reuben strayer

Treatment of Severe Alcohol Withdrawal Syndrome Pathways for phenobarbital titration, phenobarbital load, diazepam, lorazepam. emupdates.com/aws

I finally found a circumstance that favors succinylcholine over rocuronium "The drug-seeking behavior in this case was not euphoria but perceived psychological calmness likely tied to transient hypoxia and hypercarbia from respiratory muscle paralysis." psychiatrist.com/pcc/intentiona…

Emergency Department Diagnosis and Management of Aortic Dissection emupdates.com/dissection

Emergency Department Vertigo Assessment emupdates.com/vertigo

At the intersection of obvious and genius: Naltrexone as Pre-exposure Prophylaxis for Unintentional Opioid Overdose in Stimulant Use Disorder journals.lww.com/journaladdicti…

back to basics: back pain red flags and nonspinal dangerous causes of back pain

Direct to Inject Long-Acting Injectable Buprenorphine. We're still trying to figure out how to do this. emupdates.com/edbup

Once again, IM lorazepam is an inferior choice in the management of emergency agitation. doi.org/10.1016/j.ajem…

Emergency Department Buprenorphine Dosing emupdates.com/edbup

Emergency Department Methadone Dosing emupdates.com/edmethadone

The Trauma 10, Redux emupdates.com/trauma

This paper in JGIM reads more like investigative journalism than a medical manuscript. "The widespread use of lorazepam for alcohol withdrawal in the USA is likely a legacy of the deceptive practices employed by Wyeth." link.springer.com/article/10.100…

Ketamine as a reversal agent for altered mental status. cureus.com/articles/40149…

These guys administered rocuronium, then sugammadex, then the patient developed severe anaphylaxis unresponsive to usual therapies, was in extremis, so they treated the patient with another dose of rocuronium. onlinelibrary.wiley.com/doi/epdf/10.11…

Gentleman receives a dose of lorazepam to facilitate MRI, then pulls out his own eyeball and eats it. cureus.com/articles/40584… Another reason to choose droperidol.

Cravings, Slot Machines, and a Caffeine Arms Race: The Addiction Landscape for Non Addiction Docs A grand rounds presentation for the Department of Medicine. emupdates.com/cravings/

Standard epinephrine dosing for anaphylaxis in adults should be 0.5 mg, not 0.3 mg. Auto-injectors should be 0.5 mg. doi.org/10.1016/j.ajem…

"Our job is kind of perilous". A deep dive into the difficult job of ER doctors and the high stakes, following the death of Sam Terblanche. A well laid out 28 minutes. By @lisaxmiller with @emupdates

Finally, self-guided robotic intubation. I guess we'll have to figure out something to do with all these airway skills we've accumulated. science.org/doi/10.1126/sc…

The myth that will not die (hint: prevalence = 0) 1. Treat dangerous hypoglycemia immediately. Do not wait for thiamine or anything else. 2. Have a low threshold to treat patients at risk for Wernicke's with IV thiamine. doi.org/10.1111/acem.7…