Academic Life in EM

Official account of the Academic Life in Emergency Medicine (ALiEM) educational organization and ALiEM University (

[Academic Life in EM @ALiEMteam]

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)

https://t.co/apY1SUyxNC

[Academic Life in EM @ALiEMteam]

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: https://t.co/srv9ICIGmU

@acmtmedtox

[Academic Life in EM @ALiEMteam]

💊 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.

https://t.co/O3A5uxp5D7

AZ-SWED Trial @PECARNteam

[Academic Life in EM @ALiEMteam]

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: https://t.co/FiTxWonxPb

@acmtmedtox

[Academic Life in EM @ALiEMteam]

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: https://t.co/FiTxWoo5EJ

@acmtmedtox

[Academic Life in EM @ALiEMteam]

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: https://t.co/AYSEPiFj1s

[Academic Life in EM @ALiEMteam]

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: https://t.co/rwENT2OLCg

[Zain Khalpey, MD, PhD, FACS @ZainKhalpey]

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

[CHOP Pediatric Emergency Medicine @PEMatCHOP]

We can't stop talking about @PECARNTeam #PRoMPTBOLUS.

In this @ALiEMTeam Blog, Dr. VonHoltz describes the main methods and details of #PRoMPT - which evaluated normal saline vs. balanced fluids in the treatment of suspected pediatric septic shock. https://t.co/xSv3U0Muvv

[Academic Life in EM @ALiEMteam]

ACMT Toxicology Visual Pearl: Sauté Gone Sour

Ingestion of the pictured mushroom is most associated with which toxicity?

*Disulfiram-like reaction
*Hallucinations
*Liver failure
*Seizures

Read more: https://t.co/lBFHZJ3Rrp

@acmtmedtox

[emresidents @emresidents]

Intern year is coming. 👀

ALiEM's Bridge to EM is designed to make your transition from medical student to EM resident smooth. Check it out at: https://t.co/V92zHKKXnJ

#BridgeToEM #ALiEM #InternYear #EM #MedEd #EMBound

[Academic Life in EM @ALiEMteam]

🚨 New @NEJM landmark trial from @PECARNteam:

PRoMPT BOLUS randomized 9,000+ children with suspected septic shock to balanced crystalloid vs 0.9% saline. No difference in kidney injury, mortality, or safety. Either is 👍.

📄 https://t.co/SN8zHP6jM2
🩺 https://t.co/1rknDB0p0o

[Academic Life in EM @ALiEMteam]

ACMT Toxicology Visual Pearl: Delayed Skin Burn

What type of burn may not develop findings shown until days to weeks after the exposure?

*Chemical
*Electrical
*Radiation
*Thermal

Read more: https://t.co/ZHRVe1sanr

@acmtmedtox

[FOAM Cortex @FOAMCortex]

Source spotlight: ALiEM

ALiEM is a volunteer-driven medical education site offering open-access EM learning, professional development, and collaborative virtual communities.

Source: https://t.co/evgKpimtjA
FOAM Cortex: https://t.co/INDA4vjqME

[Academic Life in EM @ALiEMteam]

🫀 New AIR module: Non-ACS Cardiology (2026)
✅ 5 hrs of conference credit

9 curated posts on SVT, RV failure, SCAPE, valvular disease & more.

🔗 https://t.co/iM3BUf5vKi

Series Editor: Kaitlin Bowers, DO @kbowersdo
Sponsors: @SAEM_Online + @CORD_EM

[EMSC Innovation & Improvement Center @EMSCImprovement]

New evidence shows clinicians can confidently use either 0.9% saline or balanced fluids for pediatric sepsis. Learn more: https://t.co/012BQed8cq #EMSC #PediatricReadiness #PediatricEmergency

[Academic Life in EM @ALiEMteam]

ACMT Toxicology Visual Pearl: Big Spider, Small Risk

What is the spider pictured below?

*Atrax robustus
*Phoneutria nigriventer
*Trichonephila clavata
*Trichonephila clavipes

Read more: https://t.co/er45XRME2m

@acmtmedtox

[Michelle Lin, MD @M_Lin]

140 unfilled EM spots in 2026 — should we be worried? 🤔

Drs. @SMKrzyz & @DrAbracadabra unpack the match numbers, the Residency CAS effect, and what it means for the future of EM recruitment 🎙️

https://t.co/FkmEHIvEHX

@CORD_EM

[Academic Life in EM @ALiEMteam]

ACMT Toxicology Visual Pearl: Breathtaking Emergencies

What toxic gas is created by mixing these two household products?

*Chloramine gas
*Chlorine gas
*Chloroform
*Peracetic acid

Read more: https://t.co/YkilpBPEc9

@acmtmedtox

[Marianne GauscheHill @mgauschehill]

@EMSCImprovement @ALiEMteam Hey all emergency department leaders; participate in the Peds Ready National Assessment https://t.co/LhYnMKu9tF as it can help you raise the bar in care for kids; Improve outcomes!

[EMSC Innovation & Improvement Center @EMSCImprovement]

High Pediatric Readiness in EDs is linked to lower mortality risk. The National Pediatric Readiness Project Assessment helps your ED identify improvements that matter most for better outcomes.
Talk to your ED leadership about participating at https://t.co/rIHYklWU8G. @ALiEMteam