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SAEM Clinical Images Series: Spontaneous Eye Luxation

ALiEM

The patient was discharged from the emergency department with tobradex ointment and ophthalmology follow-up in one week Case Discussion Take-Home Points Immediate reduction of a luxed globe is paramount. 2013) Recurrent Spontaneous Globe Subluxation: A Case Report and Review of Manual Reduction Techniques. References Kelly, E.W.

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Emergency Evidence Updates – May 2025

The Bottom Line

Journal of Hepatology Association of central capillary refill time with mortality in adult trauma patients: a secondary analysis of the crash-2 randomised controlled trial data Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine Dorsal Digital Nerve Block Versus Ultrasound-Guided Selective Peripheral Nerve Block for Finger Analgesia: (..)

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Elbow Dislocations

REBEL EM

Elbow Dislocation Definition: Disarticulation of the proximal radius & ulna bones from the humerus Epidemiology: Incidence Second most common joint dislocation (after shoulder) in adults Most commonly dislocated joint in children Accounts for 10-25% of all injuries to the elbow ( Cohen 1998 ) Posterolateral is the most common type of dislocation (..)

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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 ). Lactated Ringer (LR) and 0.9%

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EM@3AM: Stercoral Colitis

EMDocs

2-4, 6, 8, 9, 12, 13, 14 Operative intervention typically consists of emergency laparotomy with bowel resection, colostomy formation, and Hartmann pouch creation. 2-4, 6, 8, 9, 12, 13, 14 Operative intervention typically consists of emergency laparotomy with bowel resection, colostomy formation, and Hartmann pouch creation.

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emDOCs Revamp: Alcohol Withdrawal

EMDocs

A 36-year-old male presents to the emergency department after being found down at home by his spouse. This series provides evidence-based updates to previous posts so you can stay current with what you need to know. Per the mans wife, the patient is a heavy drinker often consuming two to three pints of vodka daily.

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ACEP Clinical Policy on Outpatient Mgmt. of Adults with Asymptomatic Elevated Blood Pressure

ACEP Now

On January 22, 2025, the ACEP Board of Directors approved a clinical policy developed by the ACEP Clinical Policies Committee on the outpatient management of adult patients presenting to the emergency department (ED) with asymptomatic elevated blood pressure.