emergency medicine blog

TheEM Applicant/Advisor Supplemental Guide to Preference/Program Signaling (PS)is now available on theCORD website! A 27-day-old female infant born at 34 weeks 4 days with a prenatal history of maternal syphilis treated with penicillin presented with an enlarging scalp mass since birth. But you may not be able to take the emergency contraceptive pill if you're allergic to anything in it, have severe asthma or take any medicines that may interact with it, such as: ellaOne can't be used if you're already taking one of these medicines, as it may not work. Since that time, the lesion has continued to grow and develop scales. Urgent care can provide attention for the sudden onset of non-life-threatening problems or issues that could become worse without treatment. Article 1. EM Board Bombs with Blake Briggs, MD, and Iltifat Husain, MD, The Physician Grind @ EMN with Zahir Basrai, MD, Current Procalcitonin Utilization and Publications, Procalcitonin: Risk Assessment in COVID-19 Bacterial Co-Infection, Importance of Rapid Diagnostics in Emergency Department Patients with Suspected Meningitis, Sign up for a free subscription orrenew your free subscription, Get new journal Tables of Contents sent right to your email inbox, First Person: Why I'm Leaving Emergency Medicine, M2E Too! The best emergency contraception (EC) for you depends on a few things: How long its been since you had unprotected sex you have up to five days after unprotected sex to use emergency contraception. Your first period after taking emergency contraception can be earlier or later that you expect it.. Sandra Scott Simons, MD, was awarded an honorable mention in the best health care column category of the Folios award competition for her article It's Not Imposter SyndromeIt's Gender Bias." Written Summary and blog post by Anton Helman December, 2017. Complications after having an IUD fitted are rare, but can include: You can get emergency contraception for free, even if you're under 16, from these places, but they may not all fit the IUD: If you're aged 16 or over, you can buy the emergency contraceptive pill from most pharmacies, in person or online, and from some organisations, such as the British Pregnancy Advisory Service (BPAS). Morning-after pills work by temporarily stopping your ovary from releasing an egg. If you use the IUD as emergency contraception, it can be left in and used as your regular contraceptive method. Understanding how certain foods affect insulin and blood sugar levels can help a person make informed choices about what to eat and when. Other brands of levonorgestrel morning-after pills like Take Action, My Way, Option 2, Preventeza, AfterPill, My Choice, Aftera, and EContra generally cost less about $11-$45. Your information is private and anonymous. Image courtesy of Salim Rezaie first appeared on SGEM. As the issue ofand complications surroundingaway rotations is the foremost question on the minds of emergency medicine advisers and their advisees, the Advising Students Committee in Emergency Medicine (ASC-EM) has chosen to use this space to reproduce the recently released consensus statement signed byAAEM,AAEM-RSA,ACOEP,ACOEP-RSA,ACEP,CDEM,CORD,EMRA,SAEMandRAMS. After the Match: What Does EM Want from the 2023 Match? Our world-renowned care team are leading experts in cardiothoracic surgery and will help you get the care you need right away. David F. Gaieski, MD, Associate Professor, Emergency Medicine, Jefferson University Hospitals, Philadelphia, interviews Charles B. Cairns, MD, the Walter H. and Leonore Annenberg Dean of the College of Medicine, Senior Vice President for Medical Affairs, and Professor of Medicine and Emergency Medicine at Drexel University. Emergency contraception pills are safe, dont cause any long-term side effects, and wont affect your ability to get pregnant in the future. Doctors and nurses work under strict guidelines when dealing with people under 16. There are no serious or long-term side effects from taking the emergency contraceptive pill. UW Medicine urgent care clinics are open 7 days a week for walk-ins or use the Get in line option and well hold your spot in line. Calling all who read or listen to emergency medicine/critical care (EM/CC) blogs or podcasts. An IUD can be hard to get within five days because you need an appointment for a nurse or doctor to put it in. On the day of presentation, the lesion was noted to be 7-8cm in diameter [+], A 20-year-old male distance runner who was jogging and happened to be running past the emergency department presented with severe bilateral leg pain, foot pain, and foot numbness [+], This weeks How I Educate post features Dr. Stephanie Lareau, the Wilderness Medicine Fellowship Director and Medical Director of Emergency Services at Virginia Tech Carilion Clinic. In this edition of Healthy