A time-based approach to elderly patients with altered mental status
It’s 7 am on a Monday. Your first patient is an 82 year-old woman who was brought in by EMS from an assisted living facility. All EMS can tell you...
Christina Shenvi, MD PhD |
- Todos
- "Stop The Bleed"
- #AHA
- #canes
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- #chikungunya
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- #EETI
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- #perro
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- #Sistema911
- #StopResistencias
- #StopTheBleed
- #TELEFUNKENAED
- #TELEFUNKENDEFIBRILLATOR
- #veterinaria
- #Reglamento1169
- 061
- 061 Galicia
- 1-1-2
- 11 Febrero
- 112
- 118
- 120 seconds
- 1440 Doctor
- 15 lead ECG
- 1500 method
- 17 mitos mas #populares
- 1st diagonal occlusion
- 1st Trimester Pregnancy
- 2 Minute Rule
- 2-Hour Rule Outs
- 2013
- 2013 EMS World Top Innovation Award
- 2014
- 2015
- 2016
- 2017
- 2018
- 2019
- 2019 ACLS Update
- 2019 PALS Update
- 2020
- 2º Edición
- 3 PASITOS
- 300 method
- 3d printing
- 3rd Degree AV Block
- 4% rule
- 4F-PCC
- 5 C's Model
- 5-FU
- 6 Tips To Beat Jet Lag
- 60-Second Soapbox
- 65 Trial
- 68W
- 7 sign
- 9-1-1
- 9-1-1 Republica Dominicana
- 911
- ; LAVADO DE MANOS
- @cambridge_uni
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- @mmimicro_inc
- @PennHealthTech
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- AA
- AAA
- aaem
- AAP
- ABC
- ABC score
- ABCD2
- ABCD2 Score
- abdominal aortic aneurysm
- abdominal compartment syndrome
- Abdominal Pain
- abdominal POCUS
- abdominal stab wound
- abdominal trauma
- ABG
- Abixaban
- abixiban
- abortion
- Abscess
- absorbable sutures
- absurdo
- abusive head trauma
- ABUSO MEDICAMENTOS
- Abuso Sexual Infantil
- AC separation
- Academic
- academics
- Accelerated Diagnostic Protocol
- Acceso Vascula
- acceso vascular
- access block
- Accident Prevention
- accidente
- Accidente de Buceo
- ACCIDENTE DE TRAFICO
- accidentes
- Accidentes de Moto
- ACCIDENTES EN EL HOGAR
- accidentes infantiles
- accountability failure
- ACE Inhibitor
- ACE-I
- ACEP
- ACEP 2016
- ACEP 2017
- ACEP 2018
- ACEP Clinical Policy
- ACEP E-QUAL
- acep guidelines
- ACEP17
- ACEP18
- ACEP2018
- acetaminophen
- acetaminophen overdose
- acetaminophen vs. hydromorphone
- Acetazolamide
- Acetyl
- Achiko
- acid-base
- acido acetico
- Acido Folico
- Acido Traxenamico
- acidosis
- ACL
- ACLS
- ACLS 2010
- ACLS 2015-2020
- ACLS gudielines
- ACMT
- ACMT Visual Pearls
- acne
- ACOEP 2017
- ACREDITACIONES DEL BLOG
- Acryl
- ACS
- ACTION Trial
- Activ-4b Trial
- activated charcoal
- Active Shooter Incidents
- Activity and Recovery Among Youth With Concussion: A Meta-analysis.
