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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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ACMT Toxicology Visual Pearl: The Black Eschar

ALiEM

ED providers are only exposed in these cases if they have direct contact with drainage from open wounds while not using PPE or there is concern for aerosolization of spores For inhalational anthrax exposure, AVA should be given in combination with antimicrobials (ciprofloxacin or doxycycline) for 60 days. Published 2020 May 12.

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Whoop! There It Is: A Pertinent Pediatric Pertussis Podcast

PEMBlog

Pediatr Rev May 2018; 39 (5): 247–257. As a clinician, Just ask yourself, did you wear appropriate PPE, mask and goggles? If you’re vaccinated and you wore PPE, you don’t need anything. If you’re vaccinated and you did not wear PPE, then prophylaxis is recommended. link] UpToDate Yeh S et al.

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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

Photo: Lippincott Williams & Wilkins, 2018 The fingertip can be divided into 3 (Allen) zones. It is important to note that PPE must be worn as the blood may squirt out of the opening in the nail plate as the high pressure is released. Anatomy of the fingertip. Further zones are used to demarcate more proximal parts of the finger.

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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. Published online January 30, 2018. IPC for Marburg Virus Disease (MVD): PPE Part 1:PPE Basics What, When, and Why to Use PPE. link] Mazzola LT, Kelly-Cirino C. BMJ Glob Health. 2019;4(Suppl 2):e001114. Emerg Infect Dis. 2024;30(7).