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SAEM Clinical Images Series: An On-Target Diagnosis

ALiEM

This clinical image depicts erythema migrans (EM), the classic rash seen in 70- 80% of early localized Lyme disease infections. This stage is characterized by the EM rash as well as fatigue, low-grade fevers, malaise, myalgias, and lymphadenopathy. link] www.cdc.gov/lyme/ Steere AC. Platelets : 223 Sodium : 139 Creatinine : 0.8

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Elbow Dislocations

REBEL EM

PMID: 32644703 Robinson PM, Griffiths E, Watts AC. PMID: 27227986 Glover NM, Black AC, Murphy PB. PMID: 31082090 Post Peer Reviewed By: Anand Swaminathan MD, MPH (Insta @EMSwami) The post Elbow Dislocations appeared first on REBEL EM - Emergency Medicine Blog. Treasure Island (FL): StatPearls Publishing; 2024 Jan–. 2023 Nov 5.

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

ALiEM

Case A patient arrives via EMS from the bus station complaining of fever, vomiting, and back pain. Our experience: It was not long ago that we instructed our staff that: ‘COWS >8, give ’em 8 (mg of buprenorphine).’ DOI: Papudesi BN, Malayala SV, Regina AC. They report insufflating ‘a bundle’ of tranq dope per day.

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A snapshot of the 2024 PEM MSc dissertations

Don't Forget the Bubbles

This scarcity means that EMS clinicians have limited real-world exposure to critically ill infants and children, yet when these cases do arise, the stakes are high. For those working in EMS and community healthcare, ongoing education and professional development in paediatric emergency care are often insufficient.

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

Dr. Smith's ECG Blog

This was written by one of our fine residents, who will soon be an EMS fellow: Michael Perlmutter Case A mid-50s male came to the ED with a burning sensation that was acutely worse while at home. This dynamic change is diagnostic of ACS. This was also non-diagnostic for OMI, although the dynamic changes are diagnostic of ACS.

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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. appeared first on REBEL EM - Emergency Medicine Blog. To assess the clinical impact and relevance of these concerns, Alwang et al. performed the retrospective cohort study below ( Alwang 2024 ).

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ED care of refugee populations from sub-Saharan Africa

EMDocs

link] Hummell AC, Cummings M. Accessed October 5, 2024. link] Centers for Disease Control and Prevention (U.S.). History and Physical: Refugee Health Domestic Guidance.; Accessed October 5, 2024. Role of the nutrition-focused physical examination in identifying malnutrition and its effectiveness. 2022;37(1):41-49. doi:10.1002/ncp.10797

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