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EM@3AM: Open Fracture

A 22-year-old male is brought in by EMS to the ED after falling 20 feet. He landed primarily on his right leg, which is now obviously deformed with broken skin and exposed bone distally. He is in obvious pain with a grossly deformed right ankle. Pulses are normal and equal bilaterally. What’s the next step in your evaluation and treatment?

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An Understated Myth? Strep Throat & Rheumatic Fever

Sore throat (aka, pharyngitis) is the 3rd most common complaint for physician visits.  Although the overwhelming majority of these cases are viral in origin (rhinovirus ~20%), the major focus of our attention in the ED stems around the question of “strep (GAS) vs not strep” and who gets antibiotics…. does anyone need antibiotics? And what about rheumatic fever?

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