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Book Chapters

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31-Year-Old Female with Diffuse Itchy Skin and Nail Changes, Abbey Cusick, Amandeep Goyal, Austin S Cusick DO, and Shannon Trotter

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65-Year-Old Male with Itchy, Dry Skin, Abbey Cusick, Amandeep Goyal, Austin S Cusick DO, and Shannon Trotter

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Deep Brain Stimulation Surgical Technique, Gregory Davis MD and Julia G. Pilitsis

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Chemodenervation of Trigeminal Nerve, Akshat Gargya and Rany T Abdallah MD

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59-Year-Old Female with Diffuse Itchy Skin on Dialysis, Michael Goldenberg, Ashwin Kumar, Lakmal Ekanayake, Austin S Cusick DO, and Shannon Trotter

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52-Year-Old Female with Itchy Skin After Showering and Red Palms, Michael Goldenberg, Ashwin Kumar, Daniel Manzanillo, Austin S Cusick DO, and Shannon Trotter

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Medial Sural Vessels, Geoffrey G. Hallock MD and Raffi Gurunian

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20-Year-Old Female with Diffuse Itchy, Scaly Skin, Erica Haught, Austin S Cusick DO, and Shannon Trotter

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56-Year-Old Female with Itchy, Dry Skin and Hair Loss, Erica Haught, Ian McArdle, Austin S Cusick DO, and Shannon Trotter

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56-Year-Old Male with Itchy Bilateral Forearms, Daniel A. Hyman, Austin S Cusick DO, and Shannon Trotter

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63-Year-Old Female with a Persistent Itchy Patch on the Shoulder Blade, Daniel A. Hyman, Austin S Cusick DO, and Shannon Trotter

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22-Year-Old Male with Firm, Itchy Papules, and Hair Loss on the Occipital Scalp, Ryan Jay, Austin S Cusick DO, Suchita Sampath, and Shannon Trotter

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40 - Motor Neuron Diseases, Shawn Jorgensen, Melissa Lau MD, and W David Arnold

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21 “Everything Hurts and I'm Weak, Doc”, Chadd K. Kraus DO

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25 You're Staying, Whether You, Chadd K. Kraus DO

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26. Sick from Waiting, Chadd K. Kraus DO

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2 We Need Labs and an EKG, Chadd K. Kraus DO

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73-Year-Old Male with Diffuse, Itchy Skin, A Kumar, D Manzanillo, Austin S Cusick DO, and Shannon Trotter

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72-Year-Old Male with Diffuse Itching, Ashwin Kumar, Lakmal Ekanayake, Austin S Cusick DO, and Shannon Trotter

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47-Year-Old Female with Diffuse Itching Not Alleviated with Scratching, Michael Lawless, Harsh Patel, Austin S Cusick DO, and Shannon Trotter

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Encephalopathy, Steven L. Lewis MD

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55-Year-Old Female with Itchy, Erythematous, Scaly Plaques on the Trunk, Mara Leyendecker, Pankaj Bansal, Austin S Cusick DO, and Shannon Trotter

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Chapter 33 Medication Adherence, Maureen Linganna MD and Josh Levitsky

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Robotic Surgery and Physician Wellness in Gynecologic Oncology, Martin A. Martino MD, Andrea Johnson, Joseph E. Patruno MD, and Pablo F. Escobar

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38-Year-Old Female with Intensely Itchy, Erythematous Scalp and Muscle Weakness, Ian McArdle, Pankaj Bansal, Austin S Cusick DO, and Shannon Trotter

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40-Year-Old Male with Anal Itching, Ian McArdle, Kassandra Riggs, Austin S Cusick DO, and Shannon Trotter

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33-Year-Old Male with Itchy, Erythematous Papules on His Trunk, Amy Mehlman, Austin S Cusick DO, and Shannon Trotter

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72-Year-Old Male with Itchy, Erythematous Papules on His Trunk, Amy Mehlman, Austin S Cusick DO, and Shannon Trotter

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Endocrine Conditions in Neurofibromatosis 1, S Mehta and Resmy Palliyil Gopi MD

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Descending Branch of the Lateral Circumflex Femoral Vessels, Nathan F. Miller MD, Geoffrey G. Hallock MD, and Yee-Cheng Low MD

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Nocturnal Seizures, Sameh Morkous MD, FAAN

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Intraarticular injections ultrasound guided and fluoroscopic guided approaches, Luay Mrad, Akshat Gargya, and Rany T Abdallah MD

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40-Year-Old Female with Itchy, Erythematous Papules and Nodules on the Trunk and Extremities, Rosemary Oaks, Austin S Cusick DO, and Shannon Trotter

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68-Year-Old Male with Intense Itching Followed by Blisters on the Breast, Rosemary Oaks, Austin S Cusick DO, and Shannon Trotter

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49-Year-Old Male with Itchy Skin and Abnormal Liver Function Tests After Antibiotic Use, Harsh Patel, Ziyue Wang, Austin S Cusick DO, and Shannon Trotter

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Anesthesia for Open Abdominal Aortic Aneurysm Repair, Karuna Puttur rajkumar, Chinyere Archie, and Ksenia D Guvakova MD

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80-Year-Old Female with Itchy Hives and Bullae on the Trunk and Extremities, Kassandra Riggs, Austin S Cusick DO, and Shannon Trotter

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55-Year-Old Post-Menopausal Female with Genital Itching and Pain During Intercourse, Kassandra Riggs, Erica Haught, Austin S Cusick DO, and Shannon Trotter

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Epidemiology of Adolescent Gun Violence: The Parallel Tragedies of Rural Suicide and Urban Homicide, Kristen E Ronca MD

