Fri.Jun 20, 2025

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Dose Finding and Titration for Patients on Chronic Prescribed Opioids

Mount Sinai EM

As Emergency Physicians, the treatment of acute pain is our forte! However, it can become more challenging when patients with chronic pain—often on baseline prescribed opioids—present with severe or breakthrough pain. Likewise, converting between opioids or changing to IV formulations can be confusing and intimidating. One of the easiest ways to get started is by calculating the patient’s total daily Oral Morphine Equivalents (OME).

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Intimate Partner Violence: A Primer for Emergency Medicine Practitioners

Taming the SRU

National Domestic Violence Hotline Number: 800-799-7233 OVERVIEW & EPIDEMIOLOGY Intimate partner violence (IPV) is a widespread public health problem. By definition, IPV refers to actual or threatened psychological, physical, or sexual harm by a current or former partner or spouse. The exact scope of the issue is difficult to ascertain given that a large proportion of incidents go unreported but is estimated to affect over 12 million people in the United States every year (1).

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EMCrit 402 – Sea Change on Salt Water (More Rapid Sodium Normalization in Hyponatremia)? with KidneyBoy

EMCrit

For years, we have been going super slowly for chronic hyponatremia. But now, literature has raised the question of increased mortality from this slow strategy. EMCrit Project by Scott Weingart, MD FCCM.

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Advice for Internship

Sensible Medicine

This is an updated version of an article I posted on Sensible Medicine last year. On Monday, I’ll be starting a stint attending on our inpatient general medicine service with a couple of our brand-spanking-new interns. It seemed like a good time to bring out this column. I came up with this list by reflecting on what did and did not work for me during my training, at least when viewed from the proverbial retrospectoscope.

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How to Start Virtual Care the Right Way: A Proven Roadmap for 2025 and Beyond

Speaker: Dr. Christine Gall, DrPH, MS, BSN, RN

The promise of virtual care is no longer theoretical and is now a critical solution to many of healthcare’s most urgent challenges. Yet many healthcare leaders remain unsure how to build a business case for investment and launching the right program at the right time can be the difference between value and failure. For organizations seeking a financially sound, clinically effective entry point, Virtual Patient Observation (VPO) offers a compelling case to lead with.

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Capnografia Volumetrica: Monitoraggio Avanzato della CO₂

Trigger Lab

A cura di Francesco Baiguera Quando si parla di capnografia, si fa tradizionalmente riferimento a un monitoraggio che misura la concentrazione massima di CO₂ espirata, atto respiratorio per atto respiratorio, attraverso sensori dedicati. Probabilmente, ciò che davvero contraddistingue questo parametro non è il dato in sé, ma la sua rappresentazione grafica.

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