J Emerg Med
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Intentional insulin glargine overdose is rarely reported in the literature, but usually results in prolonged hypoglycemia requiring intensive care unit admission. ⋯ Prolonged hypoglycemia often occurs after large overdoses of insulin glargine due to a depot effect at the site of injection. Octreotide is a potential adjunctive treatment to dextrose in patients with a functioning pancreas.
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Ultrasound-guided invasive procedures, such as central venous catheter insertion, soft-tissue abscess drainage, and foreign-body removal are essential competencies for Emergency Physicians. Such competencies can be trained using ultrasound phantoms. ⋯ The elements required to construct homemade reusable ultrasound phantoms are inexpensive and can be easily obtained.
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Lumboperitoneal shunts are commonly placed as treatment for a variety of conditions, and complications can be significant. ⋯ Physicians should be aware of this potentially devastating complication of shunt placement so that prompt and appropriate treatment can be initiated.
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Effective communication is important for the delivery of quality care. The Emergency Department (ED) environment poses significant challenges to effective communication. ⋯ The patients in this study perceived that the ED teams were respectful and allowed them to talk without interruptions; however, lower ratings were given for items related to actively engaging the patient in decision-making and asking questions.