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

Weekly Wellness

Weekly Wellness 7/24/2017

“One of my main regrets in life is giving considerable thought to inconsiderate people”. – Jarod Kintz What’s bothering you today? Early on we develop habits for how we deal with things that irritate us. Take a few minutes to think about the things that bothered you today. Was it somebody on their phone while

Weekly Wellness

Weekly Wellness 7/10/2017

“You are enough. You are so enough. It is unbelievable how enough you are.” – Sierra Boggess July is a month of transitions. Starting as an intern, transitioning to a senior or chief, beginning your life as an attending physician, teaching a new class of residents. And no matter how many years you have been

Knowledge Bomb

Knowledge Bomb: Outcomes of New Onset Afib/Aflutter in ER Patients

We continue on with the series with Knowledge Bomb #13. The purpose and motivation for this series is outlined in the first entry and extensively in an ALiEM IDEA series blog entry. Background In the United States, we are more inclined to focus on rate control for new onset atrial fibrillation (afib) in the ER rather