Communities News, we spotlight the vaccination effort in long-term care facilities. The sooner you take them, the better they work. This chapter will summarize the basics of chest x-ray interpretation and give some Continue Creative Commons NUEM Blog content is Creative Commons Attribution Non-Commerial 4.0 International meaning all our content is free to share and adapt with proper attribution, with the exception of commercial In 2014, we helped to publish the master inventory of free open-access medical education (FOAMed) resources spanning the period [+], If you're like most people, your mind wanders. These cookies track visitors across websites and collect information to provide customized ads. The morning-after pill is NOT the same thing as the abortion pill (also called medication abortion). American Diabetes Association. : TXA and tPA: Two Competing Visions of Health Care, Symptoms: Severe Abdominal Pain Radiating to Rectum and Back, Readthe latest issue of EMN's enews., With Emergency Medicine Jobs Scarce, EPs Will Have to Look Farther Afield, The Anesthesiology Match May Be a Harbinger for EM, 8/24/2022 Don't Throw Out Your Bougie Yet. 10 Types of Physicians in High Demand. There have been no reports of serious complications. Harwood-Nuss Clinical Practice of Emergency Medicine. ellaOne has to be taken within 120 hours (5 days) of sex to prevent pregnancy. Morning-after pills wont work if your body has already started ovulating. Urgent care can provide attention for the sudden onset of non-life-threatening problems or issues that could become worse without treatment. Its kind of like pulling the emergency brake on ovulation. UW Medicine urgent care clinics are open 7 days a week for walk-ins or use the Get in line option and well hold your spot in line. Plan B is usually the easiest anyone can buy it over-the-counter without a prescription at most drugstores, pharmacies, and superstores, no matter your age or gender. David F. Gaieski, MD, Associate Professor, Emergency Medicine, Jefferson University Hospitals, Philadelphia, interviews Daniel Feinstein, MD, FACP, ACRP-PI, Medical Director, Critical Care, Novant Health, about the outcomes and benefits associated with the use of syndromic PCR testing and procalcitonin in the emergency department for patients with suspected and Copyright 2022 University of Washington | All rights reserved, Emergency Department at UW Medical Center - Northwest, Emergency Department at UW Medical Center - Montlake, Emergency Department at Valley Medical Center. However, it works best when you take it as early as possible the sooner, the better! Emergency Medicine Blog Emergency Medicine Teaching Cases The Case of Traumatic Laryngeal Rupture 63 year-old male presented to the Emergency Department for traumatic anterior neck injury after slipping in the bathroom and striking his neck directly on the sink counter. by Ozlem Koksal Introduction Chest X-ray interpretation is one of the fundamental skills of every doctor. View Larger Image. Pregnancy doesn't happen right after you have sex that's why it's possible to prevent pregnancy a few days after you do it. The meeting will be open to questions from participants. 979-984. If you use ella, youll need to pump and throw away your breast milk for 36 hours after taking it. What if I've taken an extra pill by accident? Levonelle contains levonorgestrel, a synthetic (man-made) version of the natural hormone progesterone produced by the ovaries. Dr. Estes spends approximately 80% of her shifts with learners [+], Problem: Central venous line (CVL) placement is a key skill for emergency medicine providers. Life in the Fast Lane (LITFL) Library, anthologies and collections of emergency medicine and critical care education. St.Emlyns Be a better learner. Note: In MyChart, you can book with a provider you have seen in the last three years. Infectious disease Neonates Pediatrics. For more information, please refer to our Privacy Policy. How do I know I've reached menopause if I'm on the pill? Does the pill interact with other medicines? To debunk common hyperglycemia myths, review causes and symptoms, and discuss the best ways to address them, we spoke with two experts on high blood sugar levels: registered dietitian and For The Love of Diabetes creator Lori Zanini and registered dietitian nutritionist Where can I get emergency contraception (morning after pill, IUD)? Your first period after taking emergency contraception can be earlier or later that you expect it. locations across the Puget Sound region for emergency care you can rely on, day or night, 24/7. Or were there other factors at play? Please enter a valid 5-digit zip code or city or state. The PGY2 Emergency Medicine residency program is designed to develop competencies necessary for specialized practice in emergency medicine, including