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

SAEM Clinical Image Series: Inguinal Masses

by Jon Risovas, MD
Jan 03, 2022
A 50-year-old female with a past medical history of gastritis and marijuana abuse presents to the Emergency Department (ED) with epigastric abdomin...
Tactical Medicine News

SAEM Clinical Image Series: Pediatric Penis Swelling

A 3-year-old healthy uncircumcised male presents to the Emergency Department with five days of penis swelling and pain. Five days prior, his father...
Tactical Medicine News

Doxycycline vs Azithromycin: Think Twice About the 2020 CDC Guideline Update on Treatment of Gonorrhea and Chlamydia

When the new Centers for Disease Control and Prevention (CDC) recommendations1 regarding the treatment of uncomplicated gonorrhea (and indirectly c...
Tactical Medicine News

Ep 151 AKI Part 2 – ED Management

In this Part 2 of our AKI series we discuss the timing, volume and IV crystalloid of choice in AKI patients as well as dialysis indications and tim...
Tactical Medicine News

Ep 150 Acute Kidney Injury – A Simple Emergency Approach to AKI

In this first part of our 2 part podcast series on AKI we answer questions such as: Is there any value in the BUN:Cr ratio in distinguishing preren...
Tactical Medicine News

Purple Urine Bag Syndrome: A visual diagnosis and what it means for your patient

A 78-year-old male is brought in from his nursing home for evaluation of hypotension. He has a prior history of multiple strokes and is bed bou...
Tactical Medicine News

ALiEM AIR | Renal/Genitourinary 2020 Module

Welcome to the AIR Renal/Genitourinary Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the AL...
Tactical Medicine News

Ep 144 Testicular Torsion: A Diagnostic Pathway

In this Part 2 of Urologic Emergencies EM Cases main episode podcasts Dr. Natalie Wolpert and Dr. Yonah Krakowsky answer questions about testicular...
Tactical Medicine News

Ep 143 Priapism and Urinary Retention: Nuances in Management

This month's main episode podcast on Urologic Emergencies -  Priapism and Urinary Retention asks: for priapism how much time to do we have to fix i...
Tactical Medicine News

Trick of the Trade: Angiocatheter for manual aspiration of priapism

A 25-year-old man presents with 6 hours of penile pain and swelling after recreational penile injection of Trimix (alprostadil, papaverine, and ph...
Tactical Medicine News

Beyond the Abstract: Systemic Online Academic Resources Review: Renal and Genitourinary

Production and use of free open access medical education resources (FOAM) has had a meteoric rise over the last decade.​1–4​ ALiEM works hard t...
Tactical Medicine News

Diagnose on Sight: Scrotal Swelling

Case: A 58-year-old male with no past medical history presents to the emergency department for evaluation of right lower quadrant abdominal pain a...
Tactical Medicine News

SAEM Clinical Image Series: Flu-like symptoms, oral ulcers, and rash

[Click for larger view] Chief Complaint: Flu-like symptoms, lip pain/swelling, mouth pain, eye redness, and rash History of Present Illness: P...
Tactical Medicine News

Algorithm for ED Evaluation and Management of Pediatric UTI

When should urinary tract infections (UTI) be included in the differential diagnosis for febrile infants and young children? The EM Committee on Q...
Tactical Medicine News

BCE 70 Female Urinary Retention – The Return of Carr’s Cases!

Urinary retention is 13 times less common in woman than it is in men, and the differential diagnosis is wide. In this EM Cases Best Case Ever we ha...
Tactical Medicine News

Renal Colic & Pulmonary Embolism CT | Reducing Imaging: ACEP E-QUAL Network Podcast

Computed tomography (CT) is increasingly available across U.S. Emergency Departments and has changed the practice of medicine. However, it is coupl...
Tactical Medicine News

Ultrasound For The Win! Case – 64M with Fever and Scrotal Pain #US4TW

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

Journal Jam 11 Post Contrast Acute Kidney Injury – PCAKI

Lauren Westafer joins Justin Morgenstern, Rory Spiegel and Anton Helman in a deep dive discussion on the world's literature on Post Contrast Acute ...
Tactical Medicine News

AIR Series: Renal/Genitourinary (2017)

