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SGEM#437: Don’t Be Fooled by the Meds I Got, I Still Need an ESP Block – For My Rib Fractures

The Skeptics' Guide to EM

Efficacy and safety of ultrasound-guided erector spinae plane block compared to sham procedure in adult patients with rib fractures presenting to the emergency department: A randomized controlled trial. Background: We have covered rib fractures once before on the Skeptics’ Guide to Emergency Medicine.

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ACEP Launches Pilot Phase of Its Emergency Dept. Accreditation Program

ACEP Now

Emergency physicians have long taken pride in delivering care every day of the week, every hour of the day. ACEP’s Emergency Department Accreditation program adds a layer to that, says Marianne Gausche-Hill, MD, FACEP, FAAP, FAEM, Chair of the program’s Board of Governors.

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A Physician's Struggle With Infertility

SheMD

I break bad news almost every shift in the emergency department. An email with a sad face to a woman jacked up hormones was not the best approach. I waited until my 6 week ultrasound. On my ultrasound day, I had started to feel pregnant. My friend did an ultrasound and we saw free fluid- a lot of it.

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Diagnostics: Thromboembolic Disease in Pregnancy

Taming the SRU

epidemiology of venous thromboembolism in pregnancy VTE is not only important to understand because it is the number one cause of mortality for pregnant patients, but also because it is common and will show up in your Emergency Department likely frequently throughout your career. According to a CDC study, VTE contributes to 10.5%

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Accept no imitators! Listen to this great podcast episode on syphilis

PEMBlog

And, since we know from the CDC’s Youth Risk Behavior Survey that many American teens are having sex with less than optimal condom use and infrequent STI testing, pediatricians everywhere should be thinking more about acquired syphilis infection, not just congenital syphilis. Thank you, Jen. Emily, thank you very much.

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Pain Management of Common Chief Complaints in the ED

EMDocs

The Treatment of Acute Pain in the Emergency Department: A White Paper Position Statement Prepared for the American Academy of Emergency Medicine. J Emerg Med. Intravenous Subdissociative-Dose Ketamine Versus Morphine for Analgesia in the Emergency Department: A Randomized Controlled Trial. Acad Emerg Med.

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Breath Easy: Navigating Asthma and COPD Exacerbations

Taming the SRU

2,3] In 2020, the CDC estimates that asthma exacerbations accounted for almost 1,000,000 ED visits and almost 100,000 inpatient hospitalizations. [4] million emergency department (ED) visits and about 700,000 hospitalizations attributed to COPD exacerbations. [8] Annually, there are approximately 1.5

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