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Brorphine, Isotonitazene and Metonitazene Emerge as New Age Opioids, Alexandra Amaducci, Kim Aldy, Sharan Campleman, Alison Meyn, Stephanie Abston, Alex Krotulski, Barry Logan, Paul Wax, Jeffrey Brent, and Alex Manini

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Clonazolam and Fentanyl: What’s in Your Local Drug Supply?, Alexandra Amaducci DO; Kim Aldy DO, MS, MBA; Alison Meyn MPH; Sharan L Campleman PhD, MPH, DABT; Shao Li MPH; Alex Krotulski PhD; Barry Logan PhD; Adrienne Hughes MD; Anthony F. Pizon MD; Joshua Shulman MD; Evan Schwartz MD, FACEP, FACMT, FASAM; Paul M Wax MD, FACMT; Jeffery Brent MD, PhD; and Alex F. Manini MD

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Antifreeze Ingestion Causing Methemoglobinemia: A Case Report, Alexandra Amaducci DO, Derek J. Fikse DO, Kenneth D. Katz MD, and Timothy Kolosionek MS-IV

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Antifreeze Ingestion Causing Methemoglobinemia: A Case Report, Alexandra Amaducci, Derek J. Fikse DO, Kenneth D. Katz MD, and Timothy Kolosionek DO

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Exotic Envenomation by an African Bush Viper: A Case Report, Alexandra Amaducci, Derek J. Fikse DO, Andrew L. Koons, Benjamin Abo, and Kenneth D. Katz MD

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Toxicological Exposures in COVID-19 Patients, Alexandra M. Amaducci DO; Kim Aldy DO; Sharan L Campleman Phd, MPH, DABT; Shao Li MPH; Alison Meyn MPH; Stephanie Abston RN, BSN; Meghan B Spyres MD; Paul M Wax MD, FACMT; and Jeffery Brent MD, PhD

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Obsolete or Essential? Gastrointestinal Decontamination in Severe Bupropion Ingestions: A Case Series, Alexandra Amaducci DO, Andrew F. Miller DO, Derek J. Fikse DO, and Gillian A. Beauchamp MD

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Influence of Pennsylvania Liquor Store Closures During the COVID-19 Pandemic on Features of Alcohol Withdrawal Syndrome Consultations, Alexandra Amaducci DO, Ali Yazdanyar DO, Derek J. Fikse DO, Jasdip Kaur BS, Andrew L. Koons DO, Gillian A. Beauchamp MD, Robert D. Cannon DO, Ryan M Surmaitis DO, Matthew D. Cook DO, and Kenneth D. Katz MD

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Is there a difference between burn patients treated with topical mafenide acetate before and during COVID-19?, Morgan Anderson and Sigrid A. Blome-Eberwein MD

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Outcome of Surgical Ultrasonic Aspirator Use for Patients with Severe Mitral Annular Calcification for Mitral Valve Replacement, Zachary Appel and James K. Wu MD

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Take the Lead in 12 Lead, Jasmine Aquino ADN, RN; Bryanyelis Jimenez ADN, RN; and Megan DeHaven ADN, RN

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Effects of Physician-Directed Smoking Cessation Intervention in the Emergency Department, Faiza Arif BA; Marna R. Greenberg DO, MPH, FACEP; Natalie M. Greco MD; Timothy Batchelor MD; Andrew H F Miller DO; Theodore Doherty DO; Ali S. Aziz BS; Stephanie Z. Yee BS; Lauren Crowley BA; Edward Casey; and Robert Kruklitis MD

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Risk Factors of Unplanned Extubations, Annalise Armstrong BSN, RN; Charles Cornmesser RN; Brian Fox BSN, RN; Tessa Hyatt BSN, RN; Sarah Person RN; and Hope Sabin BSN, RN

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A Standardized Orientation for Newly-Licensed Nurses and Preceptors in the Emergency Department, Judith Baker BSN, RN; Michelle Greis BSN, RN, CEN; and Reza Armaghan MSN, RN, CEN, PHRN

