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!

We hope you find something of interested to you, please use the search bar on top to narrow down what you are looking for.

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

Blog
Filter
Ecommerce UX Blog
Stay on top of the most important digital marketing trends for eCommerce brands, from Facebook Ads to Shopify App Store, and so much more.
Tactical Medicine News

ACMT Toxicology Visual Pearl: Pretty (and Deadly) in Purple

by Charles Harris III, MD
Jun 06, 2022
What is the correct antidote for a patient who is poisoned with the pictured substance? Digoxin Specific Fab Hydroxocobalamin/Sodium Thiosulfate...
Tactical Medicine News

ACMT Toxicology Visual Pearl: Hypertension and Rash

Which toxic exposure can present with the pictured rash along with hypertension and tachycardia mimicking pheochromocytoma? Arsenic Lead Mercury...
Tactical Medicine News

Blood Pressure Differences in Patients with Acute Aortic Dissections

Background An acute aortic dissection (AAD) can be a life-threatening emergency which frequently requires rapid and precise control of the patient’...
Tactical Medicine News

ALiEM AIR Series | ACS 2022 Module

Welcome to the AIR ACS Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the ALiEM AIR Team is ...
Tactical Medicine News

SAEM Clinical Image Series: Painful Blue Arm

A 68-year-old male with a past medical history of hypertension, hyperlipidemia, and recent ileostomy secondary to small bowel obstruction presented...
Tactical Medicine News

SAEM Clinical Image Series: A Young Woman with Chest Pain

A 35-year-old female with a history of intermittent palpitations who is three months post-partum presented to the emergency department (ED) with th...
Tactical Medicine News

Retrospective Validation of High-Sensitivity Troponin with 5 Clinical Decision Instruments

Background: Chest pain is the second most common reason for presentation to the emergency department (ED) and accounts for nearly 6.5 million visit...
Tactical Medicine News

Pre-Arrest Acidemia and the Effect of Sodium Bicarbonate on ROSC

Background Sodium bicarbonate during a cardiac arrest is widely debated and used in many cases. In a 2018 PULMCrit post, Dr. Josh Farkas reviews mu...
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

Diagnosis on Sight: “I have a rapid heart rate”

  A 31-year-old male presented to the emergency department with palpitations. The patient stated that he thinks his symptoms began "last night" and...
Tactical Medicine News

TTM2: Hypothermia vs Normothermia for Out-of-Hospital Cardiac Arrest

Background Information: Hypothermia was first introduced in 2002 by two studies, Bernard et al and The Hypothermia After Cardiac Arrest (HACA) tria...
Tactical Medicine News

External Validation of the Canadian Syncope Risk Score

Background Information: The Canadian Syncope Risk Score (CSRS) is one of several clinical decision tools used in the emergency department (ED) foll...
Tactical Medicine News

Beta-Blockers for Inhalant-Induced Ventricular Dysrhythmias

Background There are a few unique scenarios when beta-blockers may be indicated for patients in cardiac arrest. Use of esmolol for refractory ventr...
Tactical Medicine News

Safety and Efficacy of Clevidipine for Acute Blood Pressure Control

Background Rapid and precise control of blood pressure is vital for patients with a hypertensive emergency or an acute stroke. Commonly, nicardipin...
Tactical Medicine News

2020 ACLS Guidelines on Medications for Management of Specific Arrhythmias

The 2020 ACLS guidelines provide recommendations on the medication-specific management for arrhythmias including wide-complex tachycardia, regular ...
Tactical Medicine News

MIRACLE2 Risk Score for Early Prediction of Neurologic Outcome in Out-of-Hospital Cardiac Arrest

Background Information: Out-of-hospital cardiac arrest (OHCA) remains a diagnostic challenge to providers and a significant burden on healthcare sy...
Tactical Medicine News

ACEP E-QUAL: ACEP Non-STEMI Clinical Policy

In 2018, the American College of Physicians (ACEP) released a Clinical Policy with management recommendations for patients presenting to the emerge...
Tactical Medicine News

LVAD Part V: The Coding LVAD Patient

Left ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart ...
Tactical Medicine News

LVAD Part IV: Non-Device Pathology

Left ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart ...
Tactical Medicine News

LVAD Part III: Complications

Left ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart ...
Tactical Medicine News

LVAD Part II: Diagnostic Evaluation

Left ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart ...
Tactical Medicine News

LVAD Part I: Introduction

Left ventricular assist devices (LVADs) have moved from being a bridge to a heart transplant to destination therapy for patients with severe heart ...
Tactical Medicine News

Case of a Blue, Painful Finger

A 37-year-old female presented to the emergency department for evaluation of numbness and discoloration to her left fourth finger, which had starte...
Tactical Medicine News

Syncope as Easy as 1-2-3

A 66-year-old otherwise healthy man presents by Emergency Medical Services (EMS) after being found unconscious on the ground. On arrival to you...
Tactical Medicine News

