EM/IM Sessions

EM/IM Sessions: High-Sensitivity Troponin T

Mokhtari A, Lindahl B, Smith JG, Holzmann MJ, Khoshnood A, Ekelund U. Diagnostic Accuracy of High-Sensitivity Cardiac Troponin T at Presentation Combined With History and ECG for Ruling Out Major Adverse Cardiac Events. Ann Emerg Med. 2016;68(6):649-658.e3.  [paper] Why I chose this article  High-sensitivity cardiac troponin T (hs-cTnT) is a relatively new biomarker assay and

Weekly Wellness

Weekly Wellness 8/19/2017

You’re an extraordinary person. Maybe you’re thinking, “No I’m not. Today I froze when my attending asked me a question and I felt like a fool.” Or, “That’s not true. I fought with my girlfriend last night and feel terrible about it”.  Or, “She doesn’t even know me! How does she know I’m extraordinary?” I

Weekly Wellness

Weekly Wellness 8/14/2017

A recent study showed that, to an extent, people are less stressed when they pay others to do services they don’t want to do. Yet many of those same people, despite the perceived improvement in life satisfaction, don’t always pay for those services. Why? Because they don’t believe that’s what they “should’ be doing. We

Knowledge Bomb

Knowledge Bomb: Antibiotics Versus Surgery for Appendicitis

We continue on with the series with Knowledge Bomb #14. The purpose and motivation for this series is outlined in the first entry and extensively in an ALiEM IDEA series blog entry. Background The inspiration behind choosing this article came from a case I had in the Emergency Department involving acute uncomplicated appendicitis. The patient was a 30-year-old male

Weekly Wellness

Weekly Wellness 8/4/2017

“Not everyone thinks the way you think, knows the things you know, believes the things you believe, nor acts the way you would act. Remember this, and you will go a long way in getting along with people” – Arthur Forman Sometimes it’s hard for us, both in our personal and work lives, to understand

EM/IM Sessions

EM/IM Sessions: Assessing Fluid Responsiveness

Bentzer P, Griesdale DE, Boyd J, MacLean K, Sirounis D, Ayas NT. Will This Hemodynamically Unstable Patient Respond to a Bolus of Intravenous Fluids?. JAMA. 2016;316(12):1298-1309. [paper] Why I chose this article We ask this question for every critically ill patient who remains hypotensive after what we believe is adequate fluid resuscitation. Knowing techniques to reassess these