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

ALiEM

Multimodal medication options for fentanyl-xylazine withdrawal management in London et al. DOI: Papudesi BN, Malayala SV, Regina AC. 2023 [book]. PMID 35774687 D’Onofrio G, Chawarski MC, O’Connor PG, et al. PMID 28194688 D’Onofrio G, O’Connor PG, Pantalon MV, et al. D’Onofrio G, Hawk KF, Perrone J, et al.

E-9-1-1 161
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Target Acquired

EMS 12-Lead

Anecdotally, had there been symptoms unequivocally consistent with ACS then one could justifiably make the case for a potential D1 occlusion. So, when I first began teaching ECGs and writing my books (in the early 1980s) — I decided to synthesize my impressions of the literature into what I felt (e.g. 4] Baranchuk, A, et al.

ALS 130
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An elderly male with shortness of breath

Dr. Smith's ECG Blog

Lemkes et al. No wall motion abnormality This shows that significant ACS can have ZERO WMA!! I believe that I was the first to represent Wellens as a reperfusion syndrome, in my book , The ECG in Acute MI , pages 22-23 and 51, and in chapter 27 on Reperfusion and Reocclusion. Eur Heart J 2018. Full text link.

STEMI 116
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Chest discomfort and a dilated right ventricle. What's going on?

Dr. Smith's ECG Blog

Here is an example of isolated RV infarction, from Dr. Smith's book : Learning points: 1) OMI can be very subtle and RV infarction may manifest poorly on the standard ECG. Smith's book : Learning points: 1) OMI can be very subtle and RV infarction may manifest poorly on the standard ECG. This is the ECG at discharge 3 days post PCI.

STEMI 116
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Normal ACS care, everything by the book! But normal ACS care could be much better. This post explains everything.

Dr. Smith's ECG Blog

Discussion: This case highlights many important points worthy of discussion, mainly because it represents very routine care for ACS but there are so many ways we could improve outcomes with tools we already have! A recent meta-analysis by Stone et al. In fact, this incredible study by Heiter et al. A shocking finding.

ACS 81
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ED care of refugee populations from sub-Saharan Africa

EMDocs

57 Adapted from: Long B, MacDonald A, Liang SY, et al. link] Rother B, Pierre G, Lombardo D, et al. link] Hummell AC, Cummings M. In: CDC Yellow Book 2024. link] Franco JR, Cecchi G, Priotto G, et al. Biggs H, Behravesh CB, Bradley KK et al. In: CDC Yellow Book 2024. 57 Table 2. 2024;77:7-16.

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