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Test for drink spiking in ERs should be used to reduce psychological distress, says new study

Medical Xpress

More should be done to help victims of suspected spiking attacks process the psychological trauma of the event by testing patients who arrive at the hospital intoxicated, say the authors of a new study titled, "Drink and injection spiking: how to approach an increase in presentations?" published in the Emergency Medicine Journal.

ER 73
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Fleece Pajama Bottoms 2019

StorytellERdoc

I can't pinpoint the moment exactly, but several years ago I began to notice that many of our ER patients were presenting for treatment wearing nice fluffy fleece bottoms. They seemed to be appropriate wear for some of our sicker patients who didn't have the energy to change out of their bed wear before coming to us for medical help.

ER 100
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Exposure to high-priority drug-drug interactions among non-elderly adults in Quebec: a cohort study [Prescribing and pharmacotherapeutics]

Annals of Family Medicine

Harmful prescription drug-drug interactions (DDI) arise when the effects of one drug change the effect of another drug and increase the risk for an adverse event, including therapeutic failure. 2) to measure the association between exposure to 4 high-priority DDI and the risk of an adverse event. Results: 1) 11.7% (95% CI: 11.5-12.0)

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The Witness

StorytellERdoc

His transport from his house to our department had been less than ten minutes and the pre-hospital team had done an excellent job of intubating this patient and establishing an IV to begin resuscitation efforts. Despite our aggressive medications and interventions, this patient returned to a pulseless ventricular tachycardia.

ER 100
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CDC Proposes Updating Practice Guideline for Prescribing Opioids, Warning Against Continued Misapplication

FDA Law

Recommendations do not apply to inpatient care during hospitalization, emergency department or other observed settings, but do apply to prescribing for pain management upon discharge. ER/LA opioids should be “reserved for severe, continuous pain.”. and although not an intention, also impacted laws, regulations and policies.

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Music as Medicine: Jenny Chen, Tyler Jorgensen, & Theresa Allison

GeriPal

You can hear Tyler and I having a great time singing together and sharing stories around his podcast My Medical Mixtape. And I was fortunate to record an episode of my medical mixtape with Tyler at the w hich meeting were we at, Tyler ? And so this is a shout out to our inpatient palliative team at Dell Medical School.

IT 96
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Dialysis vs Conservative Management for Older Adults: Manju Kurella Tamura, Susan Wong, & Maria Montez-Rath

GeriPal

And the main topic of today is a paper in Annals of Internal Medicine , Maria first author, that addressed the tradeoffs between initiating dialysis vs continued medical/supportive management. Susan 01:36 To reflect continuing medical management versus starting dialysis, which is what Maria’s wonderful paper goes through.