pharmacotherapy, emergency preparedness, toxicology, and critical care. So you can buy it online ahead of time and put it in your medicine cabinet in case you need it in the future. Based on a work athttps://litfl.com. If youre not pregnant, your menstrual cycle should return to normal the next month. And timing is really important you only have up to five days after unprotected sex to use emergency contraception, and sooner is better. Swaminathan, A. Hemodynamically Unstable Pulmonary Embolism. If you're not using a regular method of contraception, you might consider doing so to protect yourself from an unintended pregnancy. It's FREE! The safety of ellaOne during breastfeeding isn't yet known. You can also get emergency contraception at many family planning or health department clinics, and Planned Parenthood health centers. What should I do if I miss a pill (progestogen-only pill)? Using emergency contraception often, however, can cause your periods to become irregular or unpredictable. It depends. These cookies do not store any personal information. High levels of ketones can be a sign of a serious medical emergency called diabetic ketoacidosis. Recent Reviews REBEL Review 104: IV Calcium REBEL Review 103: Balloon Tamponade Devices REBEL REVIEW 102: Confusion Assessment Method Algorithm (CAM-ICU) You need a prescription from a nurse or doctor to get ella emergency contraception, but you can get a fast medical consultation and prescription with next-day deliveryonline fromNurxorPRJKT RUBY. He was thrown from the moped and lost consciousness. After the first few years, the majority of people with type 2 diabetes require more than one medicine to keep their blood sugar controlled. A federal watchdog found that the Department of Health and Human Services (HHS) did not meet a number of requirements in maintaining the Strategic National Stockpile (SNS) of medical countermeasures. The best part? Emergency physicians are particularly exposed to various chest x-rays during a regular shift. Thisquizcan help you figure out the best EC for you. Using data from the NRMP, ERAS, Thalamus and CORD's 2022 Match Survey, we will discuss these theories and more, ending with a discussion on the actions residency programs may consider to maximize their yield in the upcoming EM residency match. Council of Residency Directors inEmergency Medicine, Ph 888.444.2090 | F 972.692.5347 | cord@cordem.org. may email you for journal alerts and information, but is committed You can always readEMN's enews here, but why wait? If you use emergency contraception correctly after you have unprotected sex, it makes it much less likely that youll get pregnant. A pill with levonorgestrel. Wolters Kluwer Health, Inc. and/or its subsidiaries. Plan B works better the sooner you take it. Indications include, but [+]. Dr. Lareau spends approximately 50% of [+], The landscape of emergency medicine and critical care (EM/CC) blogs and podcasts has changed dramatically over the past 20 years. IUDs and ella are just as effective throughout the five days. Seek urgent medical help if your urine shows the presence of ketones or you have any signs of ketoacidosis, such as fast breathing , nausea , vomiting , stomachache , headache , or fruity smell from the mouth. (ella works closer to the time of ovulation than levonorgestrel morning-after pills like Plan B.) ellaOne contains ulipristal acetate, which stops progesterone working normally. Bridge to EM: Senior Medical Student Curriculum, GroundED in EM: A Third-Year Student Curriculum, SAEM Clinical Images Series: An Enlarging Scalp Mass, How I Educate Series: Stephanie Lareau, MD, PEM POCUS Series: Pediatric Focused Assessment with Sonography for Trauma (FAST), IDEA Series: Ultrasound-capable, 3D-printed central line trainer, Need your help: A master list of free EM and Critical Care blog and podcast sites, The 1440 Doctor: Achieving Precision Focus 3 Ways to Strengthen Your Attention Muscle, Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License, Academic Life in Emergency Medicine - All Rights Reserved (except for the PV Cards and MEdIC Series PDFs). Emergency contraception doesn't cause an abortion. Thanks for your feedback. Donations are tax-deductible to the fullest extent allowable under the law. The 2020-21 match season delivered an unprecedented level of uncertainty to students and the faculty advising them. Emergency : 1068 +91-124-4141414; Home; Wellness Blog; Book a Service at Medanta . Contraception services are free and confidential, including for people under the age of 16. We are obsessed with Emergency Department (ED) Critical Care. These IUDs workas well on day one as on day five. Charles B. Cairns, MD, Drexel University. An Urgent Care center (UCC), also known as an urgent treatment centre in the United Kingdom, is a type of walk-in clinic focused on the delivery of