J Emerg Med
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Emergency medicine (EM) residency programs have significant scheduling flexibility. As a result, there is potentially significant variation in scheduling practices. Few studies have previously sought to describe this variation. It is unknown how this affects training time in the emergency department. ⋯ There are different scheduling modalities used to create resident schedules. This flexibility results in a large amount of diversity in scheduling practices, with certain patterns allowing for significantly more clinical time. This may result in a vastly different training experience for EM residents.
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Case Reports
Profound Symptomatic Bradycardia Requiring Transvenous Pacing After a Single Dose of Tizanidine.
We report a case of profound symptomatic bradycardia after a single dose of tizanidine. ⋯ Tizanidine should be used cautiously in elderly population and drug interactions screening should be performed.
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Acute bacterial skin and skin structure infections (ABSSSI), formally referred to as complicated skin and soft tissue infections, include infections with resistance to previously effective antimicrobials. Increasing dramatically in incidence, they have become a challenging medical problem associated with high direct and indirect costs to both the medical system and society. ⋯ A standard, consistent, and multidisciplinary approach to ABSSSI can streamline care, reduce admissions, support antimicrobial stewardship, and improve clinical and resource consumption outcomes.
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Observational Study
Characteristics of Emergency Department "Doctor Shoppers"
There is a need to accurately identify patients at risk for drug abuse before giving a prescription for a scheduled medication. ⋯ There are multiple clinical characteristics associated with DS in this patient population.