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reuben strayer @emupdates
Joined March 2011
  • Tweets 501
  • Following 54
  • Followers 15,430
284 Photos and videos
Diltiazem/verapamil is superior treatment for SVT, but if you must expose your patient to the distress of adenosine, start with 12 mg. doi.org/10.1111/acem.70309
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Treatment of Severe Alcohol Withdrawal Syndrome Pathways for phenobarbital titration, phenobarbital load, diazepam, lorazepam. emupdates.com/aws
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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/intenti…
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Emergency Department Diagnosis and Management of Aortic Dissection emupdates.com/dissection
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Emergency Department Vertigo Assessment emupdates.com/vertigo
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At the intersection of obvious and genius: Naltrexone as Pre-exposure Prophylaxis for Unintentional Opioid Overdose in Stimulant Use Disorder journals.lww.com/journaladdi…
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back to basics: back pain red flags and nonspinal dangerous causes of back pain
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Direct to Inject Long-Acting Injectable Buprenorphine. We're still trying to figure out how to do this. emupdates.com/edbup
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Once again, IM lorazepam is an inferior choice in the management of emergency agitation. doi.org/10.1016/j.ajem.2026.…
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Emergency Department Buprenorphine Dosing emupdates.com/edbup
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Emergency Department Methadone Dosing emupdates.com/edmethadone
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The Trauma 10, Redux emupdates.com/trauma
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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…
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Ketamine as a reversal agent for altered mental status. cureus.com/articles/401499-r…
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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/…
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Gentleman receives a dose of lorazepam to facilitate MRI, then pulls out his own eyeball and eats it. cureus.com/articles/405843-b… Another reason to choose droperidol.
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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/
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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.2025.…
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reuben strayer retweeted
Raghu Venugopal MD
@raghu_venugopal
5 Oct 2025
"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
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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/scit…
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