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

Virtual Clinical Trials: Interview with Ivan Jarry, CEO at ObvioHealth

by Conn Hastings
May 16, 2022
Decentralized and virtual clinical trials are gaining prominence, particularly since the COVID-19 pandemic which made it difficult for trial partic...
Tactical Medicine News

Cryoablation for Treatment of Heavy Menstrual Bleeding: Interview with Ric Cote, CEO of Channel Medsystems

Channel Medsystems, a medtech company based in California, created the Cerene cryotherapy device for the treatment of heavy menstrual bleeding. Hea...
Tactical Medicine News

Perinatal Mental Health Support for Parents of Color: Interview with Lauren Elliott, Founder of Candlelit Therapy

Perinatal mood and anxiety disorders are very common, and can cause significant suffering and distress for many new parents. Black women and women ...
Tactical Medicine News

Excitable Nanoparticles Destroy Endometriosis Lesions

Researchers at Oregon State University developed a nanoparticle system that can aid with the removal of endometrial lesions in a minimally invasive...
Tactical Medicine News

Extracellular Vesicles to Protect Lungs and Brain in Premature Birth

Researchers at the Ottawa Hospital in Canada have been investigating the potential of extracellular vesicles that are derived from umbilical cord m...
Tactical Medicine News

Progesterone Test Wands to Maximize the Chances of Conception: Interview with Sylvia Kang, CEO of Mira

Mira is a medical device company based in California specializing in technology that helps women maximize their chances of conception and monitor t...
Tactical Medicine News

Levita Robotic Platform: Interview with Alberto Rodriguez-Navarro, CEO of Levita Magnetics

Levita Magnetics, a California-based company that specializes in laparoscopic systems, has recently announced that its Levita Robotic Platform, a s...
Tactical Medicine News

Association of Maternal First-Trimester Ondansetron Use with Cardiac Malformations and Oral Clefts in Newborns

Background Information: Nausea and vomiting during pregnancy most commonly occurs during the first trimester. If left untreated, the development of...
Tactical Medicine News

Tranexamic Acid (TXA) for Everything that Bleeds?

Background: TXA is a synthetic lysine derivative that binds with the lysine site on plasminogen and inhibits fibrinolysis.  TXA is not a new drug. ...
Tactical Medicine News

Methotrexate Failure in Non-Ruptured Ectopic Pregnancy

Background: 1st trimester vaginal bleeding and abdominal pain is a common complaint seen in the ED.  As EM physicians it is important to make the d...
Tactical Medicine News

The 4 T’s of Postpartum Hemorrhage

A 28-year-old G4P3 at 41 weeks presents to the ED via EMS. She is in active labor. On exam, a neonatal head is visible. Two minutes later, you ...
Tactical Medicine News

D-Dimer in Pregnancy: Limiting Radiation with Pre-test Probability

Background: Pulmonary embolism is the leading cause of death in pregnancy and the puerperium – accounting for nearly 20% of maternal deaths in the ...
Tactical Medicine News

ALiEMU AIR Obstetrics and Gynecology Module

Welcome to the Obstetrics and Gynecology (Ob/Gyn) Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media In...
Tactical Medicine News

ALiEM Cards: Maternal Cardiac Arrest

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

Is Macrobid Safe in 1st Trimester Pregnancy?

Background: In 2011, the American College of Obstetricians and Gynecologists (ACOG) released a committee opinion warning against the use of nitrofu...
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

Trick: Linear Ultrasound Transducers in Intrauterine Pregnancy Evaluation

The volume of women presenting to the emergency department (ED) with newly diagnosed first-trimester pregnancies and suspected ectopic pregnancies ...
Tactical Medicine News

Ultrasound For The Win! – 20F with First Trimester Vaginal Bleeding #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

4 Pitfalls of Bedside Ultrasonography During First Trimester Pregnancy

One of the more common indications for the use of bedside ultrasound (US) is to evaluate patients who present to the emergency department (ED) with...
Tactical Medicine News

AIR Series: Ob/Gyn Module 2015

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

Is Pelvic Exam in the Emergency Department Useful?

Women with undifferentiated abdominal pain and/or vaginal bleeding commonly present to the emergency department. Many textbooks advocate for the pe...
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

Sim Case Series: Perimortem C-Section

Case Writer: Clare Desmond, MD Peer Reviewer and Editor: Nikita Joshi, MD Keywords: Cardiac arrest, Perimortem C-section
Tactical Medicine News

Trick of the Trade: No pelvic bed? No problem

Often finding a pelvic examination bed for a female patient needing a speculum exam can be challenging. Without the elevated foot stirrups, the b...
Tactical Medicine News

PE in pregnancy: which diagnostic tests do you use?

Pulmonary embolism (PE) can be a deadly disease and one of the most challenging diagnosis to make in a pregnant patient. Patients may present with ...
Tactical Medicine News

Trick of the Trade: Alternative to Word catheter for Bartholin abscess

Bartholin abscesses are challenging to manage, partly because of Word catheter insertion. Sometimes, the space is not large enough (unable to fit t...
Tactical Medicine News

Trick of the Trade: Urine pregnancy test without urine

A 25 year old woman presents to the Emergency Department having syncopized in the waiting room, where she was triaged with the chief complaint of a...
Tactical Medicine News

Trick of the trade: Foley catheter for DUB

Your next patient has heavy dysfunctional uterine bleeding (DUB). She is tachycardic and pre-syncopal. While you establish an IV, resuscitate her, ...
Tactical Medicine News

Paucis Verbis: Methotrexate for ectopic pregnancy

Ectopic pregnancies account for as many as 18% of patients who present with first-trimester bleeding or abdominal pain in the Emergency Department....
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