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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Tactical Medicine News

SAEM Clinical Images Series: ‘Tis Not the Season to be Wheezing

by Jane Rivas, MD
Nov 21, 2022
A 2-year-old male with a history of solitary kidney presented with greater than one month of daily coughing, wheezing, and decreased appetite. The ...
Tactical Medicine News

SAEM Clinical Images Series: Breast Swelling

A female in her 50s with a past medical history of coronary artery disease, pacemaker placement, hypertension, and ESRD presented to the emergency ...
Tactical Medicine News

Are Thrombolytics Safe for Acute Ischemic Strokes in Patients on DOACs?

Background Direct-acting oral anticoagulants (DOACs), including apixaban, rivaroxaban, edoxaban, and dabigatran, are widely used for various indica...
Tactical Medicine News

INR reduction with FFP – How low can you go?

Background Bleeding patients or those undergoing procedures that are at high risk of bleeding may require correction of their INR. Multiple product...
Tactical Medicine News

Diagnosis on Sight: Neck Bruising Leads to a Surprise Diagnosis

A 76-year-old female with a history of HTN, TIA, CAD, left CEA, and CKD presented to the emergency department for evaluation of neck bruising and s...
Tactical Medicine News

SAEM Clinical Image Series: Sun-burnt Hands and Lips

A 44-year-old Caucasian male with a past medical history of hepatitis C presents with a complaint of pain, swelling, and skin blistering of his h...
Tactical Medicine News

SAEM Clinical Image Series: The Insidious Rash

A 60-year-old African American female with a history of hypertension presents to the emergency department for an itchy, diffuse rash. She first n...
Tactical Medicine News

SAEM Clinical Image Series: Rash with Blood Pressure Cuff Inflation

[Click for larger view] Chief Complaint: Possible seizure, Left arm rash History of Present Illness: A 29-year-old with a history of migraine ...
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

Traumatic Bleeding in Anticoagulated Patients: 5 Other Sources Beyond the Brain

When a patient is started on anticoagulant therapy, the purpose is to prevent clot formation or propagation. Anticoagulants can improve morbidity a...
Tactical Medicine News

Lumbar Puncture on an Anticoagulated Patient in the Emergency Department: Is it safe?

The lumbar puncture (LP) procedure is commonly performed in the Emergency Department (ED). While minor complications of LP such as post-procedure h...
Tactical Medicine News

Trick of the Trade: Topical Tranexamic Acid Paste for Hemostasis

Tranexamic acid (TXA) can be used in a wide variety of settings in the Emergency Department for its hemostatic effects. Topical applications of TXA...
Tactical Medicine News

Bleeding and Hemophilia in the Pediatric ED

Bleeding as a chief complaint in the pediatric emergency department is something that many healthcare providers will come across. Some of these ch...
Tactical Medicine News

AIR Series: Infectious Disease, Hematology, Oncology 2014

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

Article: Elevated INR May Overestimate Coagulopathy in Trauma and Surgical Patients

A 55 year old woman presents as the driver of a motor vehicle collision. She has moderate abdominal tenderness diffusely and a seat belt sign, but ...
Tactical Medicine News

Patwari Academy videos: Anticoagulation and reversal agents

Bleeding in general is bad. Bleeding while on anticoagulants is VERY bad. Dr. Rahul Patwari reviews the pathophysiology of coagulation, the variou...
Tactical Medicine News

Paucis Verbis: Overanticoagulation and supratherapeutic INR

I find it amazing that I know more non-emergency physicians virtually in the social media world rather than in person. Primarily through Twitter, I...
Tactical Medicine News

Paucis Verbis card: Interpretation of intraosseous blood

There is a growing number of normal volunteers who agree to get an intraosseous (IO) needle placed. Just search Intraosseous Needle on Youtube. Oft...
Tactical Medicine News

Paucis Verbis: Neutropenic fever in cancer patients

A 65 y/o man with a history of prostate cancer presents to your ED from home appearing fairly well and a mild cough for 3 days. His vital signs are...
Tactical Medicine News

Paucis Verbis card: Supratherapeutic INR

What do you do in these cases? A man on coumadin for atrial fibrillation arrives because he has increased bruising on his skin. He is otherwise as...
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