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SAEM Clinical Images Series: An On-Target Diagnosis

ALiEM

2022, Jan 19. link] www.cdc.gov/lyme/ Steere AC. Antibiotic treatment duration and long-term outcomes of patients with early lyme disease from a lyme disease- hyperendemic area. Clin Infect Dis. 2010 Feb 15;50(4):512-20. doi: 10.1086/649920. PMID: 20070237. Lyme Disease. Centers for Disease Control and Prevention. Lyme disease.

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Elbow Dislocations

REBEL EM

2022 Aug 2. PMID: 32644703 Robinson PM, Griffiths E, Watts AC. PMID: 27227986 Glover NM, Black AC, Murphy PB. J Am Acad Orthop Surg. 1998 Jan-Feb;6(1):15-23. doi: 10.5435/00124635-199801000-00002. PMID: 9692937 Decker N, Norse A. Anterior Elbow Dislocation. In: StatPearls [Internet]. Simple elbow dislocation. Shoulder Elbow.

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

ALiEM

Drug Checking Quarterly Report (Q3 2022). 2022; 06/26/2023. DOI: Papudesi BN, Malayala SV, Regina AC. 2022 May;14(5). Xylazine (veterinary sedative) use in Puerto Rico. Substance Abuse Treatment, Prevention, and Policy. 2011 Dec;6:1-4. PMID 21481268 Education, T.C.F.F.S.R. Philadelphia, Pennsylvania, USA. 2023 [book].

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What can you find with continuous ST monitoring in the ED?

Dr. Smith's ECG Blog

This dynamic change is diagnostic of ACS. Cardiology was consulted and agreed that his history was high risk for ACS and a next-day angiogram was merited. This was also non-diagnostic for OMI, although the dynamic changes are diagnostic of ACS. ECG at time 82 minutes: What do you think?

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

REBEL EM

Paper: Alwang AK, Law AC, Klings ES, Cohen RT, Bosch NA. Target trial emulation is a methodologic framework to improve observational studies that begins by creating a hypothetical protocol for the ideal RCT, and then designing your observational protocol to emulate it as closely as possible ( Hernn 2022 ). JAMA Intern Med.

ALS
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ED care of refugee populations from sub-Saharan Africa

EMDocs

Background: Refugees on the Rise As of 2022, it was estimated that there were 35.3 Global Trends Report 2022. link] Hummell AC, Cummings M. Published online November 14, 2022. Published online November 14, 2022. Accessed May 25, 2022. 1 By the end of 2023, 117.3 of the global population. link] UNHCR.

ED
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repost this one as QRS distortion

Dr. Smith's ECG Blog

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