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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. link] www.cdc.gov/lyme/ Steere AC. Clin Infect Dis. 2010 Feb 15;50(4):512-20. doi: 10.1086/649920.

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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]. DOI: Papudesi BN, Malayala SV, Regina AC. Emergency department–initiated buprenorphine/naloxone treatment for opioid dependence: a randomized clinical trial.

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Elbow Dislocations

REBEL EM

PMID: 32644703 Robinson PM, Griffiths E, Watts AC. PMID: 27227986 Glover NM, Black AC, Murphy PB. Elbow Dislocations in the Emergency Department: A Review of Reduction Techniques. J Emerg Med. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. Simple elbow dislocation. Shoulder Elbow. 2017 Jul;9(3):195-204.

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A snapshot of the 2024 PEM MSc dissertations

Don't Forget the Bubbles

Owen Hibberd The use and utility of the paediatric oral fluid challenge in a single tertiary paediatric emergency department Why? The paediatric oral fluid challenge (OFC) has been a staple in emergency departments for years, helping to determine which children struggling with oral intake truly need IV fluids.

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Toxin-Induced Hypotension Treatment Tips

ACEP Now

Acute toxic ingestions are a common reason for presentation to the emergency department (ED) and clinical scenarios range from benign accidental ingestions to large overdoses resulting in hemodynamic instability. Papudesi BN, Malayala SV, Regina AC. Wagner ML, Pergolizzi J Jr, LeQuang JAK, et al. 2023;15(6):e40688. 2023 Jul 17.

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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. PMID: 28106307 Alwang AK, Law AC, Klings ES, Cohen RT, Bosch NA. To assess the clinical impact and relevance of these concerns, Alwang et al. performed the retrospective cohort study below ( Alwang 2024 ). JAMA Intern Med. 2024;184(11):1365-1372. Microcirculation.

ALS
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ED care of refugee populations from sub-Saharan Africa

EMDocs

link] Hummell AC, Cummings M. HIV Prevention and Treatment: The Evolving Role of the Emergency Department. Ann Emerg Med. Undernourished children presenting to an urban emergency department of a tertiary hospital in Tanzania: a prospective descriptive study. Accessed October 5, 2024. 2022;37(1):41-49.

ED