- ACTS
- ACTT
- ACTT-1
- actuaciones altas temperaturas
- Acute Angle Closure Glaucoma
- Acute Appendicitis
- Acute Chest Syndrome
- Acute Coronary Syndrome
- Acute Decompensated Heart Failure
- Acute Gastroenteritis
- acute heart failure
- Acute Ischemic Stroke
- acute kidney injury
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- acute necrotizing gingivitis
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- Acute Respiratory Failure
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- acute urticaria
- acute vestibular syndrome
- ada
- Adam Sivitz
- ADD score
- ADD-RS
- Addison's disease
- additive manufacturing
- adenosine
- adheretech
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- adicciones
- adjust unlikely
- Adjusted D-dimer
- Administrative
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- ADP
- adrenal crisis
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- ADRENAL Trial
- adrenalina
- adrenaline
- Adult Epiglotitits
- Adulto
- Advanced Bleeding Care in Trauma
- advanced cardiac life support
- Advanced Resuscitative Care
- advanced trauma life support
- Adversity
- adversity quotient
- Advice
- ADvISED Trial
- ADVOR Trial
- AED
- AEDES AEGYPTI
- aep
- Aerosol Box
- aeu
- AFib
- AFICHES
- africa
- Africa Mercy
- age adjusted d-dimer
- Age-Adjusted D-Dimer
- agencia española de medicamentos
- Agencia Europea de Medicamentos
- Agente Hemostático EMS
- Agentes Biologicos
- Aggressive Ottawa Protocol
- Agitated Patient
- Agitation
- agorafobia
- AGRESORES SEXUALES
- aguacate
- aguacate mejor fruto del mundo
- aguas frias
- aguas vivas
- Agujas
- AH SHITE
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- AHA. ILCOR
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- ahogamientos
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- AKA
- AKA ISRAELI
- AKI
- albumin
- alchohol ketoacidosis
- alcohol abuse
- Alcohol Intoxication
- alcohol wihdrawal
- alcohol withdrawal
- alergia
- alergia severa
- Alerta Medica
- Alex Arroyo
- ALGORITMOS
- ALIC4E
- ALiEM Cards
- aliemu
- ALIMENTACION
- ALIMENTOS CONTAMINADOS
- alimentos para el corazon
- alimentos saludables
- alkalinazation
- Allan De Caen
- Allan DeCaen
- allergic reaction
- allergy
- Allergy-Immunology
- ALPS
- ALPS trial
- Alteplase
- altered mental status
- alternate care facilities
- Alternative Headache Therapies
- Altitude Adjusted PERC Oxygen Saturation
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- alveolar fracture
- Alyssa Abo
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- amblyopia
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- Ambulance
- AMBULANCIA
- ambulancia aerea
- ambulancia especializada en accidentes cerebrovasculares
- AMBULANCIAS
- Ambulancias Militares por Ramon Reyes Diaz
- ambulanciias
- ambulanta
- ambulanza
- Ambulatory management of pneumothorax
- AMERICA
- American College of Surgeons
- American Diabetes Association
- AMERICAN HEART
- AMERICAN HEART ASSOCIATION
- AMI
- amiodarone
- AMLS
- AMOTOR
- amoxacillin
- Amoxicillin
- amputacion
- Amputation
- AMS
- AMSAR
- Amy Cheng
- Amy Plint
- Amylase
- An Astronaut's Guide to Life on Earth
- anaemia
- Anaesthesia
- Anafilaxia
- anafilxia
- Anakinra
- anal fissure
- analgeesia
- Analgesia
- Analgesia Sedation
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- analgesicos
- Anand Swaminathan
- anaphylactic shock
- Anaphylactoid
- anaphylaxis
- Anaplasmosis
- anchoring bias
- andalucia
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- Andexxa
- Andorra
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- Andrew Fischer
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- ANDROMEDA-SHOCK
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- anemia
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- Angelo Mikrogianakis
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- animales letales
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- Animales más venenosos Mamba Negra
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- anisakidosis
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- ankle sprain
- Ann Shook
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- Anna MacDonald
- Annals of EM
- Annals of EM Resid Persp
- ANNEXA-4
- Announcements
- Annual Report
- Anopheles
- anorexia
- ansiedad
- antacid
- Antartida
- Anterior
- anterior epistaxis
- anterior shoulder dislocation
- anterior STEMI
- Anthony Crocco
- anti-craving medication
- anti-platelet
- antibiotic duration
- antibiotic resistance
- antibiotic stewardship
- ANTIBIOTICOS
- Antibiotics
- Antibody Cocktail
- anticipatory guidance
- anticoagulant reversal
- anticoagulants
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- Anticoagulation reversal
- anticonvulsivos
