Tactical Medicine News Blog

ALiEM Cards, Cardiovascular, Pulmonary
PV card: PE Severity Index (PESI) score
Do you send some of your low-risk patients with pulmonary embolism home? This is a controversial issue which warrants a look at risk stratification tools. The primary one used is...
Michelle Lin, MD | November 17, 2012
ALiEM Cards, resuscitation
PV card: Mnemonics to predict the difficult airway
PV Card: Predictors of a Difficulty Airway See ALiEM (PV) Cards for other resources The post PV card: Mnemonics to predict the difficult airway appeared first on ALiEM.
Michelle Lin, MD | October 19, 2012
ALiEM Cards, Endocrine-Metabolic
PV Card: Electrolytes and ECG changes
The electrocardiogram can pick up all sorts of electrolyte abnormalities. The most common abnormalities revolve around high and low levels of potassium and calcium. Magnesium derangements typically have nonspecific findings....
Michelle Lin, MD | September 21, 2012
ALiEM Cards
Paucis Verbis: EMTALA rules in the transfer of ED patients
In U.S. academic emergency departments, decisions to accept patients is typically easy, because you have ready access to on-call physicians. When in doubt, accept transfer patients and sort things out...
Michelle Lin, MD | September 14, 2012
ALiEM Cards, procedure
Paucis Verbis: Delayed sequence intubation
A 40 y/o man presents with significant agitation and severe respiratory distress from a COPD exacerbation. His oxygen saturation is 75% on room air, and he has diffuse, tight wheezes...
Michelle Lin, MD | August 31, 2012
ALiEM Cards, Cardiovascular
Paucis Verbis: CHF likelihood ratios
A 50 y/o man with a history of CHF and COPD is brought in by ambulance in severe respiratory distress. He is sitting upright with a RR 30 and O2...
Michelle Lin, MD | August 24, 2012
ALiEM Cards, Infectious Disease
Paucis Verbis: Does this adult patient need blood cultures?
Do you order blood cultures for all your ED patients with a fever? Obviously no. What’s your decision making process on ordering this test? There are really no findings or...
Michelle Lin, MD | August 17, 2012
ALiEM Cards, Heme-Oncology, Tox & Medications
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 follow and am followed by medical...
Michelle Lin, MD | August 10, 2012
ALiEM Cards, Social Media & Tech
Sort me! Paucis Verbis cards now catalogued
After much recent feedback on the poll about the Paucis Verbis cards (thanks to all who responded!), I see trends: Several have commented that it is getting increasingly difficult to...
Michelle Lin, MD | August 4, 2012
ALiEM Cards, poll
Poll: Is anyone using the Paucis Verbis cards?
Feedback is essential for continued growth and improvement in any longitudinal project that you work on. Thus annually, I conduct a poll to see if I can improve anything on the...
Michelle Lin, MD | August 2, 2012
ALiEM Cards, Cardiovascular, Pulmonary
Paucis Verbis: D-Dimer test
D-Dimer: To order or not to order? That's the question when it comes to risk stratifying a patient for a pulmonary embolism with a low pretest probability. One should consider...
Michelle Lin, MD | July 27, 2012
ALiEM Cards, Cardiovascular, Trauma
Paucis Verbis: Blunt cardiac injury
Do you always get a troponin for patients who sustain blunt chest trauma? Hopefully your answer is no. Of note, it is also NOT indicated as a screening test for...
Michelle Lin, MD | June 29, 2012
ALiEM Cards, Tox & Medications
Paucis Verbis: Toxic alcohols – Isopropyl alcohol
Continuing on the theme of Toxic Alcohols (osmolal gap, ethylene glycol, methanol), this Paucis Verbis card focuses on isopropyl alcohol toxicity, which is commonly found in rubbing alcohols. In this toxic...
Michelle Lin, MD | June 22, 2012

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