Welcome to the Renal/GU 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

Episode 94 UTI Myths and Misconceptions

In 2014, the CDC reported that UTI antibiotic treatment was avoidable at least 39% of the time. Why? Over-diagnosis and treatment results from the ...
Tactical Medicine News

Trick of the Trade: Paraphimosis – Pour Some Sugar On Me

Paraphimosis occurs when a retracted foreskin can’t be reduced back over the glans of the penis. Risk factors for paraphimosis include scarring, vi...
Tactical Medicine News

Episode 81 – A Balanced View on Recent EM Literature with Joel Yaphe

EM Cases - A Balanced View on recent EM Literature with Joel Yaphe Being an optimist, I'm constantly searching for EM literature that will change ...
Tactical Medicine News

BEEM Cases 2 – Renal Colic Imaging, Analgesia, Fluids & Medical Expulsive Therapy

Urolithiasis is one of the more frequent diagnoses we are faced with in the Emergency Department, with an estimated 1 million ED visits due to rena...
Tactical Medicine News

60-Second Soapbox: New podcast series featuring Drs. Lin, Riddell, Shaikh

We are excited to announce our new podcast series, 60-Second Soapbox! Each episode, one lucky individual gets exactly 1 whole minute to present the...
Tactical Medicine News

AIR Series: GU/Renal Module 2015

Welcome to the eighth ALiEM Approved Instructional Resources (AIR) Module! In an effort to reward our residents for the reading and learning they a...
Tactical Medicine News

Author Insight: Ultrasonography versus CT for suspected nephrolithiasis | NEJM

Are you getting a CT or bedside ultrasound as your first-line diagnostic approach to patients with undifferentiated abdominal or flank pain in whom...
Tactical Medicine News

Ultrasound For The Win: 46F with Right Abdominal and Flank Pain #US4TW

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

Ultrasound For The Win: 22M with Scrotal Pain #US4TW

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win” (#US4TW) Case Series. In this peer-reviewed case series, we focus on...
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

Diagnose on Sight: Painful Scrotal Swelling

Case: A 48 year old male with a history of alcoholism presents with one day of painful scrotal swelling. What is the most important next step in ma...
Tactical Medicine News

Top 10 reasons NOT to order a CT scan for suspected renal colic

It appears that the excitement and utilization of computed tomography (CT) imaging in the emergency department (ED) has far outpaced our concern fo...
Tactical Medicine News

Uncomplicated Urinary Tract Infections in Older Adults: Diagnosis and Treatment (Part 2)

It seems like a simple enough question: How do you diagnose and treat uncomplicated urinary tract infections (UTIs) in older adults? The answer is:...
Tactical Medicine News

Uncomplicated Urinary Tract Infection in Older Adults: Diagnosis and Treatment (Part 1)

It seems like a simple enough question: How do you diagnose and treat uncomplicated UTIs in older adults? The answer is: It depends. Part 1 of this...
Tactical Medicine News

Patwari Academy videos: Testicular torsion and acute scrotal pain

There are several causes for the acutely painful scrotum. In the follow two short tutorial videos, Dr. Rahul Patwari reviews common causes, which ...
Tactical Medicine News

Trick of the Trade: Urine Collection in Neonates

The Case: A 8-day-old, uncircumcised male is brought to the ED with fever, irritability, and decreased urination. The Problem: Getting a cle...
Tactical Medicine News

First ALiEM journal article: Trial of void for acute urinary retention

A patient may present to the ED after foley catheter placement for acute urinary retention (AUR) a few days ago and now requests catheter removal....
Tactical Medicine News

Paucis Verbis: Genital Ulcers

A few months ago, American Family Physician published a nice review article on the diagnosis and management of genital ulcers. How do you remember ...
Tactical Medicine News

Paucis Verbis: Antibiotics for Cystitis and Pyelonephritis in Women

You diagnose a 35 years old woman with uncomplicated cystitis. She is not diabetic and not pregnant. Which antibiotics should you give? What if she...
Tactical Medicine News

Trick of the Trade: Foley balloon be gone!

An urethral Foley catheter can sometimes become retained in the bladder, because of its balloon being unable to deflate. A malfunctioning inflation...
Tactical Medicine News

Paucis Verbis card: Urinary tract infection

In this installment of the Paucis Verbis (In a Few Words) e-card series, the topic is Urinary Tract Infection. UTIs are one of the most common infe...
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