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- antidepressants
- antidoto
- antidoto medusas
- antidotos
- antiemetic
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- ANTIEPILEPTICOS
- antifragility
- antihypertensive
- antipsychotics
- antisocial
- Anton Helman
- anxiolytics
- Aortic Aneurysm
- aortic dissection
- Aortic Dissection Detection Risk Score
- aortic injury
- aortic stenosis
- APACHE
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- aparatologia medica
- apendicectomia
- APENDICITIS
- APH
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- aplicacion
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- apophyseal
- Aposito de Trauma
- ApOx
- app
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- approach to headache
- Approved Instructional Resources (AIR series)
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- article review
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- asclepio
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- ataque cerebral
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- autotelic
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- aviation emergencies
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- awake intubation
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- b
- b-blocker
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- backboard
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- BASICS Trial
- bath salts
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- battlefield analgesic
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- bci brain computer interface
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- best of 2019
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- breast feading
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- breatfeeding
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- Brian Steinhart
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- bronchial blocker
- bronchiolitis
- bronchopleural fistula
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- BrownUniversity
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- bulimia
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- bulos
- Bulos en medicina
- Bundle Branch Block
- Bupivacaine
- buprenorphine
- Buprenorphine-Naloxone
- bupropion
- BUQUE HOSPITAL
- BURN
- burn debridement
- Burn Management
- burnout
- BURSITIS
- buscopan
- Button Battery Ingestion
- bu_tweets
- BVM
- by #Sapiensmedicus
- by @DrRamonReyesMD
- By Daniel Sundahl
- by Dr. Ramon REYES
- by Dr. Ramón Reyes EMS BICI
- By Dr. Ramon Reyes Diaz
- by Dr. Ramon REYES MD
- by Dr. Ramon Reyes on CGGVeritas Viking Colombian Sea
- by Dr. Ramon Reyes on Veritas Viking Colombian Sea
- by Dr. RamónREYES MD
- by EMS
- c
- c-cpine
- C-Spine
- c-spine collar
- C-TECC
- C.A.T.
- c1 esterase inhibitors
- CA
- CABG
- cachexia
- CACTUS Trial
- CAD
- Cadaveres
- caduceo
- caffeine
- caidas
- calcaneus fracture
- CALCIO
- Calcium
- calcium channel blocker
- Calcium Channel Blocker Toxicity
- Calcium Channel Blockers
- calcium chloride
- calcium hydroxide
- calcular oxigeno
- calefaccion
- Calf pain
- Calling the code
- Caltech
- camilla
- camilla de trauma
- Camra Oxigeno
- Canadian c-spine rule
- Canadian CT Head Rule
- Canadian Syncope Risk Score
- Canadian TIA Score
- Canagliflozin
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- cancer biomarkers
- candiru
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- Canino
- caninos
- Cannabinoid Hyperemesis Syndrome
- Cannabis
- Cannabis Hyperemesis Syndrome
- cannabis poisoning
- cantholysis
- CANULA NASOFARINGEA
- CAP
- CAP-IT Trial
- CAPE COVID
- capnography
- Capsaiscin
- Capsules
- Car Sickness
- CAR-T
- carabela portuguesa
- carbohidratos
- Cardiac
- Cardiac Arrest
- Cardiac Arrest Research
- cardiac biomarkers
- Cardiac Catheterization
- Cardiac Contusion
- cardiac monitor
- cardiac ruler
- Cardiac Standstill
- Cardiac Surgery
- cardiac syncope
- cardiac tamponade
- cardiac ultrasound
- cardicac arrest
- Cardiocerebral Resuscitation
- cardiogenic
- Cardiogenic Shock
- Cardiologia
- Cardiologica
- Cardiology
- cardiomyopathy
- Cardiopulmonary Resuscitation
- CARDIOSALUDABLE
- Cardiotoxicity
- Cardiovascular
- cardioversion
- CARE
- caribe
- caricatura
- CARNES
- carotid artery dissection
- Carr's Cases
- CASA Exam
- casino shifts
- casirivimab
- CASTELLANO
- Castila y Leon
- Castilla y Leon
- CAT
- CAT COMBAT APPLICATION TOURNIQUET tm
- cat tourniquet
- Catalan
- CATASTROFES
- CATCH
- CATCH study
- CATCH2
- CATETER DESCOMPRESION
- Cateter Periferico
- cateterismo
- Catherine Varner
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- Caustic Injestions
- CC
- CCB
- CCR
- CCTA
- CDC
- CDEM
- CDR
- CECOVA
