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Missouri Violence in the Workplace for Healthcare Employees

American Medical Compliance

Some higher risk settings include psychiatric units, emergency rooms, geriatric units, and behavioral health units to name a few. Additionally, providing your staff with the resources and information to keep themselves safe will help reduce the risk of workplace violence in your medical facility.

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EM@3AM: Stercoral Colitis

EMDocs

Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. 2-4, 6, 8, 9, 12, 13, 14 Operative intervention typically consists of emergency laparotomy with bowel resection, colostomy formation, and Hartmann pouch creation.

EMS 98
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Imported Malaria

Pediatric EM Morsels

Both have a range of detection limits, which can be greatly dependent on operator. You should consider ordering this in all febrile children with fever <30 days from travel to a malaria-endemic country (Forgie 2022) Thick smears are 10 x more sensitive for malaria then thin smears, but thin smears are used to identify species.

Seizures 281
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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

Your patient ultimately is diagnosed with a spinal epidural abscess requiring operative care. J Am Psychiatr Nurses Assoc. DOI Bartholow LAM, Huffman RT. The Necessity of a Trauma-Informed Paradigm in Substance Use Disorder Services. 2023;29(6):470-476.

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Awake, and Paralysed: A Never Event

Don't Forget the Bubbles

Awake fiberoptic intubation where the patient consents, co-operative AND the airway is prepared with local anaesthesia. In some cases, patients require psychiatric or psychological attention. When there is an immediate threat to life (e.g., What are the potential physiological sequelae? How can we prevent this?

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Should Doctors Voice Their Own Mental Illness Publicly?

Sensible Medicine

We have seen tweets about anxiety disorders, suicide attempts, and psychiatric drug dosing. If a surgeon arrives with both wrists in casts after a weekend fall off of a bicycle, having made the senseless decision that she remains well enough to operate, her colleagues will call her on it.

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Sedation for the agitated adolescent

Don't Forget the Bubbles

These include: Mental Health Disorders : Including a range of conditions from mood disorders to severe psychiatric illnesses. Underlying Causes of Agitation In addressing behavioural disturbances in young people, understanding the underlying causes is key for effective management. Mulraney, M., Coghill, D., Sciberras, E., and Sawyer, M.,

Research 105