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SAEM Clinical Images Series: Spontaneous Eye Luxation

ALiEM

Symptoms started approximately seven hours prior to arrival and progressive, severe pain eventually prompted her visit to the ED. This happened once 10 years ago, requiring reduction in the ED. 2013) Recurrent Spontaneous Globe Subluxation: A Case Report and Review of Manual Reduction Techniques. References Kelly, E.W.

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Rethinking Fluid Resuscitation in Vaso-Occlusive Crisis: Is Lactated Ringer’s the Superior Choice?

REBEL EM

saline (NS) solutions are both isotonic crystalloids widely used for intravenous fluid resuscitation across many contexts and disease states ( Myburgh 2013 ). To assess the clinical impact and relevance of these concerns, Alwang et al. Lactated Ringer (LR) and 0.9% performed the retrospective cohort study below ( Alwang 2024 ).

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EM@3AM: Stercoral Colitis

EMDocs

A 75-year-old woman who is bedridden after a stroke presents to the ED from a nursing facility with abdominal pain and constipation. Therefore, discharging the patient on lactulose (C) would not be recommended without additional treatment in the ED. Ahmad H, Jannat H, Khan U, et al. Al-Maharmeh, Q., Stercoral Colitis.

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emDOCs Revamp: Alcohol Withdrawal

EMDocs

Gortney J, Raub J, Patel P, et al. fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold fold higher risk of NSTI than the control group 12 For those without comorbidities , AUD exhibited a 15.2-fold Management of drug and alcohol withdrawal. N Engl JMed. 2003; 348:1786-1795.

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emDOCs Podcast – Episode 110: Primary Spontaneous Bacterial Peritonitis

EMDocs

Major takeaway: Consider SBP in any patient who comes into the ED with ascites. A 2013 meta-analysis found IV albumin was associated with 22.3% Biggins SW, Angeli P, Garcia-Tsao G, et al. Mattos AA, Wiltgen D, Jotz RF, et al. Aithal GP, Palaniyappan N, China L, et al. Angeli P, Bernardi M, Villanueva C, et al.

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EM@3AM: Total Hip Arthroplasty Complications

EMDocs

1-3 Despite its commonality it retains a relatively high rate of complications overall and patients frequently present to the ED for evaluation. 10% of patient’s have an ED visit within 30 or 90 days following THA. Available from: [link] Maradit Kremers H, Larson DR, Crowson CS, et al. 2013 Dec;6(4):350-6.

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The ‘One Big Beautiful Bill’—And the EMS Revenue Collapse No One’s Ready For

JEMS

However, these figures fail to account for downstream costs due to misdiagnosis, delayed care, or subsequent ED visits. 27-30 Ambiguity in Defining “Nonemergent” Cases In a 2013 Health Affairs study, the authors label 12.9% Peer-reviewed studies have shown that short-term savings often obscure long-term costs.

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