Dear emergency physicians: WE SEE YOU.
We're with you.
We're in this together.
Thank you for being you.
- 💌 from ALiEM
Send this to all the emergency physicians in your life. Video animation by soon-to-be EP Spencer Evans (@notfakespevans)
youtube.com/watch?v=jtGM-BUp…
🫁 Two clinicians can listen to the same child's lungs and hear different things. A new PECARN study found that no individual exam finding met its reliability standard for pediatric pneumonia.
Paper: doi.org/10.1001/jamanetworko…
Our analysis: aliem.com/pediatric-pneumoni…
🧊 Your heat stroke patient is TACO'd down to 102°F. How do you stop the cooling fast, before hypothermia?
Trick of the Trade by Abigail Riley and Dr. @leocho_ayylmao (@bumc_em)
aliem.com/trick-trade-taco-e…
🎓 New AIR Series: ACS Cardiology 2026 is live
5 top posts: post-arrest care, OMI, MI transfusion strategy, Impella & ECG patterns.
Series Editor: Kaitlin Bowers, DO
Sponsors: SAEM and CORD
Earn conference credit → aliem.com/air-series-acs-car…@emcrit@WICSBottomLine
ACMT Toxicology Visual Pearl: The Fang and the Furious
Envenomation from this oceanic snake would most likely lead to which of the following symptoms?
Acute renal failure
Blindness
Descending paralysis
Localized skin necrosis
Read more: aliem.com/acmt-the-fang-and-…@acmtmedtox
ACMT Toxicology Visual Pearl: Black Vomit, Big Problem
Which of the following substances causes rapid onset of black emesis with a garlicky or fishy odor when ingested?
Acephate
Brodifacoum
Iron sulfate
Zinc phosphide
Read more: aliem.com/acmt-black-vomit-b…@acmtmedtox
ACMT Toxicology Visual Pearl: Pit Viper
The venom of the pictured creature causes tissue inflammation and necrosis through which of the following mechanisms:
Alpha-bungarotoxin
Alpha-latrotoxin
Domoic acid
Phospholipase A2
Read more: aliem.com/acmt-visual-pearl-…@acmtmedtox
ACMT Toxicology Visual Pearl: Clutching Your Perles
What type of EKG changes may be seen following ingestion of this medication, often prescribed for a URI?
AV block
Diffuse ST elevation
Prolonged QTc
Widened QRS
Read more: aliem.com/acmt-clutching-you…@acmtmedtox
💊 New on ALiEM: Azithromycin doesn't help preschool wheezing.
In 840 ED kids with wheezing, it cleared airway bacteria but didn't improve symptoms, admissions, or return visits, even in those with detectable bacteria.
aliem.com/az-swed-azithromyc…
AZ-SWED Trial @PECARNteam
ACMT Toxicology Visual Pearl: Who Toad you to Lick It
When people intentionally lick this toad, which toxin can they be exposed to?
*Bufodienolides
*Ciguatoxin
*Mescaline
*Psilocybin
Read more: aliem.com/acmt-who-toad-you-…@acmtmedtox
ACMT Toxicology Visual Pearl: Who Toad You to Lick It?
When people intentionally lick this toad, which toxin can they be exposed to?
*Bufodienolides
*Ciguatoxin
*Mescaline
*Psilocybin
Read more: aliem.com/acmt-who-toad-you-…@acmtmedtox
New PEM POCUS tutorial: Pediatric Musculoskeletal Ultrasound 🦴
Authors: Drs. Alyssa Goodman and Joni Rabiner
Series Editor: Dr. Margaret Lin-Martore
Read + take the 2-hour ALiEMU course: aliem.com/pem-pocus-series-p…
New PEM POCUS tutorial: Pediatric First-Trimester Pregnancy Ultrasound 🤰
Authors: Drs. Alex Yang, Kavita Gandhi, and Margaret Lin-Martore
Read + take the 2-hour ALiEMU course: aliem.com/pem-pocus-series-p…
Critical cardiac findings every clinician should recognize.
Early identification of patterns like STEMI, Brugada syndrome, prolonged QTc, hyperkalemia, and AV block can significantly impact patient care and outcomes.
@ALiEMteam#MedTwitter#Cardiology#ECG#EmergencyMedicine