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

ALiEM

DOI: Papudesi BN, Malayala SV, Regina AC. Microdosing Methods Help, 2020. This month in JAAD Case Reports: August 2023: Xylazine and skin necrosis. Journal of the American Academy of Dermatology. 2023 Aug 1;89(2):231. Xylazine toxicity. 2023 [book]. PMID 37603662 Rose L, Kirven R, Tyler K, Chung C, Korman AM. JAAD Case Reports.

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

REBEL EM

There has been ongoing study about the clinical significance of these effects, as well as whether and for whom LR might provide meaningfully better clinical outcomes ( Myburgh 2013 , Self 2018 , Semler 2018 , Self 2020 ). Paper: Alwang AK, Law AC, Klings ES, Cohen RT, Bosch NA. Published 2020 Nov 2. JAMA Intern Med.

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ED care of refugee populations from sub-Saharan Africa

EMDocs

link] Hummell AC, Cummings M. doi:10.1136/bmjgh-2020-002694 WHO Guideline on Control and Elimination of Human Schistosomiasis. Accessed October 5, 2024. link] Centers for Disease Control and Prevention (U.S.). History and Physical: Refugee Health Domestic Guidance.; Accessed October 5, 2024. 2022;37(1):41-49. doi:10.1002/ncp.10797

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repost this one as QRS distortion

Dr. Smith's ECG Blog

Blog Archive ► 2025 (109) ► June (18) ► May (25) ► April (19) ► March (13) ► February (11) ► January (23) ► 2024 (177) ► December (15) ► November (14) ► October (14) ► September (18) ► August (11) ► July (16) ► June (14) ► May (16) ► April (13) ► (..)

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emDOCs Podcast – Episode 123: Sympathetic Crashing Acute Pulmonary Edema

EMDocs

Causes: ACS, arrhythmia, valvular dysfunction, infection, nonadherence to meds, myocarditis, volume overload. 2020 Jan;38(1):132-137. In SCAPE, uncontrolled sympathetic function and increased afterload leads to HTN and fluid redistribution from the periphery into the pulmonary system. What are the key tests? Cochrane Database Syst Rev.

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Updates on Onchocerciasis: Approach to Diagnosis and Treatment

EMDocs

25 AC = Anterior chamber, ELISA = enzyme-linked immunosorbent assay, NS = normal saline, PCR = polymerase chain reaction Management Oral Ivermectin 26 150 mcg/kg given once or twice yearly for 10 to 15 years to match the lifespan of the adult worm is the standard treatment. Vision 2020: update on onchocerciasis. J Glob Infect Dis.

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Microaggressions in Healthcare: Not Just “Harmless Comments”

Don't Forget the Bubbles

Workforce Race Equality Standard: 2020 Data Analysis Report for NHS Trusts and Clinical Commissioning Groups. Govindraj R, Binda DD, Harris AC et al. 2020 Jul 27. Administrative Science Quarterly, 44(2), 350-383. link] British Medical Association. Sexism in Medicine. Available from: [link] NHS England. February 2021.

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