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SGEM Xtra: Every Day I Write the Book – SGEM Season#3

The Skeptics' Guide to EM

Please accept this PDF book of Season#3. There are now close to 35,000 subscribers and the SGEM is translated into four […] The post SGEM Xtra: Every Day I Write the Book – SGEM Season#3 first appeared on The Skeptics Guide to Emergency Medicine. Please accept this PDF book of Season#3.

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

ALiEM

Our experience: Traditionally, ED physicians do not like ordering urine drug screens (UDS). We have certainly seen patients who have pain which is controlled and still have psychomotor agitation and sympathetic activation, leading some to require ICU admission for dexmedetomidine and/or ketamine infusion. 2023 [book].

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Dr. Elsburgh Clarke Was Among First to Specialize in Emergency Medicine

ACEP Now

I was about two months into a family practice internship when I went to visit my uncle whose neighbor happened to be an ED resident, Dr. Clarke said. ED attendings Dr. Gerald Whelan and Dr. Shumary Chow supervising a full arrest in C booththe main trauma roomwith an ED tech administering CPR. Click to enlarge.) Click to enlarge.)

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Post-Intubation Sedation and Analgesia

Core EM

Background: The immediate post intubation period in the ED is a critical time for continued patient stabilization. The reality of ever increasing ED volumes and longer boarding times to the ICU makes it imperative for emergency physicians to learn how to manage these critical patients.

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POCUS findings of hemodynamically unstable PE with cardiac arrest

EMDocs

4 In an emergency department (ED) presentation of cardiac arrest, the diagnosis of PE is challenging without the use of CT angiography. Case A 25-year-old-female presented to the ED in cardiac arrest. Summary This case exemplifies the value of POCUS in cardiac arrest patients in the ED. EKG RV strain. 2014 May;145(5):950-957.

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Anterior OMI with RBBB has VF x 3: how to prevent further episodes of VF?

Dr. Smith's ECG Blog

On arrival in the ED, a bedside ultrasound showed poor LV function (as predicted by the Queen of Hearts) with diffuse B-lines. Smith insightfully noted on seeing the initial ED ECG in today's case, "This is very bad.". For clarity in Figure-1 I've reproduced and labeled this initial ED ECG.

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Spooky Scary Sequela: Clinical Factors Impacting Trauma Outcomes

FOAMfrat

Today, increased mortality rates, higher transfusion requirements, and lengthened ICU stays are recognized as proximate effects of the Trauma Triad. upon ED arrival incur mortality rates of up to 3-5x that of patients without coagulopathy. PubMed , StatPearls Publishing, 5 May 2024, www.ncbi.nlm.nih.gov/books/NBK603758/.

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