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Journal Club - Emergency Department Initiated Buprenorphine for Opioid Use Disorder

Downeast Emergency Medicine

While the ongoing COVID-19 pandemic has contributed to overdose deaths and taxed constrained Emergency Department (ED) resources, it has also clarified the important role that emergency physicians have in expanding access to life-saving medications to treat opioid use disorder. Annals of Emergency Medicine. Hawk, et al.

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REBEL Core Cast 132.0 – Recent-Onset AFib

RebelEM

REBEL Core Cast 132.0 – Recent-Onset AFib Click here for Direct Download of the Podcast. Ann Emerg Med 2015; 65(5): 532-9. Ann Emerg Med 2011; 57(1): 32-3. Managing reent-onset atrial fibrillation in the emergency department. Ann Emerg Med 2011; 57(1): 31-2. Ann Emerg Med 2015; 65(5): 532-9.

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REBEL Cast Ep120: Etomidate vs Ketamine for RSI in the ED?

RebelEM

Background: Standard rapid sequence intubation (RSI) in the emergency department involves administration of an induction agent and a neuroblocking agent in quick succession. Click here for Direct Download of the Podcast Paper: Knack SKS et al. REBEL Cast Ep120: Etomidate vs Ketamine for RSI in the ED?

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REBEL Cast Ep117: Low Dose vs Standard Dose Take-Home Buprenorphine From the ED

RebelEM

One study from a county in Massachusetts found that of all nonfatal opioid doses seen in the emergency department from 2011-2015, 1 in 20 patients subsequently died within one year of initial visit with 66% of these deaths being directly related to an opioid overdose (4). PMID 33392580. mg tablet) 1 Buprenorphine 0.5

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SGEM#363: View Master – Virtual Reality Immersion Tool to Reduce Pediatric Anxiety

The Skeptics' Guide to EM

Take-Pause: Efficacy of mindfulness-based virtual reality as an intervention in the pediatric emergency department. AEM March 2022 Guest Skeptic: Dr. Lauren Westafer is an Assistant Professor in the Department of Emergency Medicine at the University of Massachusetts Medical School – Baystate. Reference: Butt et al.

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REBEL Core Cast 97.0 – Acute Vision Loss II

RebelEM

Rapid diagnosis and emergency referral improves outcomes of ophthalmologic interventions. Emergency Department Management: Emergency ophthalmology consultation. Emergency surgical management indicated if concomitant retinal tear, vitreous hemorrhage, or retinal detachment. >10 floaters, (+) LR 8.1-36

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Alcohol and opioid use

EM SIM Cases

Her interests include harm reduction, the use of simulation for difficult conversations and procedural preparedness, and the use of osteopathic manipulation for pain control in the emergency department. She completed her Emergency Medicine Residency at Carilion as well.