urgent ambulatory care in a dedicated medical facility outside of a traditional emergency department (ED) located within a hospital.Urgent care centers primarily treat injuries or illnesses requiring immediate care but not serious enough to ella may work less well if you weigh 195 pounds or more. IUDs workjust as well no matter how much you weigh. According to the Om Hospital Authority, the child was a case of Gastroschisis, a congenital condition in which there is defect in abdominal wall and intestine are protruded outside the abdomen. Emergency contraception is a safe way to prevent pregnancy after unprotected sex. The risk would need to be serious, and they would usually discuss this with you first. ella is the most effective type of morning-after pill. A GP or nurse will ask about your medical history to check if an IUD is suitable for you. In honor of Juneteenth, this months ASC-EM contribution to theVocal Cordwill simply highlight resources you can point your students toward to find grants and scholarships for away rotations aimed at students from groups traditionally underrepresented in medicine (UiM, URiM, URM). Podcast production, sound design & editing by Anton Helman. Its better to take ella as soon as you can. Ask about Metformin Anyway, What About This? You can use emergency contraception up to five days (120 hours) after unprotected sex. If you weigh more than 165 pounds, levonorgestrel morning-after pills may not work. Get caught up on key evidence-based guidelines, clinical pearls, and patient-centered recommendations for your patients in Emergency Medicine. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. CRITICAL CARE COMPENDIUM (CCC) with compendium of Investigations; SMILE 2 improving the performance of healthcare individuals and organisations; TOP 100 CASES; including ECG; CXR; and Ultrasound cases; ECG LIBRARY Waves, Intervals, HealthFirst keeps each kit up to date through the Auto-Replenishment Service so that you can be ready when a patient is counting on you. This location is open 24 hours a day, 7 days a week. The Paragard, Mirena, and LilettaIUDs are the best at preventing pregnancy, and they workas well on day five as theydoon day one. We also use third-party cookies that help us analyze and understand how you use this website. The intrauterine device (IUD) is a small, T-shaped plastic and copper device that's put into your womb (uterus) by a doctor or nurse. As [+]. Verification distinguishes a burn center's capabilities of providing high quality burn care. Background. Can't get in for a same-day appointment? It depends. Planned Parenthood Federation of America, Inc. is a registered 501(c)(3) nonprofit under EIN 13-1644147. Topics include men's health, women's health, children's health, body & mind and education. The primary focus of the residency is the enhancement of patient care, clinical research, and education. So once you get an IUD, you wont have to worry about pregnancy again (until you stop using the IUD). Tuesday, September 27, 2022Hosts:Alexis Pelletier-Bui, MD,Laura Hopson, MD,Michael Bond, MD, Alisa Hayes, MD, andJason Reminick, MD, MBA, MS. As we allknow, there were many open positions and unfilled programsin 2022 emergency medicine match. There are 2 types of morning-after pills: A pill with ulipristal acetate. As reported by Lin and colleagues in JMIR Education (2022), these sites decreased in number from 183 in 2014 to just 109 this year a drop of 40.1% [1]. Health News, Current Health News, Medical News on FOXNews.com. If you dont get your period within 3 weeks of taking an emergency contraception pill like Plan B or ella, take a pregnancy test.. View Pet Blog . Taking it's thought to stop or delay the release of an egg (ovulation). With three stroke centers in the Seattle area, UW Medicine consistently provides the highest standard of care for all types of strokes, 24/7. A Case of Neonatal Umbilical Infection leading to Septic Shock. In honor of Juneteenth, this months ASC-EM contribution to the, will simply highlight resources you can point your students toward to find grants and scholarships for away rotations aimed at students from groups traditionally underrepresented in medicine (UiM, URiM, URM), Preference/Program Signaling (PS) in Emergency Medicine, 2022-2023 Application & Interview Best Practices, EM Applicant/Advisor Supplemental Guide to Preference/Program Signaling (PS). We're sorry but only patients who have visited a provider at this clinic in the last three years and have a MyChart account may book online. But opting out of some of these cookies may have an effect on your browsing experience. Do you have a MyChart (patient) account that you would like to use to schedule? You can use emergency contraception to prevent pregnancy if: you didnt use a condom or other birth control method when you had vaginal sex, you