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Pain management and breast milk, Laura Baker BSN, RN; Abigail Donnelley BSN, RN; Desiree Kannapel AND, RN; Morgan Mondschein BSN, RN; and Sadie Schlichting BSN, RN

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A Pilot Study Comparing Over and Under Triage Systems at a Center Pursuing Trauma Accreditation, Caitlyn N. Balsay BS, MR; Bree A. Harrison BSN, RN, TCRN; Joseph J. Stirparo MD; Michael T. Crowley MD; Nicholas P. Johnson DO; Bryan G. Kane MD; and Kathleen E. Kane MD

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A Pilot Study Comparing Over and Under Triage Systems at a Center Pursuing Trauma Accreditation, Caitlyn N. Balsay BS, MR; Bree A. Harrison BSN, RN, TCRN; Joseph J. Stirparo MD; Michael T. Crowley MD; Nicholas P. Johnson DO; Bryan G. Kane MD; and Kathleen E. Kane MD

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Assessing Reporting Standards in the Emergency Department, Joel Bartoni BSN, RN; Stacy Lee BSN, RN; Framberly Matos-Lantigua BSN, RN; and Alexandrea Miletto RN

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Central Line Assessment and Care, Gavin Bauer BSN, RN; Stephanie Orta RN; Carissa Rohrbach BSN, RN; Stacey Sakelarides ADN, RN; and Tommy Sao ADN, RN

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Agents of Exposure in Transgender Patient Cases Managed by a Toxicologist: An Analysis of the Toxicology Investigator’s Consortium (ToxIC) Registry, Gillian A. Beauchamp MD; Olivia A. Hardy; Alexandra M. Amaducci; Judith N. Sabino; Beth Careyva; Matthew D. Cook DO; Kenneth D. Katz MD; Marna Greenberg DO, MPH; Ryan M Surmaitis DO; Andrew Koons; and Joseph B. Zackary MD

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Feasibility of Implementing a Street Medicine Program to Deliver Naloxone Kits and Associated Education, Gillian A. Beauchamp MD; Lexis Laubach BS; Hoonani M. Cuadrado MSPAS, PA-C; Seth A. Campbell PA-C; Lauren Grantz PharmD, CSP; Paige Roth LSW; Jennifer E. Macfarlan MPH; Chase Jones DO; Aaron Fedor DO; and Marna R. Greenberg DO, MPH, FACEP

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PPE...Do We Need it?, Camryn Beers BSN, RN; Kathryn Kiskeravage RN; and Tyler Johnson BSN, RN

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Decreasing Adverse Events of Contrast Dye Administration in Patients with Decreased Kidney Function, Alexsey Bennington BSN, RN; Kristina Bertsch BSN, RN; Emelyn Cruz BSN, RN; Jack Kinst BSN, RN; and Michael Manion RN

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IV Tubing Labels, Ashley Benson BSN, RN; Emily Schweitzer RN; and Sharon Yutz BSN, RN

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Incorporating Fetal Pillow for Cesarean Deliveries, Reid Billing BSN, RN; Payton Boler BSN, RN; Sara Fetzer BSN, RN; Emily Ohrwaschel BSN, RN; and Hannah Woytowicz ADN, RN

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EASY Insulin Drip Calculator, Taylor Bires RN; Alicia Fitzgerald ADN, RN; and Samantha Mallozzi BSN, RN

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Establishing an Interprofessional Care Pathway Across the Continuum for Patients Following Implantation of Left Ventricular Assist Device, Katy Blessing DPT, Katelin Gorski, Nicholas Hoster, Joseph Paluck, Julie Patterson, Hannah Simko, Stephen Walker, and Elizabeth A. Wetzler

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Rehabilitation Course of a Patient with COVID 19 Admitted to the Acute Care Hospital, Katy Blessing PT, DPT DPT; Michael Pechulis DPT; and Julie M. Skrzat PT DPT PhD CCS

