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Replace dolutegravir (Tivicay) with raltegravir (Isentress) for post-exposure prophylaxis

Post-exposure prophylaxis (PEP) of patients who may have been exposed to HIV includes a combination HIV nucleoside analog reverse transcriptase inhibitor emtricitabine/tenofovir (Truvada) plus an integrase inhibitor. The CDC initially recommended the integrase inhibitor dolutegravir (Tivicay). However on May 18, 2018, the CDC placed an alert about the neural tube defect risk with dolutegravir.1 How does [...]

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From One Medical Student to Another: 5 Tips for Research Success

One of the most challenging aspects of medical school is the sheer volume of information that must be absorbed in a short period. This can pose a problem for those interested in developing research skills and pursuing an independent project. As colleagues, we know that our inherent curiosity is satisfied by discovering new information as [...]

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SplintER Series: Common ED Splint Techniques | Splint Principles 104

The SplintER series is back with its fourth installment! In this series, we review splinting fundamentals, introduce advanced concepts, and highlight ways to implement these into your next shift. In this post, we summarize some of the most commonly deployed splints in the ED. Peer-reviewed by sports medicine experts (Dr. Kori Hudson and Dr. Anna [...]

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Welcome new staff: Patti Jones

Patti Jones, BA, is the new office associate in the Division of Physical Therapy Education. More about Patti in her own words: “I come to UNMC after spending four years in the business office at the College of Law in Lincoln. I’ve been married to Bob for 36 years. We have three daughters (I believe all three are amazing women, but I’m very biased) who... Continue Reading

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Welcome new staff: Michelle Hawkins

Michelle Hawkins, MS, recently joined the Division of Physical Therapy Education as the clinical education associate. More about Michelle in her own words: “Born and raised in Omaha, I have recently moved back with my two daughters, (and 3 chihuahuas) after living out of state for 17 years. I’m thrilled to be near my extended family again. I also enjoy reading, biking, and shopping.”

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Welcome new staff: Molly Dixon

Molly Dixon, BS, recently joined the CAHP team at the Health Sciences Education Complex in Kearney as Clinical Education Associate in the Physician Assistant program. More about Molly in her own words: “My husband, Pete, and I have been married 20 years and have four children. We live on the family farm near Pleasanton and raise corn, cattle, and kids. Our kids are very active... Continue Reading

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UNMC PT students team with UNK students to help kids with developmental disabilities

by Vicky Cerino, UNMC public relations | June 07, 2018  Students in the UNMC Physical Therapy Education program in Kearney, along with engineering students at the University of Nebraska at Kearney, recently made three children and their families very happy. The students modified children’s electric cars for three girls between the ages of one and three. The project is part of GoBabyGo!, a national program... Continue Reading

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ALiEMU AIR Peripheral Vascular Disease Module

Welcome to the Peripheral Vascular Disease (PVD) Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to PVD emergencies. 2 blog posts within the past 12 months (as of May 2018) met our standard of [...]

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Approaching Wellness in the ED: A Conversation with Wellness Expert Dr. Shahina Braganza

The Wellness Think Tank created a podcast with wellness expert Dr. Shahina Braganza from the Gold Coast in Australia. Facilitated by Dr. Annahieta “AK” Kalantari and joined by EM residents Dr. Alecia Gende and Dr. Adrienne Taren, the conversation covers a broad range of topics including the concepts behind Emotional Contagion, Dr. Braganza’s published “oneED” program1, [...]

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Welcome new staff intern: Nick Nussbaum

Nick Nussbaum recently came to the CAHP as a new intern. Previously, he worked at T.D. Ameritrade Park on the grounds crew for the College World Series. He is entering his final year at University of Nebraska Omaha as a Business Finance, Banking and Financial Markets, Investment Science and Portfolio Management, and Marketing major. Good to have you on the team, Nick!

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Welcome new staff: Dan Spellman

In June, Dan Spellman, BS, came to the CAHP as the Classroom/Events Technologist II at the Health Sciences Education Complex in Kearney. He spent the previous 15 years working in the Wireless Internet Service Provider (WISP) industry and in total has been in the IT industry for over 25 years. In his own words: “During my IT career, I had the joys of starting and... Continue Reading

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Welcome new staff: Cyndie Talarico

Cyndie Talarico, A.A., recently came to the CAHP as the Office Associate II for the Kearney Campus. She previously worked at UNK, College of Business and Technology as the Office Associate to the Accounting and Finance department. More about Cyndie in her own words: “I am a native to Denver and moved to Nebraska to help my grandmother and start a slower lifestyle. My husband... Continue Reading

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MITS faculty at annual meeting in SC

Numerous MITS faculty attended the Association of Educators in Imaging and Radiologic Sciences annual meeting in Charleston, SC. Tanya Custer and Kim Michael presented a lecture on Case Study-Based E-Learning Modules in Radiologic Sciences Education: A Delicate Balance of Innovation, Time, and Educational Outcomes. Retired faculty Jim Temme was awarded life membership at the meeting. Several faculty also presented posters: Rules of Engagement: Successful Collaboration... Continue Reading

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Welcome new staff: Melanie Johnson

Melanie Johnson recently joined the CAHP as education coordinator for the Genetic Counseling and Occupational Therapy programs. She previously managed the customer service department of a manufacturing lab in Omaha. More about Melanie in her own words: “I moved from Minnesota to Omaha 23 years ago when I met my husband to whom I’ve been married for 20 years. We have two daughters and one... Continue Reading

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UNMC PT students team with UNK students to help kids with developmental disabilities

by Vicky Cerino, UNMC public relations | June 07, 2018  Students in the UNMC Physical Therapy Education program in Kearney, along with engineering students at the University of Nebraska at Kearney, recently made three children and their families very happy. The students modified children’s electric cars for three girls between the ages of one and three. The project is part of GoBabyGo!, a national program... Continue Reading

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Can’t Miss ECG Findings for the Emergency Medicine Provider

Sudden cardiac death accounts for almost 400,000 deaths per year in the United States, and EM providers must be adept at discerning subtle, high-risk ECG findings. With the advent of triage ECG protocols, one of the most common interruptions in the ED is a request to “sign off” on an ECG. We present a reference [...]