- cefalosporina
- ceftriaxone
- cellulitis
- CELOX
- Celox Gauze
- CENAPRECE MEXICO
- CENAPRED MEXICO
- CENIZAS
- CENIZAS VOLCANICAS
- CENSER
- central cord syndrome
- central line
- Central Lines
- central ray
- Central Venous Catheter
- Central Venous Catheterization
- CENTRO AMERICA
- Centros de Operaciones de Emergencias
- centros educativos
- cephalexin
- CERCP
- CERDOS
- cerebral edema
- cerebral herniation
- cerebral palsy
- cerebral venous thrombosis
- CEREBRO
- cerebrovascular injury
- Certificado Internacional de Vacunación
- certificado medico
- Certificado medico noruego
- CERTIFICADOS MEDICOS
- cervical artery dissection
- Cervical Spine Clearance
- cervical spine fracture
- Cervical Spine Trauma
- CES
- cetirizine vs diphenhydramine
- CGM
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- CHADS65
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- chalmersuniv
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- chaperone
- CHD
- Cheat sheet
- Checklist
- checkpoint inhibitors
- Chemical Sedation
- Chemical Takedown
- Chemotherapy
- chest compressions
- Chest Pain
- Chest Pain History
- chest trauma
- chest tube
- CHF
- Chief Resident Incubator
- chikungunya
- ChikV
- child abuse
- Child Whisperer Series
- Chillbains
- china
- chistes medicos
- ChitoSAM
- Chitosan
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- Chloroquine
- CHOCOLATE
- choicebo
- cholangitis
- cholycystitis
- choosing wisdely
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- choque termico
- Chris Carpenter
- Chris Hicks
- Chris Nickson
- Chris Trevelyan
- Christian Goring. EMS I/C
- Christopher Belcher
- Chronic Alcoholics
- chronic pain
- chronic wounds
- CIANURO
- Ciclesonide
- Ciclo circadiano
- ciclones tropicales
- CICR
- cigua-check
- CIGUATERA
- ciguatoxina
- CIN
- cinematica de trauma
- CINETOSIS
- CINTURON DE SEGURIDAD
- CIQUIME
- Cirrhosis
- CIRUGIA
- CIRUGIA DE GUERRA
- CIRUGIA MENOR
- Todos
- "Stop The Bleed"
- #AHA
- #canes
- #canine
- #ChamaTacticoMD #Tacticool
- #chikungunya
- #DrRamonReyesMD
- #EETI
- #ERC
- #España
- #FOAMed
- #k9
- #MEDICINA
- #MITOS
- #ObstruccionViasAereas
- #perro
- #primerosauxilios
- #RCP2015
- #Sistema911
- #StopResistencias
- #StopTheBleed
- #TELEFUNKENAED
- #TELEFUNKENDEFIBRILLATOR
- #veterinaria
- #Reglamento1169
- 061
- 061 Galicia
- 1-1-2
- 11 Febrero
- 112
- 118
- 120 seconds
- 1440 Doctor
- 15 lead ECG
- 1500 method
- 17 mitos mas #populares
- 1st diagonal occlusion
- 1st Trimester Pregnancy
- 2 Minute Rule
- 2-Hour Rule Outs
- 2013
- 2013 EMS World Top Innovation Award
- 2014
- 2015
- 2016
- 2017
- 2018
- 2019
- 2019 ACLS Update
- 2019 PALS Update
- 2020
- 2º Edición
- 3 PASITOS
- 300 method
- 3d printing
- 3rd Degree AV Block
- 4% rule
- 4F-PCC
- 5 C's Model
- 5-FU
- 6 Tips To Beat Jet Lag
- 60-Second Soapbox
- 65 Trial
- 68W
- 7 sign
- 9-1-1
- 9-1-1 Republica Dominicana
- 911
- ; LAVADO DE MANOS
- @cambridge_uni
- @CIAMTO.ORG
- @mmimicro_inc
- @PennHealthTech
- @PennMedicine
- @SUBiodesign
- @tu.muenchen
- AA
- AAA
- aaem
- AAP
- ABC
- ABC score
- ABCD2
- ABCD2 Score
- abdominal aortic aneurysm
- abdominal compartment syndrome
- Abdominal Pain
- abdominal POCUS
- abdominal stab wound
- abdominal trauma
- ABG
- Abixaban
- abixiban
- abortion
- Abscess
- absorbable sutures
- absurdo
- abusive head trauma
- ABUSO MEDICAMENTOS
- Abuso Sexual Infantil
- AC separation
- Academic
- academics
- Accelerated Diagnostic Protocol
- Acceso Vascula
- acceso vascular
- access block
- Accident Prevention
- accidente
- Accidente de Buceo
- ACCIDENTE DE TRAFICO
- accidentes
- Accidentes de Moto
- ACCIDENTES EN EL HOGAR
- accidentes infantiles
- accountability failure
- ACE Inhibitor
- ACE-I
- ACEP
- ACEP 2016
- ACEP 2017
- ACEP 2018
- ACEP Clinical Policy
- ACEP E-QUAL
- acep guidelines
- ACEP17
- ACEP18
- ACEP2018
- acetaminophen
- acetaminophen overdose
- acetaminophen vs. hydromorphone
- Acetazolamide
- Acetyl
- Achiko
- acid-base
- acido acetico
- Acido Folico
- Acido Traxenamico
- acidosis
- ACL
- ACLS
- ACLS 2010
- ACLS 2015-2020
- ACLS gudielines
- ACMT
- ACMT Visual Pearls
- acne
- ACOEP 2017
- ACREDITACIONES DEL BLOG
- Acryl
- ACS
- ACTION Trial
- Activ-4b Trial
- activated charcoal
- Active Shooter Incidents
- Activity and Recovery Among Youth With Concussion: A Meta-analysis.
- ACTS
- ACTT
- ACTT-1
- actuaciones altas temperaturas
- Acute Angle Closure Glaucoma
- Acute Appendicitis
- Acute Chest Syndrome
- Acute Coronary Syndrome
- Acute Decompensated Heart Failure
- Acute Gastroenteritis
- acute heart failure
- Acute Ischemic Stroke
- acute kidney injury
- acute liver failure
- Acute Lung Injury
- Acute Myocardial Infarction
- acute necrotizing gingivitis
- acute otitis media
- Acute Pancreatitis