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Utilizing the AM-PAC to Determine Physical and Occupational Therapy Frequency of Care for Patients Admitted With Acute CVA, Lauren Blieler OTR; Caitlin Costanzo PT, DPT; Zachariah Garcia PT, DPT; Mollie Johnston PT, DPT; Nicole Moyer OTR; Tiffany Sherman OTR; Tory Thieroff OTR; and Milagros Uviles-Montalvo MSPTL

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Implementing I-PASS in PEDS, Alexis Bordeaux BSN, RN and Gina Hood BSN, RN

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Improving Staff Confidence in the Accuracy of Their I&O Documentation, Anita Brosnihan BSN, RN; Megan Free BSN, RN; and Olivia Fink BSN, RN

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The Impact of On-Shift Evidence-Based Medicine Activity on Patient Care, Jeffrey B. Brown; Jacob Albers; Ajay Varadhan; Estelle Cervantes BA; Kashyap Kaul DO; Shreyas Kudrimoti BA; Phillip Sgobba BS, MBS; William Spinosi DO; Joseph B. Zackary MD; and Bryan G. Kane MD

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To Extubate or Not to Extubate, Chelsea Budde BSN, RN; Olivia Schantz BSN, RN; Jesse Schwartz RN; Sarah Heidler BSN, RN; and Mia Baez RN

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Compassion fatigue in nursing, Alexis Burd BSN, RN; Kate Hummel RN; and Britt Sady RN

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Supplements with Medications, Chase Burlingame BSN, RN; Samantha Peterson BSN, RN; and Dante Vagnoni BSN, RN

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Skin care bundle, Gina Carsia RN; Brianna Hischak BSN, RN; Kristina Drozda RN; and Mackenzie Jones BSN, RN

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Measuring nurse perceptions of family presence during cardiopulmonary resuscitation, Kassidy Cassidy ADN, RN; Emily Bender ADN, RN; and Ziad Traboulsi RN

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An Analysis of Resident Generated On-Shift Evidence-Based Medicine Questions, Estelle Cervantes BA; Phillip Sgobba BS, MBS; Shreyas Kudrimoti BA; Jacob Albers; Jeffrey B. Brown; Kashyap Kaul DO; William Spinosi DO; Ajay Varadhan; Joseph B. Zackary MD; and Bryan G. Kane MD

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Impact of Fellow/Resident Involvement during Colonoscopy in a High-Volume Colorectal Surgical Practice, Zachary Chomitzky and William Sangster

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Effects of Medication Therapy Management on Health Care Utilization in Medicare and Commercial Patients with Neurological Conditions at LVHN, Irene Chu MPH, MD; Mark Wendling MD; and Nina M. Taggart MD

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Initiation of Medication-Assisted Treatment at a Resident Clinic Site Transitioning to a Federally Qualified Health Center, Yoonjie Chung MD; Marlene Gonzalez MD; Angela Colistra LPC, PhD, MS; and Drew Keister MD

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Evaluating Efficacy of PIOMI Implementation and Use, Abigail Conage BSN, RN; Emily Seier BSN, RN; Lexis Rettino BSN, RN; Shelby Dieter BSN, RN; and Theresa Urschel BSN, RN

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Assessing Knowledge in the Classroom Setting: It's More than Just a Test, Jessica A. Conlin and Rachel Bareltta-Scarcella

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Interdisciplinary Communication and Collaboration, Jaiden Coyne BSN, RN; Alexa D'Andrea BSN, RN; Jocelyn Foley BSN, RN; Brittney Ritchey BSN, RN; and Rebecca Roberts BSN, RN

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The Impact of COVID-19 on Pregnancy and Neonatal Outcomes, Jessica Davis; Joanne Quiñones MD, MSCE; and Michael Young

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Relationship Between Rheumatoid Arthritis Patients’ Health Outcomes and Patient Satisfaction Scores: a Retrospective Cohort Study, Patrick Davis BS; Rahul Mhaskar MPH, PhD; Amy Slenker MD; Leilani Sounders; and Marie S. O'Brien DO

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Ischemic Lumbosacral Plexopathy Following Endoleak Repair of the Right Iliac Artery, Patrick Davis, Artish Patel, and Beth Stepanczuk MD

