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REBEL Reflections Episode 5: Thinking in Bets – Making Better Decisions When You Don’t Have All the Facts

REBEL EM

This was not a Code 3 respiratory distress, fentanyl overdose with minimal response to Narcan or even an unconscious stroke patient with the blood pressure of a giraffe. In hindsight, I was not 100% certain, but relaying on my years of training, the voice inside my head and the gnawing feeling in my cut, it felt like the right thing to do.

NARCAN 58
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Exactly What Is It That an EMT Does?

NCOAE

Basic anatomy and physiology, what causes common diseases like diabetes and asthma, and how to treat emergencies associated with them. Depending on the state, EMTs are authorized to administer 10 to 20 different medications, including epinephrine for an anaphylactic reaction, narcan for an overdose, or albuterol for an asthma attack.

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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. Point-of-Care-Ultrasound (POCUS) is a bedside modality that can assist Emergency Physicians (EPs) in differentiating PE from other causes of cardiac arrest.

ED 98
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SAEM Clinical Images Series: Xylazine Wounds

ALiEM

The pain worsened today, prompting him to come to the emergency department for evaluation. No, xylazine is a non-narcotic drug and is not an opioid, thus, Narcan will not specifically reverse acute xylazine intoxication. The patient reported a wound to his left leg that had become larger over the past 5 months.

NARCAN 141
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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. Upon arrival, his vitals were as follows: heart rate of 132 bpm, respiratory rate of 27, blood pressure of 134/75 mm Hg, and a SpO 2 of 100 percent.

NARCAN 89
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ToxCard: Naloxone – Pearls and Pitfalls

EMDocs

Is there an ideal observation period in the emergency department after reversal with naloxone? Prehosp Emerg Care , 2009, 13(4):512-5. PMID: 19731165] Product Information: Narcan(R), naloxone. Ann Emerg Med. Acad Emerg Med. Ann Emerg Med. When should a naloxone infusion be considered? PMID: 30592101.

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The Pitt

Peter Canning

Robby), the senior attending in a busy Pittsburgh emergency department, who goes from patient to patient, emergency to emergency, overseeing a cast of younger doctors, nurses and other medical staff. She is given fentanyl test strips and take home Narcan just in case. Wylie now portrays Dr. Rabinavitch (Dr.

NARCAN 52