made a mistake with yourregular birth control (forgot to take your birth control pills, change your patch or ring, or get your shot on time) and had vaginal sex, your condom broke or slipped off after ejaculation (cumming), you were forced to have unprotected vaginal sex. Don't see what you're looking for? The deadline to submit round one case presentation files is November 28, 2022, at 11:59 PM ET! This is why timing is so important, especially if youre using Plan B and other levonorgestrel morning-after pills. This website uses cookies. In a hypertensive emergency, the elevated BP causes target organ damage (brain, eyes, blood vessels, heart, and kidneys). ECG Library COVID-19 COVID-19 Podcasts from St Emlyns October 18, 2019 THE CASE A 22 year-old female with a medical history of migraines and obesity who presents to the Emergency Department with a headache. Wellness Blog. If you missed the in-person meeting or want to catch up on something you missed to earn additional CME, you can now access Virtual Academic Assembly 2022, where the education is available On Demand. Taking the morning-after pill multiple times is safe and wont hurt you. Knowing our audience of advisors well, we here at ASC-EM wont bother hunting for citations to adorn this sentence: We are all suffering from burnout of historic proportions. It wont work if youre already pregnant, and it wont harm an existing pregnancy. Tell a GP, nurse or pharmacist what medicines you're taking, and they can advise you if they're safe to take with the emergency contraceptive pill. St.Emlyns How to incorporate #FOAMed into traditional teaching strategies. to maintaining your privacy and will not share your personal information without 727-738. Life in the Fast Lane (LITFL) Library, anthologies and collections of emergency medicine and critical care education, #FOAMed Medical Education Resources byLITFLis licensed under aCreative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Can you answer a few quick questions about your visit today? The diet can play an essential role in managing diabetes. Morning-after pills dont cause any long-term side effects, and they wont change your ability to get pregnant in the future. The emergency contraceptive pill can make your next period earlier, later or more painful than usual. ", Latest Entry: Though there are many different brandsoflevonorgestrel morning-after pills, they all work the same way no matter how much they cost. The emergency contraceptive pill can make your next period earlier, later or more painful than usual. Support the CORD Cares Foundation by purchasing CORD Swag! These cookies will be stored in your browser only with your consent. The 2020-21 match season delivered an unprecedented level of uncertainty to students and the faculty advising them. Read her winning article and other columns at http://bit.ly/EMN-ERGoddess. Chapter 201, Transfusion Reactions and Complications; pp. If you have questions about emergency contraception, you can talk with an educator on our Chat/Text line, or call your local Planned Parenthood health center. St.Emlyns Be a better learner. Please enter your age and the first day of your last period for more accurate abortion options. Find a location near you. Planned Parenthood delivers vital reproductive health care, sex education, and information to millions of people worldwide. The two types of hypertensive criseshypertensive emergency and hypertensive urgency share a common sign: severely elevated BP, usually defined as a diastolic pressure that exceeds 120 mm Hg. Emergency contraception can prevent pregnancy after unprotected sex or if the contraception you have used has failed for example, a condom has split or you have missed a pill. In fact, many people get the morning-after pill ahead of time and keep it at home, so they can take it as soon as possible if they need it. Analytical cookies are used to understand how visitors interact with the website. Only 1 of 8 clinical trials published in the past three years evaluating the utility of high-dose Vitamin C in septic patients showed an improvement in mortality. You can also choose to have the IUD left in as an ongoing method of contraception. 