Greg S. Swartzentruber

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Alcoholism is a prevalent medical and psychiatric disease, and, consequently, alcohol withdrawal is encountered frequently in the emergency department. This issue reviews the pathophysiology of the alcohol withdrawal syndrome, describes the 4 manifestations of alcohol withdrawal, and looks at the available evidence for optimal treatment of alcohol(More)
n engl j med 372;5 january 29, 2015 491 tion techniques used by high-reliability organizations, the I-PASS mnemonic offers a predictable structure that enhances the process of information transfer.1,2 However, we hypothesized that to effect significant, sustainable change, we needed to change institutional handoff culture substantively at the same(More)
Case: A previously healthy 23-month-old 12.6-kg boy presented to an outside community emergency department with vomiting and respiratory depression after a single episode of red-orange emesis that looked and smelled like his mother’s buprenorphine/naloxone tablets (8 mg/2 mg formulation). She reported slowed respirations, small pupils, and somnolence, but(More)
Background: As the use of opioids has increased in the USA over the past 15 years, so too have rates of neonatal abstinence syndrome (NAS). The rates of NAS are now estimated at 3.39 per 1000 live births and are associated with an average inpatient stay of 16 days. While previous studies have suggested that stringent weaning protocols decrease total opioid(More)
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