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Trick of the Trade: Knee Arthrocentesis
January 8, 2015
A patient comes into the ED and you suspect septic arthritis to the knee. As you consent the patient for arthrocentesis, you can tell s/he...
Fred Wu, MHS, PA-C
D50 vs D10 for Severe Hypoglycemia in the Emergency Department
December 31, 2014
Think back to your last severely hypoglycemic and lethargic patient presenting to the ED. What was the first treatment modality that came to mind? The...
Adam Spaulding, PharmD BCPS
Can Permanent Marker Leach into IV Infusion Bags?
November 24, 2014
You are resuscitating a hypotensive patient with severe sepsis and have just hung your 4th liter of crystalloid. On the fluid bags, you wrote the numbers...
Jeremy Bair, PharmD, BCPS
Ultrasound For The Win! Case – 93F with Chest Pain
November 20, 2014
Welcome to another ultrasound-based clinical case, part of the “Ultrasound For The Win!” (#US4TW) Case Series! In this peer-reviewed case series, we focus on real clinical...
Jeffrey Shih, MD, RDMS
Why Henderson and Hasselbalch Belong in the ED
November 19, 2014
If you’re like me, you learned and then promptly forgot the Henderson Hasselbalch equation (HH eq) in medical school.1 After all, in clinical rotations it...
Frank Ruiz, MD
Mythbusting the Banana Bag
November 5, 2014
We’re all pretty familiar with the banana bag: intravenous (IV) fluids with the addition of thiamine, folic acid, multivitamins, and sometimes magnesium. Banana bags are commonly...
Meghan Groth, PharmD, BCPS
US4TW Case: 30M with Blunt Abdominal Trauma
October 28, 2014
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 real clinical...
US4TW Case: 28F with Shortness of Breath
September 11, 2014
Welcome to the inaugural post for an exciting new ultrasound-based case series called “Ultrasound For The Win!” (#US4TW). In this peer-reviewed case series, we will focus...
Small bowel obstruction: Diagnosis by ultrasonography
September 10, 2014
A 64 year old man with an extensive history of abdominal surgeries presents to the emergency department with abdominal pain and vomiting. Because you suspect...
Jacob Avila, MD RDMS
Inviting contributors to ALiEM: An open peer-reviewed content submission process
August 22, 2014
Over the last several years, ALiEM has recruited a team of regular contributors, each with their own individual passions within the entire breadth of Emergency...
Derek Sifford
Management of Iron Toxicity
August 6, 2014
Iron toxicity is determined by the amount of elemental iron (Fe) ingested. Examples of Fe formulations and the amount of elemental Fe contained in each...
David Manthey, MD
PV Card: Local anesthetic toxicity calculations
June 13, 2014
Local anesthetics (LAs) are widely employed to achieve tissue infiltration, peripheral and regional anesthesia, and neuraxial blockades. Despite their well-established toxic dose limits, these agents...
David Murphy
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