AbstractWhat is the educational challenge?Medical schools invest significant resources into creation of multiple-choice items for assessments. This process costly and requires faculty training. Recently ChatGPT has been used in various areas to improve content efficiency, it otherwise answer USMLE-style assessment items.What are proposed solutions?We use create initial drafts potential benefits a wider global audience?The generate can decrease required, allowing more items, freeing-up time...

We present a case of failed prehospital treatment fentanyl induced apnea with intranasal (IN) naloxone. While IN administration naloxone is becoming more common in both lay and pre-hospital settings, older EMS protocols utilized intravenous (IV) administration. Longer-acting, higher potency opioids, such as fentanyl, may not be easily reversed heroin, studies evaluating this population are lacking. In order to contribute our understanding the strengths limitations naloxone, we where it...

Introduction: Cannabinoid hyperemesis syndrome (CHS) is a disorder of cyclic and recurrent nausea, vomiting, abdominal pain associated with high-frequency extended-duration marijuana use. Standard antiemetic therapy often ineffective; however, capsaicin, an agonist transient receptor potential vanilloid 1 (TRPV1), has shown promise in treating CHS.Methods: This retrospective cohort analysis evaluated the safety efficacy topical capsaicin for patients presenting CHS. The primary outcome was...

Niemann-Pick type C1 (NPC1) disease is an autosomal-recessive cholesterol-storage disorder characterized by liver dysfunction, hepatosplenomegaly, and progressive neurodegeneration. The NPC1 gene expressed in every tissue of the body, with expressing highest amounts mRNA protein. A number studies have now indicated that protein regulates transport cholesterol from late endosomes/lysosomes to other cellular compartments involved maintaining intracellular homeostasis. present study...

The health consequences of energy drink use in adolescents are unknown. We discuss an adverse event adolescent who presented to the emergency department with his first-ever seizure after consumption 5-Hour Energy. review typical presentation caffeine toxicity, as well importance screening for appropriate clinical findings. pay particular attention identification drink-related events and need subsequent reporting Food Drug Administration. To our knowledge, this is first reported case...

Emergency Departments (ED) are rapidly becoming an important location for initiation of buprenorphine (EDBUP) the treatment opioid use disorder (OUD). Previous investigations emergency medicine physicians' perceived barriers and attitudes toward EDBUP exclusively sampled from urban, academic-affiliated physicians. We administered a multistate survey to institutionally geographically diverse collection physicians better understand professional opinions implementation across variety practice...

Xylazine (also known as "tranq") is a potent nonopioid veterinary sedative that has recently experienced surge in use drug adulterant, most often combined with illicitly manufactured fentanyl. This combination may heighten the risk of fatal overdose. no antidote approved for humans, and age-adjusted overdose deaths involving xylazine were 35 times higher 2021 than 2018. In April 2023, Biden Administration declared xylazine-laced fentanyl an emerging threat United States. 2022, Drug...

Objectives: Advances in technology have brought with them innovations delivery of medical educational content; for example, audio and video podcasts, flipped classroom learning, e-books. These new modalities may be useful content asynchronously, as an adjunct to traditional lecture-based bedside clinical teaching. Here, we measured the differences knowledge acquisition between students using a video-based method asynchronous (a textbook chapter). We also student preferences regarding...

This study sought to determine if the ability label a flavor is associated with an improved recall having tasted in preschool-aged children. A total of 120 3- 6-year-old English-speaking children and labeled 20 different flavors, blinded color. Children's labels for flavors were scored consistency accuracy. Recall was tested. Both labeling rapidly between ages 3 6 years this cohort. Regression analysis indicated that independent child's age, consistent accurate positively ability. Higher...

The free open access medical education (#FOAMed, or FOAM) movement creates educational content intended to inform and clinical practice is distributed in an unrestricted fashion (e.g., website). who, what, particular the how of FOAM has raised important questions about sustainability movement.

"Pitfalls of Intranasal Narcan – Response to a Letter the Editor." Prehospital Emergency Care, 19(1), pp. 138–139

Wellness is increasingly recognized as an important component of graduate medical education. However, there are limited data regarding how wellness initiatives enacted in practice. This study aimed to survey emergency medicine (EM) residency programs identify current, previous, and planned well barriers implementation resources utilized.

<p>Introduction</p> <p>The free open access medical education (#FOAMed, or FOAM) movement creates educational content intended to inform and clinical practice is distributed in an unrestricted fashion (e.g., website). The who, what, particular the how of FOAM has raised important questions about sustainability movement.</p> <p>Methods</p> <p>We recruited a diverse research team that included researchers, contributors, business academician, trainees...

<p>Introduction</p> <p>The free open access medical education (#FOAMed, or FOAM) movement creates educational content intended to inform and clinical practice is distributed in an unrestricted fashion (e.g., website). The who, what, particular the how of FOAM has raised important questions about sustainability movement.</p> <p>Methods</p> <p>We recruited a diverse research team that included researchers, contributors, business academician, trainees...

What is the educational challenge? Health professions education continually limited by financial resources with increasing demands for accountability. Judicious resource allocation across competing rests on frameworks analyzing and comparing costs outcomes.