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26 Best Wellness Apps for Emergency Physicians | A Wellness Think Tank Initiative

If you have spent any time working in an emergency department in the last 10 years, you have undoubtedly come across a conversation about wellness and burnout in medicine. Despite increasing awareness, the data is bleak: Emergency Medicine (EM) physicians experience burnout more than any other specialty.1 As we consider that EM was the second [...]

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Update on the ED Management of Intracranial Hemorrhage: Not All Head Bleeds Are the Same

Robust and comprehensive studies now support specific management guidelines for patients presenting with different intracranial hemorrhages (ICH). From the Emergency Department perspective, the primary dilemmas involve specific blood pressure goals and whether seizure prophylaxis with phenytoin is necessary. The Brain Trauma Foundation provides an excellent summary of the current guidelines.1 Summary Table on the Management [...]

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IDEA Series: Video Review as an Experiential Model for Difficult Airway Education

The Problem Difficult airways, including those that are edematous, burned, soiled, or traumatic, pose one of the greatest procedural challenges for emergency physicians. Furthermore, unanticipated difficult airways represent 5-15% of intubations in the ED. Emergency medicine residents gain experience with difficult airways largely through hands-on practice while caring for critically ill patients. The relatively low [...]

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Using Eye Anatomy to Recall Key Diagnoses: The Rule of 2’s

Our latest ALiEM Card introduces the “Rule of 2’s,” a simple method that uses eye anatomy to help you recall some of the major ocular diagnoses! It builds a framework for your physical exam and will help you include or eliminate some of the more common ocular conditions. The Rule of 2’s is easy to remember: [...]

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Extensor Tendon Lacerations to the Foot

A young man is brought into an emergency department after an electric lawn edger cut through his work boot and into the dorsum of his right foot. He has a clearly contaminated 5 cm x 1 cm laceration on the lateral side, and an underlying tendon is exposed. Sensation is diminished around the wound and [...]

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Growth brings new roles in the CAHP

The College of Allied Health Professions (CAHP) has seen tremendous progress and change over the past few years, and that growth has brought some role transitions. Most recently, Pat O’Neil has transitioned from director to assistant dean for finance and administration, a position reflective of the increased scope and depth of her responsibilities since we became a college. Pat holds a BS in Finance from... Continue Reading

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Welcome new faculty: Kellie Gossman

Kellie Gossman PT, DPT, CLT, recently joined the Physical Therapy Education faculty as an Assistant Professor, with primary assignment at the Kearney campus. Originally from Kansas, Kellie earned a Bachelor of Science degree in Medicine and her Doctor of Physical Therapy degree from the University of Nebraska Medical Center in 2012. She began her practice with pediatrics in Lincoln before moving to rural northeast Nebraska.... Continue Reading

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Announcing a Crowdsourced Wellness Initiatives Database for EM Residency Programs

“The part can never be well unless the whole is well.” – Plato The rigors of post-graduate training can strain even the most stoic of residents – the next task, the next project, the next shift. These reduce our resiliency to stressful situations. The likelihood is that your program has worked very hard to develop new [...]

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ALiEM Awards 2017: A Call for Nominations

We are proud to announce the return of the Annual ALiEM Awards! Started in 2016, this was the first in its kind to officially recognize the hard work and creative energy that is required in the generation of social media educational content. We are excited to bring it back to shine the spotlight on another year’s [...]

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MLS student’s licensure opinion article published

Kathleen Cheney, one of our Medical Laboratory Science (MLS) Degree Advancement Option (DAO) students, recently published a short article in the Colorado Clinical Laboratorian ASCLS quarterly publication. The article, “To Licensure or Not to Licensure,” is an opinion paper about personnel licensure for laboratory professionals. “This was a follow-up to an assignment,” said assistant professor and MLS education coordinator, Sandy Latshaw. “Students must investigate the... Continue Reading

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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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A health professional is an individual who provides preventive, curative, promotional or rehabilitative health care services in a systematic way to people, families or communities.
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