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Announcing the new ALiEM Cards website

The PV Cards are getting a new name and their own website! Beginning today you can find the complete point-of-care reference library on its own standalone, mobile-enabled website: ALiEM Cards at www.aliemcards.com. The PV Cards have been in various formats whether they be apps and websites. Hopefully building a single repository, accessible on any device, will make the PV [...]

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Team-Focused CPR: Bringing Prehospital Success to the ED

High-quality chest compressions and early defibrillation are the cornerstones of effective cardiac arrest care.1 When implemented correctly these two interventions enhance patient outcomes and improve overall survival.2 However, despite simplified advanced cardiac life support (ACLS) algorithms and extensive training of providers, cardiac arrest scenarios in the emergency department (ED) are still high-stress and mortality rates [...]

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Building a Cohesive Residency Program: Top 10 Strategies to Engage Residents

Welcome to the beginning of the most exciting and terrifying time in your residency — the start to a new year! To help start the year off right a group of chief residents from across the country, through the ALiEM Chief Resident Incubator, have gotten together and compiled a list of ways for chief residents [...]

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Welcome new faculty: Satera Nelson

Satera Nelson, MS, recently joined our faculty in Kearney as an anatomy instructor. Here is more about Satera in her own words: “I graduated from UNL with degrees in Nutrition Science and Ethnic Studies. While at UNL, I had the opportunity to be a teaching assistant in the Human Anatomy Lab for 2.5 years. I learned a lot about the human body and about adapting... Continue Reading

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MITS faculty present at Annual Association of Educators in Imaging & Radiologic Sciences Meeting

Several faculty from the Department of Medical Imaging and Therapeutic Sciences presented at the Annual Association of Educators in Imaging and Radiologic Sciences Meeting. During the meeting, Tanya Custer MS, RT(R)(T), and Kim Michael, RT(R), RDMS, RVT, were also awarded a grant titled Case Study-Based E-Learning Modules in Radiologic Sciences Education: A Delicate Balance of Innovation, Time, and Educational Outcomes funded by the Association of... Continue Reading

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Welcome new faculty: Sarah McBrien

The CAHP recently welcomed Sarah McBrien, MS, to our ranks as director of curricular and learning assessment. Sarah spent six years teaching at the middle school and high school levels before joining UNMC’s College of Medicine. During her time working for the Office of Medical Education, Sarah was responsible for the assessment of students (including management of the computer-based testing program), program evaluation, and educational... Continue Reading

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Management of Major Pelvic Trauma

Pelvic trauma frequently is associated with other injuries from the high force required to break the pelvis. Management is focused on stabilizing the pelvis and stopping the bleeding. Due to other injuries requiring emergent surgical stabilization, pelvic trauma is primarily managed surgically with pre-peritoneal packing and external fixation, followed by angioembolization for continued bleeding. Emergency [...]

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ED Charting and Coding: Critical Care Time

After a STEMI activation from the field on Monday morning, the cardiac catheterization team scoops the patient away shortly after the paramedics arrive in the Emergency Department (ED). “Well that was a smooth and seamless resuscitation. The patient was barely in the ED for more than 15 minutes,” you think to yourself. You diligently complete [...]

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Trick of the Trade: DIY Squirt Bottle Wound Irrigation

Wound irrigation is arguably one of the most important steps in closing a laceration, because all lacerations should be considered to be contaminated. Irrigation is considered the foundation in preventing infection. A common way to cleanse a wound is to irrigate a wound using a 20 cc syringe, angiocatheter, and splash protector. To achieve 500 [...]

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ALiEM Book Club: And The Band Played On

With consistent, adequate treatment, people with HIV have a life expectancy that is nearly normal. However, because HIV often affects the most vulnerable people in our society, getting that consistent treatment remains a real and important challenge. 30 years after And the Band Played On was first published, HIV/AIDS is now often viewed as a [...]

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Trick of the Trade: Gaze Testing Using “Selfie Mode” on Your Smartphone Camera

The NIH Stroke Scale is used to assess the severity of a suspected stroke. It includes 11 neurologic exam components that can be quickly performed at the bedside. The second component of the NIH Stroke Scale is testing of voluntary horizontal eye movements, a.k.a., “best gaze”.1 Gaze is usually tested by instructing the patient to [...]

