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Pain Management of Common Chief Complaints in the ED

EMDocs

2022 May;33(2):307-333. CDC Guideline for Prescribing Opioids for Chronic Pain–United States, 2016. Effects of hydration and dehydration on blood rheology in sickle cell trait carriers during exercise. ORL J Otorhinolaryngol Relat Spec. 1996 Nov-Dec;58(6):306-10. doi: 10.1159/000276860. PMID: 8958538. doi: 10.1016/j.pmr.2022.01.011.

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Travel-Related Illnesses in Children

Pediatric EM Morsels

In one ED study, ALL cases of missed travel-related illness did not have a documented travel history in their ED note , whereas 90% of the identified travel-related illnesses had a provider documented travel history (Greenky 2022) Those who are visiting friends and relatives (VFR) are typically at highest risk. 2022 Jun:56:113-116.

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Cholera: ED presentation, evaluation, and management

EMDocs

2 As of 2022 cholera was estimated to be responsible for over 4 million cases and 143,000 deaths each year, with a case fatality rate of 50% without timely and appropriate treatment. 10 In non-endemic regions, suspicion arises in patients with severe dehydration or death from acute watery diarrhea.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

Background: Refugees on the Rise As of 2022, it was estimated that there were 35.3 57 Emergency clinicians should strongly consider infectious disease (ID) consult or speaking with the Centers for Disease Control and Prevention (CDC) for treatment recommendations in cases of newly-diagnosed malaria given that malaria is not endemic in the US.

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Mpox in adult patients: updates on diagnosis and clinical management in the ED

EMDocs

In July 2022, mpox was declared a Public Health Emergency of International Concern (PHEIC) after a clade 2 strain began spreading rapidly across 110 countries. The outbreak spread to four additional African countries, leading the Africa CDC to declare it a Public Health Emergency of Continental Security.

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