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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Initial vital signs: HR 136 BPM, BP 172/82 mmHg, RR 24, T 37.2C, SpO2 97% RA Physical examination: General: restless, mildly agitated CV: tachycardic, regularly regular, diaphoretic, Abdomen: Soft, NT, ND, intermittently dry heaving Neuro: tremulous in bilateral arms and hands, tongue fasciculations What do you suspect as the diagnosis?

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ACEP Rejects “Excited Delirium”

ACEP Now

In 2009, the Excited Delirium Task Force convened by an ACEP Council resolution authored a white paper that endorsed the existence of excited delirium syndrome and made recommendations for identifying and managing it clinically. American College of Emergency Physicians white paper report on excited delirium syndrome.

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Tips for Working With Interpreters in the Emergency Department

ACEP Now

9 Being bilingual is often not enough to be a medical interpreter, which requires precision, experience, and knowledge of medical jargon, as well as culturally specific idioms and phrases. 2022;105(1):62-73. Regenstein M, Anders E, Wynia MK. Benda NC, Bisantz AM, Butler R, et al. Patient Education and Counseling. Annals of EM.

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Pain Management of Common Chief Complaints in the ED

EMDocs

1 The ED is a fast-paced environment where patient stability and life-and-limb-threatening conditions are prioritized. The pain began abruptly 1 hour ago, described as a stabbing sensation, and has occurred daily at the same time for the past week, each episode lasting about 45 minutes. Pain can be improved or exacerbated with meals.

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