reuben strayer

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…

Looking for an excuse to visit Singapore ? 3 day immersive EM conference at The National Gallery, April 15-17. Great speaker lineup :) emcore.com.au/shop/emcore-co…

Bristojet epinephrine is readily available but can be tricky to dose (e.g. 50 mcg) for patients with a pulse. Trickiness resolved with this male to female adaptor and 1 mL syringe. medicaleshop.com/b-braun-non-de…

Calcium channel blockers consistently outperform adenosine for SVT, and do not make people feel like they're going to die. I haven't used adenosine for stable SVT in many years. jem-journal.com/article/S0736-…

Adding this to my intubation checklist bmcanesthesiol.biomedcentral.com/articles/10.11…

@EMCases @raghu_venugopal The strategy here revolves around a crystal clear understanding of your priorities (there are 8 of them) so that when your capacity is abbreviated, you can make mindful choices on how to manage what becomes a zero-sum contest for your attention.

@raghu_venugopal @emupdates Great idea Raghu. Will put it on the list!

We need an EM Cases podcast on what practising experts do when the ER system has broken down - cognitive and practical advice when lacking beds, nurses, consultant support, radiology, timely treatments - and excessive volume of patients. @EMCases @emupdates

How I see patients in the emergency department, after 20 years of seeing patients in the emergency department. emupdates.com/how