Nurse-Driven Skin Bundle to Reduce Hospital-Acquired Pressure Injuries (HAPIs), Geangina Day MSN, RN, CWON; Shantal Seerattan BSN, RN; Veronique Milfort BSN, RN; Tamara Miller BSN, RN, PCCN; and Janet Nelson-Ford BSN, RN

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Nurse-Patient Communication in the Hospitalized Pediatric Population, Jessica Deem RN and Kayleen Cassar RN

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Language Access Care in all Communities, Nicholas DeFulvio and Joumana De Santiago

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The Unfortunate Seeding of Testicular Choriocarcinoima Following the Fontan Procedure, Martin DelaTorre DO, Arjan Ahluwalia MD, Kaitlyn Musco MD, Alina Zhu, and Joseph Schellenberg MD

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A Capnography and Transcutaneous CO2Profile of Bariatric Patients during early Postoperative Period after Opioid-Sparing Anesthesia, Jin Deng, Maha Balouch, Ashley Mooney, Christopher Ducoin, and Enrico M. Camporesi

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Does providing surgeons with data about prescribed vs actual patient opioid use for postoperative pain control affect their prescribing patterns?, Pavit Deol; Joshua Rosentel BSN, RN; Matthew McCambridge MD; and Gillian A. Beauchamp MD

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identification and Re-Education of High Risk IV Bolus Medications, Caroline Detzi ADN, RN and Raymond Wolfe ADN, RN

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Respiratory Care Bundle, Lauren Devlin BSN, RN and Abigail Roberts ADN, RN

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Delayed First Bath, Yesenia Diaz ADN, RN; Olivia Jimenez BSN, RN; and Jasmine Mailler BSN, RN

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“Not So ‘SWEET’” – Case of Sweet Syndrome in Patient With MDS With Excessive Blasts, Janet Digber-Williams MD, Neysa Perez Crespo MD, Taylor Jarvill MS, Leia DeRosato DO, Kirsten S. Bellucci MD, and Daniel Zinn MD

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Utilizing a Patient’s Health Portal to Deliver Education in Cardiac Rehabilitation, Bari L. Diubaldo M.Ed, CCRP and Tara Encarnacion MS, ACSM-CEP

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Quantifying alcohol use among Ecuadorian HIV positive individuals and assessing alcohol as an independent risk factor for HIV, Jeffrey Downen; Brianna Swendener; Adriana Bodlak; Diego Anazco; Bryan Nicolalde MD; Rahul Mhaskar; Nelson Cevallos MD; Alberto Castillo MD; David Larreategui MD; Edmundo Torres MD; Ricardo Izurieta MD, DrPH; and Enrique Teran MD, PhD

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Let's Talk About it! Emotional Debriefing in the ICU, Anum Durrani BSN, RN and Kristen Kresge BSN, RN

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Emergency Medicine Resident Identification of Medication Safety Issues, Natalie E. Ebeling-Koning DO; Charles A. Soares MD; Gillian A. Beauchamp MD; Gavin C. Barr Jr. MD; Terrence E. Goyke DO; Shawn M. Quinn DO; Kevin Weaver D.O.,FACOEP; Dawn M. Yenser C-TAGME; and Bryan G. Kane MD

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Identifying and Navigating Oncology Patients Admitted Within 15 Days of Chemotherapy for Treatment-Related Toxicities, Mary Ebinger RN, BSN, OCN; Raizalie Gutierrez RN, BSN, OCN; Tracy L. Walczer RN, BSN, OCN; Laura Beaupre BSN, OCN, CBPN-IC; Kathy Sevedge RN, MA, AOCN; Alicia Afif RN, MSN; Freda Barnes; Martiza Y. Chicas RN, PCCN; Angela Miller RN; Alyssa Pauls RN, BSN, OCN; Cynthia Smith RN; and Jeanne Kenna RN, OCN

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Teaching Wilderness Medicine Virtually During COVID-19, Nicole Elliott DO; Derek J. Fikse DO; Eric Schneider DO; Kevin R. Roth DO, FACOEP; Bryan G. Kane MD; Hillary Irons MD; and Michael C. Nguyen MD

