The Skeptics' Guide to EM

APRIL 20, 2024

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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Emergency Department Overdose ALS ED 207

EMDocs

NOVEMBER 19, 2024

Questions: What are the symptoms of second-generation antipsychotic overdose? How is second-generation antipsychotic overdose diagnosed? What is the treatment for patients who have overdosed on second-generation antipsychotics? 4 The specific incidence of second-generation antipsychotic drug overdose is unknown, however, 4.7%

Overdose 90

Overdose EMS Emergency Medical Services OR 90

ALiEM

NOVEMBER 29, 2023

Recently, xylazine has gained attention in the media with increasing reports of xylazine-related overdose deaths in patients. When combined with illicit opioids such as heroin and fentanyl, xylazine may increase the risk of fatal overdose given the augmented sedation and respiratory depression effects [2]. Published 2021 Sep 17.

Naloxone 169

Naloxone Overdose Epinephrine ALS 169

REBEL EM

JUNE 5, 2023

Background Information: Opioid overdose deaths have been increasing in the past twenty years. The national number of overdose deaths from any opioid has increased 62.5% In addition, buprenorphine has a lower risk of death from overdose when compared to methadone (2). PMID 33392580. Characteristics: Mean age 35.5 Homeless: 32.6%

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Naloxone ED Overdose Emergency Department 98

ACEP Now

JULY 7, 2023

CASE A 30-year-old woman presents to the emergency department with left arm pain from a chronic wound. Xylazine is a veterinary sedative that has been increasingly implicated in overdose deaths throughout the United States. percent of all overdose deaths in 2020. She reports fevers up to 103 degrees Fahrenheit.

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Overdose ALS Naloxone Emergency Department 98

Peter Canning

DECEMBER 6, 2024

Why are overdoses fatalities dropping? Today, I want to examine one possible factor — the increasing presence of xylazine in the drug supply, which I have written about before Xylazine Hysteria Xylazine Decreases Overdose Deaths? All have seen declining fatal overdose rates. Overdose deaths are down significantly.

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EMDocs

JANUARY 17, 2024

She had return of spontaneous resuscitation (ROSC) and was subsequently intubated and transported to the emergency department (ED). What are the treatment options for a benzonatate overdose? 10) A systematic review of severe benzonatate poisonings published in 2021 demonstrated survival in greater than 60% of patients. (10)

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E-9-1-1 Overdose Emergency Medical Services Life Support 67