- Acute Pharyngitis
- acute renal failure
- Acute Respiratory Distress Syndrome
- Acute Respiratory Failure
- Acute Transverse Myelitis
- acute urticaria
- acute vestibular syndrome
- ada
- Adam Sivitz
- ADD score
- ADD-RS
- Addison's disease
- additive manufacturing
- adenosine
- adheretech
- ADHF
- adicciones
- adjust unlikely
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- Administrative
- Adolecente
- ADP
- adrenal crisis
- Adrenal Insufficiency
- Adrenal Suppression
- ADRENAL Trial
- adrenalina
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- Adulto
- Advanced Bleeding Care in Trauma
- advanced cardiac life support
- Advanced Resuscitative Care
- advanced trauma life support
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- AED
- AEDES AEGYPTI
- aep
- Aerosol Box
- aeu
- AFib
- AFICHES
- africa
- Africa Mercy
- age adjusted d-dimer
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- agencia española de medicamentos
- Agencia Europea de Medicamentos
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- Agentes Biologicos
- Aggressive Ottawa Protocol
- Agitated Patient
- Agitation
- agorafobia
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- aguacate
- aguacate mejor fruto del mundo
- aguas frias
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- AIRWAYS-2
- AKA
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- AKI
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- alchohol ketoacidosis
- alcohol abuse
- Alcohol Intoxication
- alcohol wihdrawal
- alcohol withdrawal
- alergia
- alergia severa
- Alerta Medica
- Alex Arroyo
- ALGORITMOS
- ALIC4E
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- aliemu
- ALIMENTACION
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- alimentos para el corazon
- alimentos saludables
- alkalinazation
- Allan De Caen
- Allan DeCaen
- allergic reaction
- allergy
- Allergy-Immunology
- ALPS
- ALPS trial
- Alteplase
- altered mental status
- alternate care facilities
- Alternative Headache Therapies
- Altitude Adjusted PERC Oxygen Saturation
- alvahealth
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- alveolar fracture
- Alyssa Abo
- AMACING
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- amazonas
- amblyopia
- AMBU-BUS
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- AMBULANCIA
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- AMBULANCIAS
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- ambulanciias
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- AMERICA
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- AMI
- amiodarone
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- amoxacillin
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- amputacion
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- AMS
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- Amy Cheng
- Amy Plint
- Amylase
- An Astronaut's Guide to Life on Earth
- anaemia
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- analgesicos
- Anand Swaminathan
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- anchoring bias
- andalucia
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- ANDROMEDA-SHOCK
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- animales letales
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- ANIMALES PELIGROSOS
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- anisakidosis
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- ankle sprain
- Ann Shook
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- Annals of EM
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- ANTIBIOTICOS
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- anticipatory guidance
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- anticonvulsivos
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- ANTIEPILEPTICOS
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- asclepio
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- atencion medica
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- atencion primaria
- aterosclerosis
- ATESS
- ATHOS-3
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- atrial fibirillation
- Atrial Fibrillation
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- ATROPINA
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- ATV
- augmented reality
- augmentin
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- autism
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- autismo
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- AUTOMATIC EXTERNAL DESFIBRILLATOR
- AUTOMATICAL EXTERNAL DESFIBRILATOR
- autotelic
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- AVES VENENOSAS
- aviation emergencies
- avispa de mar
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- b
- b-blocker
