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Safety and Efficacy of Clevidipine for Acute Blood Pressure Control
Background Rapid and precise control of blood pressure is vital for patients with a hypertensive emergency or an acute stroke. Commonly, nicardipine is utilized in these situations, with nitroprusside...
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Bupropion Overdose: Factors Associated with Seizures
Background Bupropion ingestions are one of the scarier poisonings due to a relatively narrow therapeutic index and the numerous adverse effects that may occur. Medical toxicologist Dr. Dan Rusyniak...
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Are Thrombolytics Safe for Acute Ischemic Strokes in Patients on DOACs?
Background Direct-acting oral anticoagulants (DOACs), including apixaban, rivaroxaban, edoxaban, and dabigatran, are widely used for various indications and considered first-line therapy for...
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SAEM Clinical Images Series: Localized Weakness
A 69-year-old Caucasian female with a past medical history of seizures, cerebral vascular accident, and Parkinson’s disease presents by EMS for evaluation of a 30-minute episode of left upper and...
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ALiEM AIR Series | Neurology 2022 Module
Welcome to the AIR Neurology 2022 Module! After carefully reviewing all relevant posts in the past 12 months from the top 50 sites of the Social Media Index, the ALiEM AIR Team is proud to present the...
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Phenobarbital as First-Line Medication for Alcohol Withdrawal: Have You...
Are you using phenobarbital instead of benzodiazepines as the first-line monotherapy for patients in alcohol withdrawal in the Emergency Department (ED)? If not, you probably should be. Another old...
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SAEM Clinical Images Series: A Man with Blurry Vision
A middle-aged man with a past medical history of hypertension and tobacco use disorder presented to the Emergency Department after evaluation by an ophthalmologist. He complained of ten days of a...
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SAEM Clinical Images Series: Intracranial Abnormality
A 26-year-old male with no significant past medical history presented to the ED after slipping on wet pavement and hitting his head on the ground three hours prior. He endorsed a constant, achy 7/10...
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SAEM Clinical Images Series: Seeing Double
A 53-year-old woman with no significant past medical history presented to the emergency department with a 3-day history of double vision on leftward gaze. She initially presented to urgent care with a...
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PEM Pearls: Approach to Spontaneous Intracranial Hemorrhage in Pediatric...
Case: A 6-year-old female with a past medical history of immune thrombocytopenia presents to the Emergency Department (ED) for concerns of dysarthria that started the day prior to arrival. The...
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