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SGEM#453: I Can’t Go For That – No, No Narcan for Out-of-Hospital Cardiac Arrests

The Skeptics' Guide to EM

Chris Root is an emergency medicine and emergency medicine service (EMS) physician at the University of New Mexico, Albuquerque. Chris completed his emergency medicine residency and EMS fellowship at UNM. Before attending medical school, he was a New York City Paramedic.

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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. EMS verbalized concern to EPs that an “intracranial bleed” may have precipitated the event. EKG RV strain. Tintinalli, J.E.

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PSA: Incidental Skin and Inhalation Exposure to Fentanyl is NOT a thing!

EM Basic

This police officer “had his life saved” with narcan in this dramatic body camera footage…the substance was later found to be methamphetamine… Below is the script of the podcast edited into the form of a blog post in case you are interested in reading it instead of listening to the podcast. Period, end of story.

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Case Report: Acute Kratom Withdrawal

ACEP Now

A 33-year-old male with a history of drug use presented to the emergency department (ED) for extreme agitation after receiving two doses of 2 mg naloxone by EMS for respiratory depression. If available, an in-house ED pharmacist is an incredible resource for guidance when there are questions regarding pharmacologic management.

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The Pitt

Peter Canning

Sure there a few minor points I could nitpick, but the show does a phenomenal job of educating about the conditions that patients face and explaining the treatments the ED staff provides. One EMS crew is scolded for not recognizing their drug seeking patient is in a serious sickle cell crisis. Thanks for doing this in the show.

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