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Welcome new PA faculty: Shaun Grammer

We are excited to announce the hire of Shaun Grammer, M.S., PA-C who comes to us with 8 years of full-time academic experience in PA education. He completed his Physician Assistant training from Des Moines University and has practiced clinically in both Family Medicine and Pediatrics. He began his full-time academic career in 2010 and has had roles as Academic Coordinator, Admissions Coordinator, and Program... Continue Reading

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UNMC PT students team with UNK students to help kids with developmental disabilities

by Vicky Cerino, UNMC public relations | June 07, 2018  Students in the UNMC Physical Therapy Education program in Kearney, along with engineering students at the University of Nebraska at Kearney, recently made three children and their families very happy. The students modified children’s electric cars for three girls between the ages of one and three. The project is part of GoBabyGo!, a national program... Continue Reading

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ACMT Toxicology Visual Pearls: Snake Bite

Envenomation by the pictured snake would be expected to produce which clinical effects? Bradycardia and hypotension Bruising and epistaxis Difficulty swallowing and muscle weakness Severe swelling and blistering Answer: Difficulty swallowing and muscle weakness (3) North American Coral Snake Bites The photo depicts a Texas coral snake, Micrurus tener. North America is also home [...]

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ALiEM AIR Series: Endocrine Module

Welcome to the Endocrine Module! After carefully reviewing all relevant posts from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the highest quality online content related to Endocrine emergencies. 8 blog posts within the past 12 months (as of May 2018) met our standard of online excellence and were curated [...]

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UNMC PT students team with UNK students to help kids with developmental disabilities

by Vicky Cerino, UNMC public relations | June 07, 2018  Students in the UNMC Physical Therapy Education program in Kearney, along with engineering students at the University of Nebraska at Kearney, recently made three children and their families very happy. The students modified children’s electric cars for three girls between the ages of one and three. The project is part of GoBabyGo!, a national program... Continue Reading

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IDEA Series | Chopped EM: A ‘Palatable’ Way to Teach a Challenging Topic to EM Residents

The Problem Psychiatric and substance use disorder complaints comprise up to 12% of all Emergency Department (ED) visits.1–3 These conditions can present in a multitude of ways, making it essential for emergency physicians (EPs) to be aware of nuanced diagnostic characteristics of psychiatric illnesses in order to provide timely and appropriate care for these patients. [...]

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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 clots. Numerous studies have investigated its utility in preventing or treating traumatic hemorrhage, and the World Health Organization now includes TXA on its list of Essential Medicines. In addition to [...]

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Nuclear Attack: What Emergency Physicians Working in the ED Need to Know

Ever wonder what would happen if you were working in the emergency department (ED) when a nuclear attack happens? We’ve all had questions on boards or inservice exams about the long-term effect of radiation exposure, but would you know what to ACTUALLY DO if a nuclear attack happened? What do you do in the first [...]

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The Myth of Vasopressors and Ischemia

Despite the widespread clinical use, and their well-documented life-saving properties, vasopressors are often maligned, accused of causing ischemia to fingers, toes, mesentery, kidneys, and so forth. Not only is the evidence that this happens poor, but, a fear of this dreaded complication can unwarrantedly lead good clinicians to limit or withhold potentially life- and organ-saving [...]

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IDEA Series: Implementing an Integrative Longitudinal Online Ultrasound Curriculum

The Problem Emergency ultrasound (EUS) has quickly become a fundamental aspect of emergency medicine (EM) residency training. While still relatively novel to the field, there has been a significant focus on curriculum development in accordance with the core ultrasound application guidelines set forth by the American College of Emergency Physicians (ACEP).1 Currently, there is no [...]

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UNMC PT students team with UNK students to help kids with developmental disabilities

by Vicky Cerino, UNMC public relations | June 07, 2018  Students in the UNMC Physical Therapy Education program in Kearney, along with engineering students at the University of Nebraska at Kearney, recently made three children and their families very happy. The students modified children’s electric cars for three girls between the ages of one and three. The project is part of GoBabyGo!, a national program... Continue Reading

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PEM Pearls: Red Flags for Child Abuse – Case 2

Fractures are a common sign of abuse. It is impossible to tell from an x-ray alone whether or not a fracture is due to abuse. Fractures of the extremities are the most common skeletal injury in children who have been abused and approximately 80% of fractures due to abuse occur in children under 18 months [...]

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Climate Change and Emergency Medicine: A Specialty on the Frontline

Emergency medicine (EM) is on the frontlines of climate change, which the Lancet Commission declared “the biggest global health threat of the 21st century” with “potentially catastrophic risk to human health.”1,2 Climate change is having broad and profound negative impacts on the health of our patients, especially for the vulnerable populations. It is also affecting [...]

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ECMO for ARDS: Key Pearls for Emergency Physicians from the EOLIA Trial

The role of extracorporeal membrane oxygenation (ECMO) in the management of acute respiratory distress syndrome (ARDS) has been a source of debate within the critical care community.1 The use of ECMO has steadily increased over the past decade;2 however, evidence to support the widespread adoption of this expensive and invasive technology is limited. As advances [...]

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