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

ALiEM

Bupe Allergy Buprenorphine induction has been the mainstay of emergency department treatment of opioid use disorder for more than a decade [11, 12]. 2023 Jan 1;53(1):140-2. 2022; 06/26/2023. 2023 Jun 1;36:89-91. This month in JAAD Case Reports: August 2023: Xylazine and skin necrosis. 2023 Aug 1;89(2):231.

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SAEM Clinical Images Series: An On-Target Diagnosis

ALiEM

A 25-year-old female with no pertinent past medical history presented to an emergency department in Massachusetts with four days of generalized malaise, myalgias, congestion, low-grade fever, and a rash behind her left knee. The patient denied cough, shortness of breath, chest pain, abdominal pain, nausea, vomiting, and diarrhea.

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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. Consider topical anesthetic drops and IV analgesia and/or anxiolytics to help assist with patient discomfort and dry eye.

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SAEM Clinical Images Series: This Rash Came Out of No Where

ALiEM

A 26-year-old male with a past medical history of eczema presented to the Emergency Department with a rash for two days. Updated 2023 Jul 31]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. The patient stated he first noticed a rash on his right arm that rapidly spread to his face, chest, and left arm.

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SGEM#464: I Can Do It with A Broken Heart – Compassion for Patients with OUD

The Skeptics' Guide to EM

Emergency department staff compassion is associated with lower fear of enacted stigma among patients with opioid use disorder. She is anAssistant Professor and Director of Research in theDepartment of Emergency Medicine at the NYU Grossman Long Island Hospital Campus. Date: December 26, 2024 Reference: Steinhauser S et al.

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SAEM Clinical Images Series: A Curious Case of Anisocoria

ALiEM

A 3-month-old male with no past medical history was brought to the emergency department for evaluation of newly asymmetric pupils. Treasure Island (FL): StatPearls Publishing Copyright 2023, StatPearls Publishing LLC.; The infant appeared to be asymptomatic per parents, without any behavior changes or associated symptoms noted.

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Elbow Dislocations

REBEL EM

2023 Aug 4. 2023 Nov 5. Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. Multiple Concomitant Injuries in One Upper Extremity: A Case Report. Am J Case Rep. 2016 Jan 6;17:6-11. doi: 10.12659/ajcr.894984. PMID: 26732673 Akhondi H, Varacallo M. In: StatPearls [Internet].

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