginning today you can find the complete point-of-care reference library on its own sta...
Tactical Medicine News

PV Card: Laceration Repair and Sutures – A cheat sheet guide

Laceration repair and suturing are foundational skills for the Emergency Department. This pocket card serves as a quick reference guide for clinici...
Tactical Medicine News

PV Card: Elbow Injuries

Elbow injuries are a common presentation to the Emergency Department. This pocket card reviews some the imaging, acute management, and some pearls...
Tactical Medicine News

PV Card: LVAD Complications

Patients with left ventricular assist devices (LVAD) often cause much anxiety amongst providers in the emergency department. This is understandabl...
Tactical Medicine News

PV Card: Knee Injuries | Quick Reference Guide

Orthopedic injuries are commonly managed in the emergency department. Often a quick bedside reference card is needed to remind the clinician about ...
Tactical Medicine News

PV Card: Hip Injuries | Quick Reference Guide

Orthopedic injuries are commonly managed in the emergency department. Often a quick bedside reference card is needed to remind the clinician about ...
Tactical Medicine News

PV Card: Algorithm for acute bronchiolitis management

Bronchiolitis is a common lower respiratory tract infection in children less than 2 years old, and especially in those 3-6 months old. In a collab...
Tactical Medicine News

PV Card: Introduction to ED Charting and Coding

What makes a good chart? How do you write a good chart quickly? How about a good, efficient, billable chart? On average, residents and practicing p...
Tactical Medicine News

PV Card: Ankle and Hindfoot Fractures | Quick Reference Guide

Orthopedic fractures and injuries are commonly managed in the emergency department. Often a quick bedside reference card is needed to remind the cl...
Tactical Medicine News

PV Card: Adult scaphoid fracture

What is the most commonly fractured carpal bone in adults? It’s the scaphoid bone. As a bonus it has the dreaded complication of avascular necrosis...
Tactical Medicine News

PV Card: Initial Pain Medication Options in the Emergency Department

The emergency department (ED) manages acute pain on a daily basis, ranging from non-traumatic back pain to traumatic fractures. Some providers jump...
Tactical Medicine News

PV Card: Continuous End Tidal CO2 Monitoring in Cardiac Arrest

For many years, end tidal CO2 monitoring initially was helpful in differentiating tracheal versus esophageal intubations. Now with continuous end t...
Tactical Medicine News

PV Card: Normal Values for Ultrasound Measurements

As emergency medicine providers become more proficient in using bedside ultrasonography as a diagnostic tool, it can be difficult to remember all o...
Tactical Medicine News

PV Card: Palliative Care Screening in the Emergency Department

What is Palliative Care? It is specialized medical care focusing on improving the care and quality of life for patients with advanced illness by de...
Tactical Medicine News

Poll : How do you use the PV cards?

In our effort to take the Paucis verbis (PV) card series to the next level, we are interested in knowing how YOU use the cards.  We would appreciat...
Tactical Medicine News

Salicylate Toxicity PV card v2: Lessons in post-publication review

I was recently the author of a PV card for management of Salicylate Toxicity, which had some discrepancy with expert opinion. The point of contenti...
Tactical Medicine News

Announcing the ALiEM-AgileMD Educational Design Fellowship

Based on the successes of our 2014-15 ALiEM-EMRA (for medical students), ALiEM-CORD (for residents), and ALiEM-AAEM Young Physicians fellowships, w...
Tactical Medicine News

PV Card: Focused Deep Vein Thrombosis (DVT) Ultrasound

Deep vein thrombosis (DVT) is always a consideration when patients with asymmetric lower extremity swelling. Why is one leg. Two-point focused DVT ...
Tactical Medicine News

PV Card: Focused 1st Trimester Pregnancy Transvaginal Ultrasound

Early 1st trimester pregnancies can be challenging to risk stratify when patient present with bleeding or pain. The pregnancy may be still too earl...
Tactical Medicine News

PV Card: Focused 1st Trimester Pregnancy Transabdominal Ultrasound

Although history, physical, and lab tests are obtained for patients with first trimester vaginal bleeding and abdominal pain, none compare to the u...
Tactical Medicine News

PV Card: Focused Echocardiography Ultrasound

So many great information can be gleaned from a focused echocardiogram in Emergency Department patients. What views are you obtaining? What is the ...
Tactical Medicine News

PV Card: Focused Lung Ultrasound

Bedside pulmonary ultrasonography is becoming increasingly popular in the Emergency Department. You can you use it to assess for pneumothoraces, pl...
Tactical Medicine News