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Sulfasalazine-Induced Neutropenic Enterocolitis, Rajesh Essrani MD and Anastasia Shnitser MD

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Outcomes of Acute Renal Failure in Clostridium difficile Infection Patients: Nationwide Inpatient Sample, Rajesh Essrani MD and Matthew Sullivan DO

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Does Obesity Affect Outcomes in Acute Pancreatitis?, Rajesh Essrani MD, Muhammad Usman Zafar, and Hiral N. Shah MD

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Effect of Clostridium difficile Infection on Hospita, Rajesh Essrani MD, Muhammad Usman Zafar, and Hiral N. Shah MD

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Cannabinoid Use Is Associated With Better Hospital Outcome in Patients With Cirrhosis: A Study Based on Nationwide Inpatient Sample, Rajesh Essrani MD, Muhammad Usman Zafar, Zahid Tarar, Umer Farooq, and Jiten Kothadia

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Impact of Atrial Fibrillation on Inpatient Outcomes of Patients With Liver Cirrhosis: 2017-2018 National Inpatient Sample Database, Rajesh Essrani MD, Muhammad Usman Zafar, Zahid I. Tarar, Umer Farooq, Shiri Jai Kirshan K. Ravi, Priyanika Ravi, and Matthew Lincoln

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EVALI During the COVID-19 Pandemic: A Needle in the Ground Glass, Derek J. Fikse DO, Alexandra Amaducci DO, Kenneth D. Katz MD, and Matthew Nimmo DO

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Duloxetine Poisoning: A Unique Case of Cardiotoxicity, Derek J. Fikse DO, Alexandra Amaducci DO, Margaret A. Vido DO, Robert D. Cannon DO, and Kenneth D. Katz MD

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Sniffing Skeletal Fluorosis: A Rare Manifestation of Difluoroethane Inhalant Abuse, Derek J. Fikse DO, Andrew H F Miller DO, Danny Le, and Ryan M Surmaitis DO

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EVALI During the COVID-19 Pandemic: A Needle in the Ground Glass, Derek J. Fikse DO, Matthew Nimmo DO, Alexandra Amaducci DO, and Kenneth D. Katz MD

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You Dropped the Bomb on Me – A Case Series of Carbon Tetrachloride Toxicity, Derek J. Fikse DO, Amanda R. Stashin, Scott Wheatley MD, Kenneth D. Katz MD, and Andrew L. Koons

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Stones, Moans, Groans and Silicone: Severe Hypercalcemia Following Liquid Silicone Gluteal Augmentation, Derek J. Fikse DO, Eric Torkildsen MD, Alexandra Amaducci DO, and Ryan M Surmaitis DO

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Alarm Fatigue, Taylor Fogel ADN, RN; Bree Hoffman ADN, RN; and Caroline Zaharick ADN, RN

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People Living with HIV (PLWH) and COVID-19. The LVHN Experience, Jacob Frank and Marcelo Gareca MD

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Medication Use Evaluation of Ceftriaxone Dosing in Pediatric Patients, Sara Frey PharmD and Kristin M. Held Wheatley PharmD, BCOP

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Pressure Injury Reduction in ICUs, Abby Fritzinger RN, Nathan Jarick RN/RRT, and Caitlin McMahon RN

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Uninterrupted Breaks with "Break Buddies", Katelyn Fryzol BSN, RN and Jaimie Rosentel RN

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Lithium Toxicity: A Case Report of Toxicity Resulting in a Third-Degree Heart Block, Samantha L. Gaetani MD, Alexandra Amaducci, Derek J. Fikse DO, and Andrew L. Koons

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Relationship Between Sexual Activity, Contraceptive Utilization and Biopsychosocial Characteristics Among Homeless Adolescents, Brittany Gaudet BS, MSPH; Nina Liu BS; Jeffrey Downen BS, MS; Taylor Jarvill BA; Cecilia E. Zemanek BS; Michele N. Karn BS; Hoonani M. Cuadrado MSPAS, PA-C; and Joanne Quiñones MD, MSCE

