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SAEM Clinical Images Series: A Curious Case of Anisocoria

ALiEM

Pecha JD, Yen KG, Moisiuc A, et al. Chabicovsky M, Winkler S, Soeberdt M, et al. Pashaei-Marandi A, Assam JH, Arnold A, et al. Al-Holou SN, Lipsky SN, Wasserman BN. Kaufman AR, Gulati S, Pula JH, et al. Published 2017 Apr 12. 2022;26(1):42-3. Pharmacology, toxicology and clinical safety of glycopyrrolate.

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The Future of Autonomous EMS Delivery Systems

JEMS

While challenges remain, continued innovation, responsible regulation and public engagement can pave the way for a future where lifesaving care is faster, more efficient and more accessible. References 1. Claesson, A., Fredman, D., Svensson, L., Drones may be used to save lives in out-of-hospital cardiac arrest. Perelman, V., & & Han, B.

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Tranq dope (fentanyl-xylazine combination): A new horizon in opioid withdrawal treatment

ALiEM

Multimodal medication options for fentanyl-xylazine withdrawal management in London et al. PMID 35774687 D’Onofrio G, Chawarski MC, O’Connor PG, et al. 2017 Jun;32:660-6. PMID 28194688 D’Onofrio G, O’Connor PG, Pantalon MV, et al. D’Onofrio G, Hawk KF, Perrone J, et al. mg IVP Tizanidine 4 mg PO 0.15 2024.10.006].

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Does the literature support medications for stable, monomorphic ventricular tachycardia?

EMDocs

It was published in European Heart Journal in 2017. Now lets walk through them quickly: Ho et al (4) looked at termination of VT in 15 min or hemodynamic deterioration. Gorgels et al (5) looked at procainamide vs lidocaine and again and primary outcome was VTach termination. Multiple studies, including Gorgels et al.

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

REBEL EM

Background: Sickle cell disease (SCD) affects an estimated 300,000 infants born worldwide each year and has a total estimated prevalence of 100,000 in the United States alone ( Piel 2017 ). VOE is often complicated by hypovolemia, making fluid administration a common intervention ( Lovett 2017 ). Lactated Ringer (LR) and 0.9%

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Elbow Dislocations

REBEL EM

2017 Jul;9(3):195-204. Commentary on an article by Marc Schnetzke, MD, et al.: “Determination of Elbow Laxity in a Sequential Soft-Tissue Injury Model. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. PMID: 32644703 Robinson PM, Griffiths E, Watts AC. Simple elbow dislocation. Shoulder Elbow.

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Clinical Conundrum: Should We Always Treat Fever in Patients with Sepsis?

REBEL EM

A large observational study of > 2000 patients found an association with fever at presentation and ICU survival for patients with severe sepsis or septic shock ( Sunden-Culberg 2017 ). PMID: 26436473 Schortgen F et al. PMID: 22366046 Sunden-Culberg J et al. Crit Care Med 2017; 45(4): 591-9.

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