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EM@3AM: Stercoral Colitis

EMDocs

Well keep it short, while you keep that EM brain sharp. Operative management is necessary for signs of peritonitis, evidence of perforation, extensive bowel involvement >40cm, or after failed medical management. A 73-year-old female is brought in by EMS for abdominal pain, vomiting, and weakness for two days.

EMS 98
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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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Imported Malaria

Pediatric EM Morsels

Both have a range of detection limits, which can be greatly dependent on operator. With concern for malaria, it is very important to identify who is non-immune and semi-immune as this can affect both the timeframe for illness after departure from the endemic country as well as severity of illness. Third times the charm!

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

ALiEM

The Wounds Common among patients who use xylazine, the necrotic and exudative wounds are still not fully understood [5-8], but are likely due in part to direct cytotoxic effects of the drug and its impurities, as well as possible nutritional deficiencies common in those with dependence. J Am Psychiatr Nurses Assoc. 2023;29(6):470-476.

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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. Doctors need to be upfront about issues with their doctors and some well-chosen friends and colleagues. This debate stems from a long running conversation between Vinay and Adam. I am convinced this will make for a healthier workplace.

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SGEM#196: Gastroparesis – I Feel Like Throwing Up

The Skeptics' Guide to EM

You know her well, and none of the usual anti-emetics seem to help her symptoms. Unfortunately, nothing really works well for this condition. It is an antipsychotic drug used for a number of psychiatric conditions including schizophrenia. This is the third time this month, and nothing ever seems to help.

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Episode 30 - Emergency Department Management of Patients With Complications of Bariatric Surgery

EB Medicine

Jeff: Well that’s kind worrisome. Which again reiterates why this is such an important topic for us as EM clinicians to be well-versed in. Nachi: Unfortunately this procedure is associated with a relatively high re-operation rate – one study found 20% of patients required removal or revision.