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Formal Debriefings After Traumatic Events, Sarah Gibson RN, BSN; Hailey Muniz RN, BSN; and Kathryn Lehman RN, BSN

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Evaluating the Correlation of Academic Pursuits and Relative Value Unit Reimbursement in Trauma Surgery, Erin Gilbert and Joseph J. Stirparo MD

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Double Trouble, Elisa Giusto DO

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Mechanical Circulatory Support using Impella Devices for Cardiogenic Shock, Gabriella Gormas and James K. Wu MD

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A Case of Hurthle Cell Carcinoma Presenting With Malignant Pleural Effusion, Saloni Goyal DO, Cleo Z. Reyes MD, Dimitry Petrenko DO, and Joseph Schellenberg MD

Precursor B- Cell Lymphoblastic Lymphoma, Saloni Goyal DO, Chun Siu DO, Robert V. Decker MD, Mini G. Abraham MD, Rayna Abraham, and Savitri Skandan MD

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A Case of Pulmonary Amyloidosis with Progressive Systemic Involvement, Saloni Goyal DO, Chun Siu, Yasmeen Khaskia, and Joseph Schellenberg MD

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Sex Specific Analysis of Management and Disposition of Patients with Venous Thromboembolism During the Covid Pandemic, Marna Greenberg, Catherine V. Levitt, Matthew McCambridge, Beatrice Oertner, Michael Young, Andrew C. Miller, Timlin Glaser MD, Amanda R. Stashin, Kira Galeano, and Margaret A. Vido

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Physician Directed Smoking Cessation in the ED: Do Patients Opt-Out?, Marna R. Greenberg DO, MPH, FACEP; Ali S. Aziz BS; Natalie M. Greco MD; Timothy Batchelor MD; Andrew H F Miller DO; Theodore Doherty DO; Robert Kruklitis MD; Lauren Crowley BA; Edward W. Casey RPh, MBA; Elizabeth MacLean PharmD; and JoAnn B. Trainer PharmD

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Modified Early Warning Score (MEWS) – Enhanced Emergency Department Flow Process, Megan R. Greenberg BS; Shadi Jarjous MD; Zhe Chen MD; Anthony Buonanno MD, MBA; David B. Burmeister DO, FACEP, CPE; Shuisen Li DO; and Ali Yazdanyar DO, PhD, MMM

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Development of a Unique Screening Tool for Acute Care Occupational Therapy Services in Patients Following Total Joint Replacement Surgery, Stephanie Hack PT, DPT and Stacy Wentz MS, OTR/L

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Development of a Unique Screening Tool for Acute Care Occupational Therapy Services in Patients Following Total Joint Replacement Surgery, Stephanie Hack PT, DPT and Stacy Wentz MS, OTR/L

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GME Action Learning: GMEC Re-Design, Margaret A. Hadinger EdD, MS

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Peripheral IV/IV Tubing, kelly Hallowell RN; Kathryn Mercurio BSN, RN; Stephanie Monk RN; Cassie Detweiler BSN, RN; and Sulia Szerencscits RN

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Bridging the gaps: Individual and community level risk factors for non-lethal firearm injuries in the U.S., Alexander Hanisak and Mark Cipolle MD

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Measuring Nursing Workload, Collen Hanvey BSN, RN; Joseph Pipolo BSN, RN; Nina Bermillo BSN, RN; and Victoria DeLeon RN

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Agents of exposure in transgender patient cases managed by a toxicologist: An analysis of the toxicology investigators consortium (ToxIC) registry, Olivia A. Hardy, Alexandra Amaducci, Judith Sabino, Beth Careyva, Matthew D. Cook DO, Kenneth Katz, Marna Greenberg, Ryan Surmaitis DO, Andrew Koons, Joseph B. Zackary MD, and Gillian A. Beauchamp MD

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Do Virtual Visits Have an Effect on Outpatient Antibiotic Prescribing for URIs?, Sydney Harris, Eric Young, Jarrod W. Kile RPhD, and Kathryn Zaffiri MPH