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November 2023 News from the College

ACEP Now

Expand Your Knowledge of the Business of EM Practice Essentials, an online, asynchronous curriculum developed by ACEP and EMRA, dives into reimbursement, contracts, operations and risk management, and other topics that may not have been covered in depth during medical school or residency. Learn more at openbook.acep.org.

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These Patients and Drugs are Commonly Involved in Drug Interactions

ACEP Now

Most antidepressants act on the serotonin system, and in combination, at high doses, and/or with other medications (antipsychotics, lithium, fentanyl, cocaine, methadone, or metoclopramide) may put patients at risk for life-threatening serotonin syndrome. Druginduced QT interval prolongation: mechanisms and clinical management.

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IV fluids in the ED: When do we really need them?

EMDocs

Since then, at least three separate meta-analyses 20-22 have found that on the whole, a restrictive fluid administration approach (variously defined) is at least as effective and possibly better than a liberal approach. It may be reasonable to consider IV fluid administration in patients with moderate dehydration or prolonged vomiting.