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Diagnostics and Therapeutics: Thoracentesis in the Emergency Department

Taming the SRU

Shortness of breath is one of the most common complaints presenting to emergency departments. A less common but more emergent scenario is the presentation of a patient to the emergency department with a large pleural effusion causing hypoxia and respiratory distress. J Hosp Med. 10 (12):811-6. link] Yu H.

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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. Your patient ultimately is diagnosed with a spinal epidural abscess requiring operative care. 2011 Dec;6:1-4. Annals of Clinical and Laboratory Science. 2022; 06/26/2023.

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ToxCard: Iron

EMDocs

5 Orogastric lavage may also be considered for GI decontamination but likely to be limited by location, size of tablets, and operator familiarity. Tintinallis Emergency Medicine: A Comprehensive Study Guide, 8e. Pediatric Emergency Care, 27 (10), 978-985. 2 L/hr in adults. McGraw Hill; 2016. & Rangan, C. doi: 10.1097/PEC.0b013e3182302604.

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Impact of Emergency Department Crowding on Lung Protective Ventilation

RebelEM

Over the past few years, there has been an increase in emergency department (ED) volumes and lengths of stay. The effect of emergency department crowding on lung-protective ventilation utilization for critically ill patients. More pertinent and relevant takeaway messages have to do with staffing and operations.

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Twists and Turns: Identifying Maisonneuve Fractures in the ED

Taming the SRU

Musculoskeletal injuries are a common occurrence, representing a substantial number of Emergency Department visits on an annual basis. 1) Oftentimes, Emergency Physicians are the first provider patients encounter after an injury. Thus, treatment of Maisonneuve fractures often involves operative repair. (5) References 1.

Fractures 101
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SAEM Clinical Images Series: What’s Coming Out of Your Eye?

ALiEM

A 32-year-old male with no significant past medical history presented to the emergency department (ED) from an outside hospital for further management of right eye pain and vision loss sustained after he was struck by a metal wire while at work. An emergent ophthalmology consult is needed to plan for operative repair.

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EM@3AM: Flexor Tendon Laceration

EMDocs

He presented to the emergency department because he is having numbness distal to the site of injury, as well as constant bleeding and some difficulty with flexing his finger. Management consists of intravenous antibiotics , and hand surgery should be consulted to consider operative debridement. In: EMRA Antibiotic Guide.

EMS 96