Trick of the Trade: Combine Adenosine with the Flush

2019 literature update from this original 2012 Trick of the Trade post! The success of adenosine depends as much on the administration technique...
Tactical Medicine News

Comparison of Chemical vs Electrical Cardioversion of Acute Uncomplicated Atrial Fibrillation

Background Information: Atrial fibrillation is the most commonly encountered dysrhythmia in the emergency department (ED) and is associated with an...
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

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

TRAPID-AMI: Predictive Symptoms of Acute Myocardial Infarction (AMI)

Background: Chest pain is a complaint commonly seen in the emergency department.  Getting a good history is an essential part of working up patient...
Tactical Medicine News

No More Heparin for NSTEMI?

Background: The 2014 AHA guidelines for the management of NSTEMI, recommend unfractionated heparin with an initial loading dose of 60IU/KG (maximum...
Tactical Medicine News

ALiEM AIR Non-ACS Cardiovascular Module

Welcome to the Non-ACS Cardiovascular Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the...
Tactical Medicine News

30-Day Outcomes in Syncope vs Near-Syncope

Background: Syncope, defined as a transient loss of consciousness with spontaneous and complete recovery to pre-event status, is a common emergency...
Tactical Medicine News

2018 ACEP Clinical Policy for Patients with Suspected Non-ST Elevation ACS

A patient presents to your ED with an all too common complaint – chest pain. After a focused history and physical exam, you have an extremely low c...
Tactical Medicine News

The ORBITA Trial: PCI vs Placebo Procedure for Angina Relief in Stable Angina

Background:In the Clinical Outcomes Utilizing Revascularization and Aggressive Drug Evaluation (COURAGE) trial [2], there was no difference in MI a...
Tactical Medicine News

SCOT-HEART: CCTA Decreases Long-Term Risk of MI and Death?

Background: CT coronary angiography (CTCA) is a relatively new technology that has gained popularity over the past few years in evaluating patients...
Tactical Medicine News

LOMAGHI Trial: Magnesium Sulfate for Rapid Atrial Fibrillation?

Background: Currently, several medications are recommended for the management of atrial fibrillation with rapid ventricular response in the emergen...
Tactical Medicine News

Ultrasound For The Win! – 57F with Chest Pain and Dyspnea #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 clini...
Tactical Medicine News

Why we Should Consider Not Using Morphine in Acute Heart Failure

Background/Introduction: Acute heart failure is a common diagnosis encountered among patients presenting to the Emergency Department with complaint...
Tactical Medicine News

ALiEMU AIR Peripheral Vascular Disease Module

Welcome to the Peripheral Vascular Disease (PVD) Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media In...
Tactical Medicine News

Chest Pain and Making the Most of Observation: ACEP-EQUAL Network Podcast

Emergency Medicine has made significant contributions to the proliferation of Observation Medicine, an attractive alternative to admission for pati...
Tactical Medicine News

Bacterial Endocarditis

Background: Definition Infective Endocarditis (IE) = Inflammation of the endothelium of the heart, heart valves (or both) (Osman 2013) Epide...
Tactical Medicine News

Team-Focused CPR: Bringing Pre-hospital Success to the ED

High-quality chest compressions and early defibrillation are the cornerstones of effective cardiac arrest care.1 When implemented correctly these t...
Tactical Medicine News

ALiEM’s Greatest Hits for Interns: A Curated Collection of High-Yield Topics

Congratulations, you’ve made it! On July 1, thousands of medical students across the country made the transition to becoming Emergency Medicine re...
Tactical Medicine News

The Post-ROSC Checklist: Standardizing Clinical Practices

In emergency medicine, we are so heavily trained in resuscitation that any senior resident could recite the ACLS algorithm to you after being woken...
Tactical Medicine News

ALiEMU Capsules Module 8: Venous Thromboembolism

We are proud to present Capsules Module 8: Venous Thromboembolism, now published on ALiEMU. Here is a summary of the key points from this outstandi...
Tactical Medicine News

Ultrasound For The Win! Case – 40F with Fever, Chest Pain, Shortness of Breath

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 clini...
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

Magnesium for Rapid Atrial Fibrillation Rate-Control in the ED

We love magnesium in the Emergency Department. It’s been said that magnesium is second-line for everything (kind of like doxycycline). But what abo...
Tactical Medicine News

Diagnose on Sight: Swollen Leg

Case: A 58 year-old female presents with a one-day history of worsening right lower extremity pain and swelling, and an acute onset of dyspnea. Her...
Tactical Medicine News

Trick of the Trade: Ultrasound for Pedal Pulse Identification and ABI

The Problem: A patient is rolled in to your ED by EMS with extremity trauma. You’re rightfully concerned about possible vascular injury to an upper...
View More