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Welcome new faculty: Teresa Cochran

Teresa Cochran, PT, DPT, MA, GCS, recently joined the Physical Therapy Education faculty as an Associate Professor, with primary assignment at the Kearney campus. Originally from southwest Iowa, Teresa earned a Master of Arts degree in psychology from the University of Nebraska, a Doctor of Physical Therapy degree from Creighton University and has held national board certification in Geriatrics from the American Board of Physical... Continue Reading

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Kearney PA students train in SimNE truck

Kearney PA students participated in a Chest Tube and Advanced Airways clinic on the Simulation in Motion (SimNE) truck Friday, July 14. The PAs were one of two Kearney groups participating in events on the truck. The CON Kearney Division’s Accelerated students participated in a simulation Thursday. Three of the SimNE trucks were in Kearney for the 2017 Nebraska Statewide Emergency Services Conference. Participants: Kearney... Continue Reading

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Welcome new faculty: Greg Mehrer

Greg Mehrer, MBA, RT(R), recently joined the department of medical imaging and therapeutic sciences. Greg is the new clinical education coordinator for the radiography and cardiovascular interventional technology programs. Here’s more about Greg in his own words: “I am originally from a small town in South Dakota called Scotland. My college education began at the University of South Dakota for Health Services Administration. After that... Continue Reading

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PA students learn from community pediatric volunteers

Our ten, third-semester PA students in Kearney reached the conclusion of their pediatric skills workshop last week. Volunteer pediatric patients came from the community to serve as patient models so that the students could exercise their noninvasive, clinical diagnostic skills. The learning activity was engaging, fun, and positive, as PA students rehearsed their exam of ENT, heart, lung, abdomen, and neurologic systems. They also learned... Continue Reading

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ACMT Toxicology Visual Pearls: Discolored Skin and Urine

A patient is brought to the Emergency Department by EMS (Emergency Medical Services) from a house fire. The patient’s skin and urine are discolored as shown. What is the most likely cause of the discoloration? Acute liver failure An antidote administered by prehospital provider Carbon monoxide poisoning Massive hemolysis Hydroxocobalamin Hydroxocobalamin often used by [...]

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My EpiPen expired! Can I still use it?

The above question is common from patients with a history of an allergic reaction seen for a repeat emergency department visit. The manufacturers of EpiPen caution not to use the pen beyond the expiration date, and if the drug solution becomes discolored (oxidation). But EpiPens are expensive! Is there harm in using the pen beyond [...]

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Academic Primer Series and Curated Collections for Educators: Important Papers for Medical Educators

Members and mentors of the inaugural, 2016-17 ALiEM Faculty Incubator authored 9 narrative reviews in the Academic Primer Series and Curated Collections for Educators on several important medical education topics, which highlight the most important literature and their defined importance for junior educators and faculty developers. To ensure broad compendiums of articles were obtained on each [...]

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Envenomations: Initial Management of Common U.S. Snakebites

Nothing says “emergency” like a bite from a venomous reptile. If you work in an area populated by snakes, which covers most of the United States and the world, then chances are good that you will see a patient with a snake bite in the Emergency Department (ED). The severity of the symptoms and the [...]

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PECARN Pediatric Head Trauma: Official Visual Decision Aid for Clinicians

The Pediatric Emergency Care Applied Research Network (PECARN) collaborative has teamed up with the ALiEM and CanadiEM teams to introduce the official PECARN visual decision rule aid for pediatric blunt head trauma! This has been a 6 month collaboration focused on bringing evidence-based research to the bedside in pediatric emergency medicine (EM). Patient Age < [...]

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Little Patients, Big Medicine Podcast: Lactate in Pediatric Sepsis

The first recording from Little Patients, Big Medicine: the Pediatric Emergency Medicine (PEM) Podcast. This is an exciting interview with Dr. Halden Scott, a PEM physician at Children’s Hospital Colorado, about the use of lactate measurement in pediatric sepsis. Dr. Scott is one of the premier pediatric sepsis researchers, with a specific focus on the [...]

