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

IDEA Series: Ultrasound-capable, 3D-printed central line trainer

by Taylor L. Fischer, MMS PA-C
Sep 30, 2022
Problem: Central venous line (CVL) placement is a key skill for emergency medicine providers. Sites for central line placement include the internal...
Tactical Medicine News

Ultrasound Sticker for 48 Hours of Imaging

Engineers at MIT have created an ultrasound patch that can provide long-term ultrasound imaging of internal organs and structures. The device conta...
Tactical Medicine News

Trick of the Trade: Getting the last bit of ultrasound gel from the bottle

It’s a busy shift and you need to perform a bedside ultrasound on a patient’s belly to rule out cholecystitis, when you realize that the ultrasound...
Tactical Medicine News

Ep 170 Cardiac Arrest – PoCUS Integration, Communication Strategies, E-CPR, Calling the Code

In this part 2 of our 2-part podcast series on Cardiac Arrest - The When, Why & How, we discuss some of the finer art of cardiac arrest care an...
Tactical Medicine News

Trick of the Trade: Don’t fight the ultrasound cord for peripheral IV access

Ultrasound-guided IVs require hand-eye coordination and fine movements of probe in Goldilocks fashion. Apply too much pressure, and the vein in que...
Tactical Medicine News

PEM POCUS Series: Pediatric Appendicitis

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric appendicitis. Then test your skills on the ALiEMU course page ...
Tactical Medicine News

PEM POCUS Series: Confirmation of Endotracheal Tube Placement

Read this tutorial on the use of point of care ultrasonography (POCUS) for confirmation of endotracheal tube (ETT) placement in pediatric patients....
Tactical Medicine News

PEM POCUS Series: Pediatric Ultrasound-Guided Fascia Iliaca Block

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric fascia iliac block. Then test your skills on the ALiEMU course...
Tactical Medicine News

REBEL Core Cast 72.0 – Lung US

Take Home Points: Lung ultrasound is simple, quick and accurate for real time, bedside assessment of your patient with acute undifferentiated dysp...
Tactical Medicine News

Ep 164 Cardiogenic Shock Simplified

What is the preferred order of vasopressors and ionotropes in the management of cardiogenic shock? In which patients would dobutamine be preferred ...
Tactical Medicine News

Are You Pausing Too Long During CPR?

Background: Outside of early defibrillation and high-quality CPR, little has been shown to improve outcomes in out-of-hospital cardiac arrest (OHCA...
Tactical Medicine News

EM Quick Hits 33 Polytrauma Tips & Tricks, Toxic Megacolon, ECG in PE, Patch Calls, CT Before LP, Nebulized Ketamine

In this month's EM Quick Hits podcast, Anand Swaminathan on tips and tricks in polytrauma, Rohit Mohindra on diagnosis and management of toxic mega...
Tactical Medicine News

Rebellion21: Good Vibrations with Corona – Using POCUS in the COVID Era via Eric Chin, MD

In this 18-minute presentation from Rebellion in EM 2021, Dr. Eric Chin, MD describes the role of point-of-care ultrasound in the evaluation of a C...
Tactical Medicine News

SAEM Clinical Image Series: Pulseless and Painful Blue Leg

A 57-year-old male who works as a truck driver with a history of hypertension, type 2 diabetes, and recent COVID-19 infection presents with right l...
Tactical Medicine News

Ep 158 Management of Primary Spontaneous Pneumothorax

In this main episode podcast we discuss the conservative management of large spontaneous pneumothorax, when a pigtail chest tube with Heimlich valv...
Tactical Medicine News

PEM POCUS Series: Pediatric Peripheral IV Access

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric peripheral IV placement. Then test your skills on the ALiEMU c...
Tactical Medicine News

PEM POCUS Series: Hip Effusion

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric hip effusion. Then test your skills on the ALiEMU course page ...
Tactical Medicine News

PEM POCUS Series: Intussusception

Read this tutorial on the use of point of care ultrasonography (POCUS) for pediatric intussusception. Then test your skills on the ALiEMU course pa...
Tactical Medicine News

EM Quick Hits 28 Cardiogenic Shock, Radiation Dose in Pregnancy, PoCUS in Airway Management, VIPIT, Angiotensin II, Short-Term Steroid Safety

In this month's EM Quick Hits podcast: Anand Swaminathan on the approach to cardiogenic shock, Hania Bielawska on the myths of radiation dose in pr...
Tactical Medicine News

REBEL Core Cast 54.0 Wound Care I – Foreign Bodies

Take Home Points FBs are a very common complication of wounds. X-ray is poor at detecting foreign bodies US is a tremendous tool and be used dynam...
Tactical Medicine News

POCUS Cases 10 Limitations, Pitfalls and Accuracy of POCUS for Ruptured AAA

Dr. Rob Simard discusses one of the most important uses of POCUS in the ED, and that is for AAA. He reviews the literature on the accuracy of POCUS...
Tactical Medicine News

POCUS Cases 9 Abdominal Free Fluid in Trauma

Rob Simard explains how to incorporate abdominal POCUS into your assessment of the trauma patient, he reviews the literature on accuracy of POCUS f...
Tactical Medicine News

IDEA Series: Handheld Ultrasound for Emergency Medicine Residents Rotating on Cardiology Services

Point-of-care ultrasound (PoCUS) has become an essential skill that emergency medicine (EM) residents learn during their training [1]. Accordingly...
Tactical Medicine News

SAEM Clinical Image Series: What Lies Beneath?