PV Card: Focused Ocular Ultrasound

Ocular injuries and pathology are a common cause for Emergency Department visits. With bedside ultrasonography, many of these conditions can be ass...
Tactical Medicine News

PV Card: Testicular Ultrasound for Torsion and Epididymitis

“Time is testicle.” Every minute drags by while you are awaiting your ultrasonographer to arrive to scan your patient to rule out testicular torsio...
Tactical Medicine News

PV Card: Skin and Soft Tissue Ultrasound

We know that ultrasonography can be used to identify soft tissue infections. But what exactly are the distinguishing features between cellulitis an...
Tactical Medicine News

PV Card: Focused Biliary Assessment Ultrasound

Have trouble finding the common bile duct? What’s the normal thickness of the gallbladder wall? What are common pitfalls in imaging the gallbladder...
Tactical Medicine News

PV Card: Focused Abdominal Aorta Ultrasound

In this next ultrasound installment in the PV Card series, Drs. Victoria Koskenoja, Heidi Kimberly, and Mike Stone succinctly summarize the focused...
Tactical Medicine News

PV Card: FAST Ultrasound

Keeping in line with the recent ultrasound posts this month, Dr. Mike Stone’s star team is releasing a series of Paucis Verbis cards on the basics ...
Tactical Medicine News

PV Card: Pediatric Ingestion Dose Thresholds for ED Referral

Clinical Toxicology has published guidelines for out-of-hospital management of 16 distinct overdoses and their dose thresholds, above which, pediat...
Tactical Medicine News

PV Card: Local anesthetic toxicity calculations

Local anesthetics (LAs) are widely employed to achieve tissue infiltration, peripheral and regional anesthesia, and neuraxial blockades. Despite th...
Tactical Medicine News

Did you know that there are new Tox/Meds PV Cards?

Don’t know when to use ketofol for procedure sedation or if you can rapidly load phenytoin? See the new PV-Plus Cards on AgileMD for free on any sm...
Tactical Medicine News

New Cardiology PV Cards available on your phone and tablets!

After getting many requests for more PV cards, we are excited to launch 13 new topics located in the Cardiovascular folder of the Emergency Medicin...
Tactical Medicine News

PV Card: Emergency Drug Cards for Adults and Children

Rob Bryant, MD (@RobJBryant13), Amie Hatch, PharmD, BCPS (@Amie_EMPharmD), and Jeremy Bair, PharmD (@bairpharm) from Intermountain Healthcare in Ut...
Tactical Medicine News

PV Card: Brugada Criteria for SVT with Aberrancy vs Ventricular Tachycardia

Due to the overwhelming popularity of Dr. Salim Rezaie‘s recent post discussing the Brugada criteria for  SVT with aberrancy vs VT, Dr. Jason West ...
Tactical Medicine News

PV Card: Intimate partner violence

In the Emergency Department, we too often under-estimate our patients’ likelihood for intimate partner violence (IPV). Unfortunately, there is no p...
Tactical Medicine News

PV card: Pediatric Assessment Triangle

Have you heard of the Pediatric Assessment Triangle? Taught in the Pediatric Education for Prehospital Professionals (PEPP) certification course, ...
Tactical Medicine News

PV Card: Contraindications to Thrombolytics in Stroke

This Paucis Verbis (PV) card is an updated version of the PV card on Contraindications to Thrombolytics for CVA from September 10, 2010, based on ...
Tactical Medicine News

PV card: Early repolarization vs STEMI on EKG

You are handed an EKG for a 50 yo man with moderate chest pain for 2 hours now and no associated symptoms typical for ACS, PE, aortic dissection, o...
Tactical Medicine News

PV card: Ectopic pregnancy

Ectopic pregnancy is the leading cause of maternal death in the first trimester of pregnancy. A recent JAMA systematic review,1 from The Rational C...
Tactical Medicine News

Need your input! PV cards becoming an app

It’s all about luck, opportunity, and timing. I will be releasing the blog’s first ever Paucis Verbis (PV) native app this year. After a few years...
Tactical Medicine News

PV card: Bell’s Palsy Treatment

Bell’s Palsy is an idiopathic unilateral facial nerve paralysis. Since the 2009 Cochrane review1 showing that antivirals added no benefit to cortic...
Tactical Medicine News

PV card: VBG versus ABG

You obtain a venous blood gas (VBG) on a patient with a COPD exacerbation because you are concerned about hypercarbia. You get a value of 55 mmHg. ...
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