Monday, October 21, 2013

Rules of the Road: Ch 16 Summary: "Planning Ahead for Success in Your Third and Fourth Years"

Originally Published: AAEM's Rules of the Road for Medical Students, First Ed. Chief Editors: A. Antoine Kazzi, MD FAAEM MAAEM; Joel M. Schofer, MD RDMS FAAEM
Chapter Summary by: Adrian Tripp, MSIII

Thinking about which specialty to select can bring about feelings of uncertainty and uneasiness in every medical student. It is an important decision that should be made with an open mind, honest self-evaluation, and after thorough investigation. Fortunately, if you have already decided on emergency medicine (EM), or have at least narrowed down your list of possibilities to include EM, AAEM's Rules of the Road for Medical Students can help you prepare for a successful match.

Planning a Student Symposium

Author: Bill Burns
Stritch School of Medicine, Loyola University 

The following details the experience of the 2012 AAEM Midwest Medical Student Symposium
planning team. The 2012 event was the 6th Midwest Symposium held at Loyola University Stritch School of Medicine and we owe a debt to all those student leaders who preceded us and whose great work, in developing strong relationships with the

Clinical Exam for Shoulder Injuries: Which are worth the time?

Author: Andrew W Phillips, MD Med
Stanford/Kaiser Emergency Medicine Residency Program

Shoulder injuries are not uncommon in the emergency department (ED), and although shoulder soft tissue injuries are typically non-emergent, the patient can be helped greatly knowing if s/he likely has a serious shoulder injury. Magnetic resonance imaging (MRI), however, is costly and not usually indicated in the ED setting, so the clinician is left with the physical exam. With over 70 different shoulder exams (1), which ones provide enough positive and negative likelihood ratios (LR) to be helpful?  (This free access article explains LR well: Look for a +LR>1.5 and a –LR<0.5 the minimum for clinical significance.)

If you have the time, Luime (3) and Hegedus (4) created what appear to be the definitive reviews to date, and a new, well-powered prospective study is on its way, based on a

Monday, October 14, 2013

Acute Carpal Tunnel Syndrome in Pediatric Distal Radius Fractures

Authors: Andrew W Phillips, MD MEd and Emily Niu, MD
Stanford University/Kaiser Emergency Medicine Residency Program and
Stanford University Orthopedics Residency Program

Summary points:
  • Acute carpal tunnel syndrome complicates up to 9% of distal radius fractures.
  • Large displacement increases the probability of developing acute carpal tunnel syndrome. 
  • Early carpal tunnel release is associated with improved outcomes.
The common scenario: An adolescent child crashes bicycle and presents with only L wrist pain. He reports mild numbness of his index finger but full sensation and movement are present on physical exam of the entire left hand. Is it a simple splint and follow up with orthopedics in a few days?

Click to enlarge.
Click to enlarge.

Thursday, October 3, 2013

Helpful Document: Shock & Vasopressors - A Quick Review

Author: Alexander A. Simakov, MPH FP-C MSIV, Medical Student Council, International Ex Officio Representative

Things were much simpler back in the Roman days. When one was stabbed by a sword he/she bled and died of “cold” — or hypovolemic — shock. If the person got lucky and was only wounded by the dirty blade, they probably died of “warm” — or septic — shock. Today our knowledge has advanced well past “cold” and “warm,” and leaves us with at least 10 types of shock commonly encountered in the emergency department (ED) and intensive care unit (ICU) (Table 1). Each represents a constellation of physiologic effects that require a tailored approach to management. Cardiovascular support with the assistance of vasopressors is a common method, while identification and treatment of the underlying disease process remains the ultimate goal.1

How to Dive into the FOAMed Movement

Authors: Meaghan Mercer, DO, University of Nevada, Las Vegas
                AAEM/RSA President

                Mary Calderone, MSIV, Loyola Stritch School of Medicine, Chicago
                Medical Student Council President

What is FOAM? — This is not the future of medicine, it is medical education NOW! Like many great ideas that evolve in medicine, the concept of FOAM (Free Open Access Meducation) project was born in a pub over a pint of Guinness. Doctors Mike Cadogan and Chris Nickson  from (LITFL), recognized that social media has changed how we communicate and educate; ideas traverse the globe in hours allowing an open interactive approach to how we learn and practice medicine. As one of the education leaders of AAEM and greatest teachers of our specialty, Dr. Joe Lex, stated, “If you want to know how we practiced medicine 5 years ago, read a textbook. If you want to know how we practiced medicine 2 years ago, read a journal. If you want to know how we practice medicine now, go to a (good) conference. If you want to know how we will practice medicine in the future, listen in the hallways and use FOAM.” FOAM is the concept, enacted via the Internet. #FOAMed is the conversation, enacted via Twitter.

Rules of the Road: Ch 7 Summary: "The Residency Application Process - Visits and Interviews"

Originally Published: AAEM's Rules of the Road for Medical Students, First Ed. Chief Editors: A. Antoine Kazzi, MD FAAEM MAAEM; Joel M. Schofer, MD RDMS FAAEM
Chapter Summary by: Kari Gorder, Medical Student Council, Regional Representatives - Northeast

Choosing a residency program is one of the most significant decisions a medical student will make. While the match experience can induce a considerable amount of anxiety, it is also an exciting and memorable time. With the right amount of research and preparation, applicants can navigate the process with skill and success—and hopefully the least amount of stress possible! This chapter briefly outlines the steps of interviewing for an EM residency.

Rules of the Road: Ch. 19 Summary: "The Clinical Years - Research & Scholarly Projects"

Originally Published: AAEM's Rules of the Road for Medical Students, First Ed. Chief Editors: A. Antoine Kazzi, MD FAAEM MAAEM; Joel M. Schofer, MD RDMS FAAEM
Chapter Summary by: Faith Quenzer, Vice President, Medical Student Council 

      ●     Should you do research or other forms of scholarly projects in medical school?
             ○       Depends on your interests
             ○       Formal research and publication of a manuscript is highly regarded as the most valuable form of academic involvement and skill
            ○       Research projects can be presented at conferences