A 35-year-old male with a history of diabetes and pericarditis, status post pericardiectomy 3 years ago, presented with a painful lesion on his a...
Tactical Medicine News

REBEL Cast Ep91: Static Ultrasound vs Landmark Placement of Subclavian Central Lines

Background Information: Central venous catheterization is a common procedure performed in the ICU for the purposes of drug administration and resus...
Tactical Medicine News

REBEL Cast Ep90: Ultrasound vs Landmark-Guided Palpation for Radial Arterial Line Placement

Background Information: Ultrasound guided peripheral and central venous access has become more common while simultaneously decreasing complications...
Tactical Medicine News

Ultrasound for the Win! 18M with Acute Shoulder Injury #US4TW

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series, where bedside ultrasound changed the manageme...
Tactical Medicine News

SAEM Clinical Image Series: Knee Pain

A fifty-six-year-old male with a past medical history of legal blindness and remote right quadricep tendon rupture presents to the emergency depa...
Tactical Medicine News

IDEA Series: Big Screen Ultrasound in Resuscitation Bays

Bedside ultrasound (US) often plays a crucial role in medical and trauma resuscitations in the emergency department (ED) [1]. Performing and interp...
Tactical Medicine News

EM Quick Hits 20 Imaging Renal Colic, Human Trafficking, Atrial Fibrillation During COVID, Transvenous Pacemaker Placement, COVID Lung POCUS, COVID Derm, Virtual Simulation

Justin Morgenstern on imaging choices in renal colic, Hanni Stoklosa on recognition and management of human trafficking, Rohit Mohindra on manageme...
Tactical Medicine News

ALiEMU New Course: Pediatric Ultrasound-Guided Peripheral IV Access

Did you know that the ALiEMU learning management platform has courses in addition to the AIR Series? We just published the third installment of the...
Tactical Medicine News

BCE 81 Tension Hydrothorax

Tension hydrothorax is a massive pleural effusion presenting with hemodynamic abnormalities secondary to mediastinal compression. Dr. Allan Shefrin...
Tactical Medicine News

Gaining the Diagnosis of Vitreous Hemorrhage with Ultrasound

A 54 year-old male presents to the emergency department with an eye complaint. The patient works as a cook and while cleaning the grill several hou...
Tactical Medicine News

Ultrasound for the Win! 3-year-old with abdominal pain #US4TW

A 3-year-old Hispanic female with no significant past medical or surgical history presents to the Emergency Department with her mother for a 3 ...
Tactical Medicine News

EM Quick Hits 11 Blunt Cerebrovascular Injury, Physostigmine, TEE in Cardiac Arrest, Understanding Nystagmus, Subtle Inferior MI, Choicebo

In this EM Quick Hits podcast we have Emily Austin on physostigmine for anticholinergic toxidrome, Walter Himmel on understanding nystagmus to diff...
Tactical Medicine News

Trick of the Trade: Save the Ultrasound Probe Cable

You need to perform an ultrasound on your patient. You walk up to the ultrasound and upon grabbing the machine, you notice it’s stuck! You look...
Tactical Medicine News

Techniques for Ultrasound-Guided IV Placement

Imagine a busy evening shift interrupted by the news that the unstable dialysis patient still has no access. Begrudgingly, you drag the ultraso...
Tactical Medicine News

SAEM Clinical Image Series: Hip Pain

[Click for larger view] Chief complaint: Left hip pain History of Present Illness: A healthy right leg-dominant 13-year-old male athlete prese...
Tactical Medicine News

Differentiating pericardial effusion from pericardial tamponade on ultrasound

Tamponade physiology, in which a pericardial effusion impedes cardiac output, is a medical emergency and requires prompt diagnosis and interven...
Tactical Medicine News

Ultrasound for the Win! 18M with dysphagia #US4TW

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this case series, we focus on a real c...
Tactical Medicine News

Fascia iliaca nerve block: A hip fracture best-practice

An 82-year-old woman presents with left hip pain after a mechanical fall while cleaning the kitchen floor. When EMS arrived, the left leg was...
Tactical Medicine News

Trick: Peritonsillar abscess drainage 3.0 | All the steps with added variations

A 25-year-old medical student comes in with a muffled voice, sore throat and trismus. You look at the back of her throat and you see the uvul...
Tactical Medicine News

SAEM Clinical Image Series: Another Heart Attack?

[Figure 1: Click for larger view] Chief Complaint: Chest pain History of Present Illness: An 89-year-old female with a past medical history of...
Tactical Medicine News

Pediatric Point of Care Ultrasonography ALiEMU Course on Intussusception

Our ALiEMU learning management system, which currently houses the AIR series, Capsules series, and In-Training Exam Prep courses, is ready to s...
Tactical Medicine News

Ultrasound Gel Warmers in the Emergency Department?

How many times have you told a patient “The gel will be cold?” How many times have you watched a patient retract from the transducer because of...
Tactical Medicine News

POCUS Cases 8 – LV Dysfunction

In this POCUS Cases video Dr. Rob Simard reviews the literature on accuracy of identifying LV dysfunction on POCUS by non-radiologists, the steps i...
Tactical Medicine News

DIY Ultrasound Model Compendium in Emergency Medicine

As the use of point-of-care ultrasound expands in emergency medicine, phantoms offer an attractive training solution for new learners and conti...
Tactical Medicine News

ACMT Toxicology Visual Pearls: Don’t Go Breaking My Heart

The following ultrasound video was obtained in a hypotensive 23 year-old man with a history of drug abuse. What drug of abuse when used chronicall...
Tactical Medicine News

REBELCast Ep62 – US Guided PIVs with Jacob Avila, MD

Welcome back to REBELCast.  In this episode we talked with Jacob Avila about US guided PIVs. Difficult IV access in an already busy department can ...
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