- B-Con
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- Babesiosis
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- backboard
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- bacterial peritonitis
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- balanceboard
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- benign early repolarization
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- best
- Best Case Ever
- best of 2019
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- brain computer interface
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- brasil
- breast feading
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- breatfeeding
- Brent Thoma
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- Brian Steinhart
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- bronchial blocker
- bronchiolitis
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- BRONCODILATADORES
- Broselow Tape
- brown university
- BrownUniversity
- Brugada
- Brugada Criteria
- Buceadores
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- bulimia
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- bulos
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- Bupivacaine
- buprenorphine
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- BUQUE HOSPITAL
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- burn debridement
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- burnout
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- buscopan
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- bu_tweets
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- by #Sapiensmedicus
- by @DrRamonReyesMD
- By Daniel Sundahl
- by Dr. Ramon REYES
- by Dr. Ramón Reyes EMS BICI
- By Dr. Ramon Reyes Diaz
- by Dr. Ramon REYES MD
- by Dr. Ramon Reyes on CGGVeritas Viking Colombian Sea
- by Dr. Ramon Reyes on Veritas Viking Colombian Sea
- by Dr. RamónREYES MD
- by EMS
- c
- c-cpine
- C-Spine
- c-spine collar
- C-TECC
- C.A.T.
- c1 esterase inhibitors
- CA
- CABG
- cachexia
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- CAD
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- caffeine
- caidas
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- CALCIO
- Calcium
- calcium channel blocker
- Calcium Channel Blocker Toxicity
- Calcium Channel Blockers
- calcium chloride
- calcium hydroxide
- calcular oxigeno
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- Calf pain
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- Caltech
- camilla
- camilla de trauma
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- Canadian c-spine rule
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- Canagliflozin
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- cancer biomarkers
- candiru
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- carabela portuguesa
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- carotid artery dissection
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- CEREBRO
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- cervical artery dissection
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- CGM
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- choosing wisdely
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- Christopher Belcher
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- chronic pain
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- CIANURO
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- CIRUGIA
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Acute Coronary Syndrome (ACS) in the Elderly
Acute coronary syndrome (ACS) is the number one cause of mortality in patients older than 65 years old. 1 To complicate this fact further, they also present atypically with weakness,...
Salim Rezaie, MD |
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Geriatric Blunt Trauma – Respect the Lactate
Which is a better prognostic tool in geriatric trauma, traditional vital signs or lactate level? Meet Norma Nuance (NN), a 70-year-old woman with CAD, HTN, HLD, DM, and mild dementia....
Christina Shenvi, MD PhD |
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Welcome new series Geriatric EM by Dr. Christina Shenvi
Welcome a new superstar blogger, Dr. Christina Shenvi (@clshenvi), to the ALiEM team. If there’s one talent I have, it’s spotting the rising academic star. As the new Geriatrics EM...
Michelle Lin, MD |
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Trick of the Trade: Steristrip-suture combo for thin skin lacerations
Lacerations of elderly patients or chronic corticosteroid users can be a challenge because they often have very thin skin. Sutures can tear through the fragile skin. Tissue adhesives may not...
Michelle Lin, MD |