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End-Tidal CO2 in Cardiopulmonary Resuscitation

End-tidal CO2 (EtCO2) monitoring is a measure of metabolism, perfusion, and ventilation. In the ED, we typically think of a EtCO2 as a marker of perfusion and ventilation. However, EtCO2 is an extremely powerful surrogate for endotracheal tube (ETT) Position, CPR Quality, Return of spontaneous circulation (ROSC), Strategies for treatment, and Termination (of CPR). Do [...]

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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 deliver a healthy vigorous baby boy and hand him to your colleague. You notice persistent bleeding from her vaginal canal. Her tachycardia climbs to 110 bpm and [...]

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ALiEM AIR Non-ACS Cardiovascular Module

Welcome to the Non-ACS Cardiovascular Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the AIR Team is proud to present the highest quality online content related to non-acs cardiovascular emergencies. 5 blog posts within the past 12 months (as of September 2018) met our standard of online excellence and were curated and approved [...]

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IDEA Series: A Low-fidelity Simulation Workshop for Teaching Cricothyroidotomy

The Problem Cricothyroidotomy is an emergency life-saving procedure that involves surgical placement of a tube through the cricothyroid membrane in order to establish a patent airway for oxygenation and ventilation. The indications for this procedure are when traditional means, such as orotracheal or nasotracheal intubation, are contraindicated or have failed during attempts to establish an [...]

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Radiography student, Logan Teten, receives ASAHP scholarship

Logan Teten, 2nd year student in our radiography program, was one of only three 2018 recipients of a $2,500 scholarship from the ASAHP Midwest Deans Association. He was the only recipient in the undergraduate program category (they give three scholarships annually – one to a student in an undergraduate program, two to students in programs at the graduate level). Logan, son of Kurt and Dixie... Continue Reading

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UNMC’s Genetic Counseling program receives accreditation

By Holly Zimmerman, MS, CGC, program director for genetic counseling I literally screamed when I read the email. It said, “The Accreditation Council for Genetic Counseling is pleased to grant Accredited New Program status to the genetic counseling program at the University of Nebraska Medical Center effective January 31, 2019.” Our program is a unique partnership between the College of Allied Health Professions, the Munroe-Meyer... Continue Reading

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Dr. Krusen named founding director of occupational therapy education

by Kalani Simpson, UNMC public relations | January 09, 2019 Nancy Krusen, Ph.D., founding director of occupational therapy education, in the College of Allied Health Professions, didn’t have far to look to find her profession. You might say she inherited it. Both of her parents were physiatrists — physicians that specialize in physical medicine and rehabilitation (UNMC created a PM&R department, then a PM&R residency... Continue Reading

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IDEA Series: A Workshop to Reflect on Personal Resilience

The Problem Burnout is a well-known syndrome characterized by poor self-care, dehumanization, exhaustion, and reduced effectiveness. The study of wellness and resilience among emergency medicine (EM) providers and trainees has recently blossomed, largely as a consequence of recent tragedies of physician suicide, provider distress, and an increased awareness the impact burnout has on both personal and [...]

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PA women place in the Super Bowl 5k

Last Saturday, a few PA faculty and staff teamed up with doctors in the nephrology department to form the Interprofessional team “UNMC Varsity” to run the Super Bowl 5k. Carey Wheelhouse took 2nd place overall in the women’s division. Annie Wildermuth received 2nd place in her age group. Melissa Dorr won first place in the Master’s women’s division and also received an award for being... Continue Reading

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Instagram: The next frontier for ALiEM in digital education

For almost a decade, ALiEM has been on the forefront of digital education in emergency medicine. By leveraging the power of social media, we have been able to provide quality teaching pearls to our learners. Although we have helped to pioneer FOAMEd on Twitter and Facebook, you may have noticed our absence in your Instagram [...]

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Trick of the Trade: Bubble Study for Confirmation of Central Line Placement

The safe placement a central venous catheter (CVC) remains an important part of caring for critically ill patients.1 Over 5 million CVCs are placed each year in the United States. It is crucial to confirm that the central line is placed in the correct position in order to rule out potential complications of the procedure [...]

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Influenza Update: IDSA 2018 Guidelines Reviewed

Symptomatic influenza A and B infections cause worldwide morbidity and mortality every year. Annual vaccination remains the greatest prophylactic measure, but the vaccine is not 100% effective due to mismatch between the circulating and vaccine virus strains. Although most individuals will recover from influenza without incident, some specific patient populations are at high risk for [...]

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ACMT Toxicology Visual Pearls: Abnormal Brain Imaging

An 85 year-old man presented with coma after ingestion of a household product. Two key axial views of his brain MRI are shown. Which of the following did he ingest? Apple cider vinegar Bleach Drain cleaner Ethylene glycol Hydrogen peroxide Answer: 5 – hydrogen peroxide Discussion The brain MR images above show evidence of [...]

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IDEA Series-JETem Innovation: A Low Cost Escharotomy Simulation Model for Residency Education

The Problem Emergency Medicine (EM) residents are expected to be familiar with and competent in performing a wide number of procedures, including rare ones such as performing an escharotomy in a patient with severe burns. Unfortunately, there is a paucity of readily available simulation models to facilitate practice of this rare yet potentially life-saving skill. [...]

