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SGEM#258: REBOA, Re-Re-Re-REBOA

The Skeptics' Guide to EM

After donning your PPE (personal protective equipment) and greeting the trauma surgeon in your resuscitation bay, nursing delivers report that you are about to receive a 24-year-old male that was involved in an explosion that knocked the patient from their vehicle.

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ToxCard: Acute Organophosphate Toxicity

EMDocs

7 Check out ToxCard: Nerve Agents by Dr. Sahi & Dr. Santos from July 2018 Organophosphates exert their toxic effects by inhibiting acetylcholinesterase within the synaptic cleft, which leads to accumulation of acetylcholine, with subsequent overstimulation of postsynaptic nicotinic and muscarinic receptors, and a predominant cholinergic effect.

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Episode 23 - Influenza Diagnosis and Management in the Emergency Department

EB Medicine

Nachi: And just last year we saw the 2017-2018 influenza epidemic with record-breaking ED visits. The 2017-2018 vaccine was only 40% effective, but this still translates to 40% less severe cases and a subsequent decrease in hospitalizations and death. Baloxavir is a new single-dose antiviral agent approved by the FDA in October 2018.

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Hand Examination & Pathology

Don't Forget the Bubbles

We will focus on the most important structures when assessing paediatric hands in the emergency department. Finger injuries caused by fingers being caught in closing doors are extremely common presentations to the paediatric emergency department. It additionally has an intricate blood and nerve supply.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

doi:10.1136/bmjgh-2018-001114 Okesanya OJ, Olatunji GD, Kokori E, et al. Emerg Infect Dis. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Published online January 30, 2018. IPC for Marburg Virus Disease (MVD): PPE Part 1:PPE Basics What, When, and Why to Use PPE.