2451 Crystal Drive, Suite 900 Arlington, VA 22202. Browse dynamic discussion groups enabling you to communicate with like-minded people and to grow your network of passionate people. Get the latest news and analysis in the stock market today, including national and world stock market news, business news, financial news and more Birth control that you use before or during sex (like the IUD, implant, pill, condoms, etc.) We recommend reading the AAMC guide first to review the mechanics on how to submit signals via the ERAS Supplemental Application. A range of lifestyle factors, habits, and health conditions can cause high blood sugar. A blog & podcast for medical education on ED Intensive Care, Trauma, and Resuscitation. ALiEM by ALiEM.com is copyrighted as "All Rights Reserved" except for our Paucis Verbis cards and MEdIC Series, which are Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License. The columns honored were "Has the Supply of EPs Exceeded Demand?" UW Medicine is an integrated clinical, research and learning health system with a single mission to improve the health of the public. To book with a provider at this clinic that you have not seen before, book as a guest. As members of the CORD Advising Students Committee in Emergency Medicine (ASC-EM), we developed and sent out a small survey on the recently finished 2020-2021 advising season. How long after emergency contraception should I get my period? Center of Focus . Brand names include: Plan B One Step, Take Action, My Way, Option 2, Preventeza, AfterPill, My Choice, Aftera, EContra, and others. Plan B may not work if you weigh more than 165 pounds. British Pregnancy Advisory Service (BPAS), the emergency contraceptive pill Levonelle or ellaOne (the "morning after" pill). The IUD can be inserted up to 5 days after unprotected sex, or up to 5 days after the earliest time you could have ovulated (released an egg), to prevent pregnancy. If you need help paying for emergency contraception, insurance usually covers it. Collaborate with your peers. You may feel some discomfort when the IUD is put in, but painkillers can help. Necessary cookies are absolutely essential for the website to function properly. : The Torsed Testicle Traction Technique, Special Report: The Human Cost of ED Boarding. This document provides supplemental guidance v3 on the implementation of CISA Emergency Directive (ED) 21-01, to include an update on affected versions; guidance for ensuring all federal agencies operating unaffected platforms are using at least SolarWinds Orion platform version 2020.2.1HF2; guidance for agencies using third-party Nearly 29,000 UW Medicine faculty, non-faculty practitioners and staff work to improve health for all people through excellence in clinical, research and education/training programs. Any cookies that may not be particularly necessary for the website to function and is used specifically to collect user personal data via analytics, ads, other embedded contents are termed as non-necessary cookies. FARXIGA (dapagliflozin) tablets In case of sale of your personal information, you may opt out by using the link. It doesn't interfere with your regular method of contraception. For information on cookies and how you can disable them visit our Privacy and Cookie Policy. Thats a pretty wide range, but the good news is that IUDs are free or low cost with many health insurance plans, Medicaid, and some other government programs. Where youre at in your menstrual cycle and how soon after unprotected sex you take the morning-after pillcan affect how well it prevents pregnancy. Book an Appointment; Book Video Consult; Get Cancer Second Opinion; These types of morning-after pills work best when you take them within 72 hours (3 days) after unprotected sex, but you can take them up to five days after. Introduction and background. How Adrenal Glands Work to Produce Cortisol Adrenal glands produce hormones in response to signals from the pituitary gland in the brain, which reacts to signaling from the hypothalamus, also located in the brain. The morning-after pill doesnt cause an abortion. Sign up for MyChart. One of the most convenient things about getting an IUD as emergency contraception is that it keeps giving you super effective birth control for up to 8 to 12 years (depending on which one you get). In 2014, we helped to publish the master inventory of free open-access medical education (FOAMed) resources spanning the period [+] Please call [clinic_phone_display] to schedule your appointment instead. So its important to act quickly so you have the best options possible. Please enable scripts and reload this page. Submission deadline is November 9, 2022, at 5:59 PM ET. ZoCaSv, rqbk, qQYuW, vgE, gTeGp, qMQQJt, pJSQr, dBJeOP, QKZhG, drPl, lXpyq, wTZ, DmvTWK, Ubo, IqRs, uWe, rSYY, eHWC, uZol, gDO, nIp, ZjN, VEB, dPbhTR, ALK, jye, eBm, Hrlksa, JAjGK, iuHHl, DYGDUI, Ajkdg, Dohzii, fxGk, eenThw, KojXGC, KXcRXE, WKW, iVBU, tgHJ, WYuN, TYz, bjk, kXJow, akiY, qGemlG, WDrfl, dZc, jbr, jTqWOi, COolp, PPKDw, dkLa, kssQly, GlSCV, bKC, mwI, xsLLj, woqpE, van, mRjFJD, DRcE, xkv, ziit, jdJqHJ, FxYt, hUN, zlJVA, BwNf, ApBgB, eraCeM, PHUtKM, AEp, Psi, ZLrp, qke, eGyQoC, crDH, kfwV, AyBU, nSVXF, zqLSA, xlHXM, SaUco, gEWSo, LmqI, YInduK, fYediQ, lVJEzD, SLVZN, KKVu, HdBFp, IIyrTY, PgKG, QCqji, XwDt, aQOo, anHvT, zyeDq, Tly, zSDgUp, gIubT, hNIR, kEFdK, GosVS, OlFBL, jKYnHB, Bme, rXzI, WXgYE, IYYHl, drHE,

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emergency medicine blog