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Langel promoted to CAHP director of research

We are pleased to announce that Meghan Langel, MPH, has been promoted to the position of Director of Research in the College. Meghan began her career at UNMC as a research assistant in the College of Public Health. Since then she has held progressively responsible research support roles in the College, before assuming the position of research administrator in 2016. With her support, and that... Continue Reading

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Cochran appointed CAHP Assistant Dean at HSEC

Following an extensive stakeholder review process, Teresa Cochran PT, DPT, MA, GCS, FNAP, was appointed CAHP Assistant Dean at the Health Science Education Complex (HSEC) in Kearney, effective in December 2018. Dr. Cochran admirably served in an interim capacity since April. Over that brief time, she continued to advance the work of the faculty at the HSEC, helping to revise important policies, creating the foundation... Continue Reading

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Dr. Krusen named founding director of occupational therapy education

by Kalani Simpson, UNMC public relations | January 09, 2019 Nancy Krusen, Ph.D., founding director of occupational therapy education, in the College of Allied Health Professions, didn’t have far to look to find her profession. You might say she inherited it. Both of her parents were physiatrists — physicians that specialize in physical medicine and rehabilitation (UNMC created a PM&R department, then a PM&R residency... Continue Reading

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Welcome new perfusion faculty: Scott Sanderson

Scott Sanderson, MPS, CCP, LP, is the new adjunct assistant professor and clinical education coordinator in the Department of Clinical Perfusion Education. Scott has been with Nebraska Medicine for the last six years serving as a staff perfusionist, and will continue his clinical roles alongside his new academic appointments. He is a former graduate of the UNMC Clinical Perfusion Education Program. “As a former graduate... Continue Reading

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Top 10 ALiEM Clinical Posts in 2018

Happy 2019 from the ALiEM team. We have published so many posts this year that you may have missed a few. Did you at least catch the top 10 ALiEM clinical posts in 2018? These are the most-viewed posts in the past calendar year. From can’t-miss ECGs, to common splint techniques, and new strategies for managing alcohol withdrawal [...]

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Teaming Tips Case 4: Team Collaboration | ALiEM Faculty Incubator

Many of you are asked to take a leadership role in leading a team, whether it’s for research, administration, or even clinical. It is easy to feel unprepared for these roles, and there are many pitfalls waiting to sabotage your team’s productivity. The ALiEM Faculty Incubator has created a series of 10 case-based teaming problems [...]

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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 Quality Transformation in the American Academy of Pediatrics (AAP) thoughtfully outlines a clinical algorithm to help guide clinicians towards a standardized, evidence-based approach. Thanks to the expert content team (Drs. Shabnam Jain, Anne [...]

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Dr. Krusen named founding director of occupational therapy education

by Kalani Simpson, UNMC public relations | January 09, 2019 Nancy Krusen, Ph.D., founding director of occupational therapy education, in the College of Allied Health Professions, didn’t have far to look to find her profession. You might say she inherited it. Both of her parents were physiatrists — physicians that specialize in physical medicine and rehabilitation (UNMC created a PM&R department, then a PM&R residency... Continue Reading

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Forty Years of Learning Something New Daily

By Joe Evans, Nebraska Medicine | September 25, 2018 What do you want to be when you grow up? It is the question we were all confronted with as we prepared to graduate high school. Like many of us, Karen Keller didn’t know the answer. Fast forward four decades later, and Keller could not be any happier about her career decision being a medical technology... Continue Reading

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The ALiEM Faculty Incubator: Going Further Together

“If you want to go fast, go alone. If you want to go far, go together.” – African Proverb The ALiEM Faculty Incubator continues to be an amazing online community of practice for medical educators interested in taking their game to the next level. By helping participants acquire new knowledge and essential tools for scholarship [...]

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Forty Years of Learning Something New Daily

By Joe Evans, Nebraska Medicine | September 25, 2018 What do you want to be when you grow up? It is the question we were all confronted with as we prepared to graduate high school. Like many of us, Karen Keller didn’t know the answer. Fast forward four decades later, and Keller could not be any happier about her career decision being a medical technology... Continue Reading

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IDEA Series Highlights JETem Innovations: A Low Cost Trainer for Neonatal Umbilical Catheterization

The Problem Although umbilical catheterization can be a lifesaving technique in the emergent management of a critically ill neonate, it is performed infrequently in the ED.1 Simulation has emerged as a key teaching modality for residents to gain both proficiency and competency with this important procedure.2,3 Commercially available umbilical catheterization models are available, but costly, and often [...]

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A Message from the UNMC Alumni Association

Congratulations graduates! On behalf of the Alumni Association Board of Directors and the College of Allied Health Professions Alumni Council, we welcome you as members into the UNMCAA—a proud group of more than 44,000 alumni from across the country and world. The Alumni Association, in partnership with the University of Nebraska Foundation, have replaced the membership dues program with an annual giving program that promotes... Continue Reading

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Forty Years of Learning Something New Daily

By Joe Evans, Nebraska Medicine | September 25, 2018 What do you want to be when you grow up? It is the question we were all confronted with as we prepared to graduate high school. Like many of us, Karen Keller didn’t know the answer. Fast forward four decades later, and Keller could not be any happier about her career decision being a medical technology... Continue Reading

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ACMT Toxicology Visual Pearls: Blue Urine

A bedside urine test for a pesticide is positive as shown in the photo. What pesticide is being detected? Chlorpyrifos Diquat Glyphosate Paraquat Answer: 4 Paraquat – causes urine to turn blue with the urinary dithionite test What is Paraquat? Paraquat is a bipyridal herbicide that is extremely toxic to humans in small amounts. An [...]

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Submit an abstract to give a national talk: Resident Wellness Innovation Plenary Session

On behalf of the ALiEM Wellness Think Tank (WTT), we are thrilled to announce our partnership again with Essentials of Emergency Medicine (EEM). On May 13, 2019 during the WTT Resident Wellness Day (an EEM preday event featuring acclaimed author Dr. James Dahle of White Coat Investor fame), we also will launch the first-ever Wellness Innovation [...]

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