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Trick of the Trade: Using Linear Transducers for Point of Care Ultrasound in Intrauterine Pregnancy Evaluation

The volume of women presenting to the emergency department (ED) with newly diagnosed first-trimester pregnancies and suspected ectopic pregnancies sometimes seems like an infinitely growing number. As ED physicians, proper identification of an intrauterine pregnancy (IUP) in these patients is of paramount importance and the initial imaging test of choice for many has become bedside point-of-care ultrasound [...]

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IDEA Series: Use of Online Interactive Platform to Incorporate Board Review into Conference

The Problem Every year, emergency medicine (EM) residents take the In-Training Exam (ITE) to test their medical knowledge and predict the likelihood of passing their official written board examination upon completion of residency training. The Accreditation Council for Graduate Medical Education (ACGME) requires all EM residencies to include weekly didactics in order to build the knowledge [...]

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Donner and Mathews, co-PIs on antibiotic resistance grant

Wayne Mathews, MS, PA-C, DFAAPA, associate professor and associate director of physician assistant education, and Linsey Donner, MPH, CPH, MLS(ASCP)CM, assistant professor in medical laboratory science, received funding for a University of Nebraska Collaboration Initiative Seed Grant. The grant, “One Health: A systems approach linking human and livestock antibiotic resistance at the watershed scale,” looks at the relationship of human and agricultural antibiotic resistance. Congratulations,... Continue Reading

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Dr. Siu funded for 3D printing research grant

Ka-Chun (Joseph) Siu, PhD, Associate Professor in physical therapy education and director of the Chinese MS-DPT Program, was awarded a collaboration seed grant (among UNMC, UNO, UNL and UNK). Dr. Siu is Co-PI with Dr. Zuniga (PI) at UNO. This project is to develop and test low-cost 3D printed prostheses to restore and improve function of children with congenital or traumatic below elbow amputations. Congratulations, Dr.... Continue Reading

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Two new grants for Dr. Corri Hanson

The Center for Patient, Family, and Community Engagement in Chronic Care Management (CENTRIC) at UNMC funded a proposal, “Fiber Intake and the Microbiome in Asthma: the BREATHE Easy Trial,” from Corri Hanson, PhD, associate professor in medical nutrition education. Her team will analyze the microbiome, short-chain fatty acid production, inflammatory biomarkers and pro-resolving mediators in the BREATHE-Easy trial. Dr. Hanson also received a grant from... Continue Reading

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Kilstrom runs half-marathon – Dam to Dam

Last Saturday, Jon Kilstrom, MPAS, PA-C, assistant professor in physician assistant education, finished the 38th annual Dam to Dam half marathon. His sister, Erica White, ran it with him. The 13.1 mile race goes from the Saylorville Dam to downtown Des Moines, IA. If you’re counting, that’s roughly 27,700 steps, and this year’s race was the 7th warmest on record. Wow! Congratulations, Jon and Erica!

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Ultrasound For The Win! – 20F with First Trimester Vaginal Bleeding #US4TW

Welcome to another ultrasound-based case, part of the “Ultrasound For The Win!” (#US4TW) Case Series. In this case series, we focus on a real clinical case where point-of-care ultrasound changed the management of a patient’s care or aided in the diagnosis. In this case, a 20-year-old woman presents with first-trimester vaginal bleeding. Case Presentation A [...]

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10 Tips on How to Succeed Your First Year Out After Residency Graduation

If you are graduating from an EM residency this year, you may be feeling nervous (or petrified) about your first shift out on your own. You’re wondering how you can gain the trust of the nurses and doctors at your new hospital. Perhaps you are wondering how you will keep learning without the residency leadership [...]

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Our “User’s Guide to the EM Match Advice Web Series” is published in WestJEM

It’s that time of year again… when the sun is shining, the flowers are in bloom… and new senior medical students are preparing for next year’s Match. Emergency Medicine (EM) remains a very popular specialty choice. EM enjoys a 99% annual fill rate in the National Residency Matching Program (NRMP) Main Residency Match, with approximately 80% of [...]

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