reuben strayer

emergency physician
maimonides medical center
rocuronium, ketamine, droperidol, buprenorphine, chocolate

[reuben strayer @emupdates]

Medications for Alcohol Use Disorder: Anti-craving alternatives.

https://t.co/TuKDQef01G

slick PCSS version here:

https://t.co/Q2oXRQOGb9

[reuben strayer @emupdates]

The bougie, again.

Conclusion: Difficult placement of a Minnesota tube may be addressed by placing the coudé tip of a bougie into the distal eyelet and advancing the devices in tandem into proper position.

https://t.co/u7i458JyKF

[reuben strayer @emupdates]

Resuscitate More, or Transfer Now?

[reuben strayer @emupdates]

This smartly designed trial randomized patients getting a neck CT to cricothyroid membrane identification by landmark or ultrasound, and the landmark method was in fact more accurate (vs. CT as gold standard).

For cricothyrotomy, your finger can see.

https://t.co/rQeSGzt1zn

[reuben strayer @emupdates]

sunner's high

https://t.co/9Bn41bs6OK

[reuben strayer @emupdates]

In this randomized trial, PEFR-guided care did not improve symptom control, reduce resource utilization, or affect disposition compared with symptom-guided care. These findings suggest limited benefit of PEFR use in ED asthma management.

https://t.co/a4ETcSQcQz

[reuben strayer @emupdates]

Diltiazem/verapamil is superior treatment for SVT, but if you must expose your patient to the distress of adenosine, start with 12 mg.

https://t.co/c8Hedx6O8w

[reuben strayer @emupdates]

Treatment of Severe Alcohol Withdrawal Syndrome

Pathways for phenobarbital titration, phenobarbital load, diazepam, lorazepam.

https://t.co/UwTsMVtK69

[reuben strayer @emupdates]

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."

https://t.co/0WG1ZAoXb7

[reuben strayer @emupdates]

Emergency Department Diagnosis and Management of Aortic Dissection

https://t.co/dLQBghOltz

[reuben strayer @emupdates]

Emergency Department Vertigo Assessment

https://t.co/xoj37EdxFM

[reuben strayer @emupdates]

At the intersection of obvious and genius:

Naltrexone as Pre-exposure Prophylaxis for Unintentional Opioid Overdose in Stimulant Use Disorder

https://t.co/DEFZvfx5HL

[reuben strayer @emupdates]

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

[reuben strayer @emupdates]

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

https://t.co/68UM9ZD48j

[reuben strayer @emupdates]

Once again, IM lorazepam is an inferior choice in the management of emergency agitation.

https://t.co/k28Wb23R0X

[reuben strayer @emupdates]

Emergency Department Buprenorphine Dosing

https://t.co/68UM9ZD48j

[reuben strayer @emupdates]

Emergency Department Methadone Dosing

https://t.co/Zk10LjNFSC

[reuben strayer @emupdates]

The Trauma 10, Redux

https://t.co/KauAhZPnWA

[reuben strayer @emupdates]

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."

https://t.co/qU7SJD2q7c

[reuben strayer @emupdates]

Ketamine as a reversal agent for altered mental status.

https://t.co/jTvB3FP1FW