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Ackee Fruit Toxicity, Ryan Surmaitis DO and Richard Hamilton

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Flexor Tendon Repair of the Finger, Jin Bo Tang, Shu Guo Xing, Jason Wong, Amanda Higgins, Lisa Flewelling, Egemen Ayhan, Thomas Apard, Geoffrey Cook, Paul A. Sibley MD, Asif Ilyas, Xavier Gueffier, Duncan McGrouther, Ian Maxwell, Amir Adham Ahmad, and Donald H. Lalonde

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64-Year-Old Male with Diffuse Itching After Starting Amlodipine, Ziyue Wang, Michael Lawless, Austin S Cusick DO, and Shannon Trotter

Letters to the Editor

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Exuberant Lymphomatoid Papulosis of the Head and Upper Trunk, Stephen Hemperly DO, Nektarios I. Lountzis MD, and Stephen M. Purcell DO

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Ponatinib-Associated Cardiac Tamponade, Jacob E. Lee, Ghulam Ghous, Zahid Ijaz Tarar, Muhammad Usman Zafar, and Hafiz Muhammad Hassan Shoukat

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Gender analysis of publishing among medical students in dermatology, Michelle Militello, Mindy D. Szeto, Kayd J. Pulsipher, Abigail L. Meckley, Kristen H. Ward, Taylor Harp, Colby L. Presley, Cara Barber, Hope R. Rietcheck, Taylor M. Runion, Chandler W. Rundle, and Robert P. Dellavalle

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Eating Disorder in Teens During the COVID-19 Pandemic, Michael Schwartz MD and Kelly L. Costello MD

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Safety and efficacy of oral anticoagulants in atrial fibrillation and bioprosthetic heart valves, Srikanth Yandrapalli, Rahul Gupta MD, and Aaqib H. Malik

Podcasts

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ACMT Highlights Episode 22: The Achy Breaky Heart - Chronic Effects on the Heart by Methamphetamine and Other Stimulants, Gillian A. Beauchamp MD

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ACMT Highlights Episode 30: The Role and Promise of Artificial Intelligence in Medical Toxicology, Gillian A. Beauchamp MD and Michael Chary

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ACMT Highlights Episode 26: Harm Reduction Strategies, Gillian A. Beauchamp MD and Shaun Hopkins

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ACMT Highlights Episode 29: Amanita’s of the Northwest, Gillian A. Beauchamp MD and Zane Horowitz

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ACMT Highlights Episode 31: Amanita Muscaria, Gillian A. Beauchamp MD and Zane Horowitz

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ACMT Highlights Episode 32: Northern Exposure - Alaska Health Aid Program, Gillian A. Beauchamp MD and Zane Horowitz

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ACMT Highlights Episode 25: The Expert Witness, Gillian A. Beauchamp MD and Bryan Judge

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ACMT Highlights Episode 27: Neural Network Connectivity and the Role of Opioid Receptor Antagonism in Methamphetamine Dependence, Gillian A. Beauchamp MD and Milky Kohno

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ACMT Highlights Episode 24: Complicated Alcohol Withdrawal, Gillian A. Beauchamp MD and Michael Lynch

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ACMT Highlights Episode 28: Methamphetamine in Children, Gillian A. Beauchamp MD and Ayrn O'Connor

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ACMT Highlights Episode 23: The Hippy Hippy Shake - The Toxicology of Cocktails, Gillian A. Beauchamp MD and Daniel Sessions

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Staying Healthy This Holiday Season, Lehigh Valley Health Network and Terry Burger MBA, BSN, RN, NE-BC, CIC

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Your Summer Toolkit For Bug Bites, Beach Safety and Beyond, Lehigh Valley Health Network and Beth Careyva M.D.

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Your Back-to-School Questions Answered, Lehigh Valley Health Network and Debra Carter MD

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Sticking it to the Stigma: A Chat About Mental Health, Lehigh Valley Health Network and Courtney Chellew DO

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COVID-19: Past, present, and future, Lehigh Valley Health Network and Timothy J. Friel MD

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What You Need to Know About Breast Cancer, Lehigh Valley Health Network and Ranju Gupta MD

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Your Racing Heart. Is it Normal?, Lehigh Valley Health Network and Hari Joshi MD

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Losing Weight to Gain Health, Lehigh Valley Health Network, Cheryl Rutkauskas, and Richard Boorse MD

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Gut Check: Everything You Need to Know About Gut Health, Lehigh Valley Health Network and Usman Shah MD

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Why your yearly gynecology exam is one of your most important appointments, Lehigh Valley Health Network, Andrew Shoemaker MD, and Emily Brophy MD

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Ladies, it's heart month, Lehigh Valley Health Network and Deborah W Sundlof DO

Posters

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Nursing Management of the Bloodless Surgery Patient, Tiffany Achenbach MSN, RN, CMSRN

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The Use of Nonpharmacological De-Escalation Method Education to Promote Trauma-Informed Health Care, Michele Adzema BSN, RN, CMSRN; Chelsy Bechtold ADN, RN; and Abbie McCall BSN, RN

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Ampushield Education, Jessica Agosto BSN, RN; Nicole Dennis BSN, RN; Paige Deprill RN; and Rebecca Jones ADN, RN

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A Case of Antipsychotic-Induced Hypothermia, Joseph Michael Ahearn III

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Outcomes of Communication Board Usage Pre and Post Education, Alexandria Ahner ADN, RN; Vanessa Rodriguez Contreras BSN, RN; Courtney Stansfield BSN, RN; and Casey Benner ADN, RN

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Preventing Falls in the Emergency Department, Deanna Alban BSN, RN; Paola Flauta BSN, RN; and Sarah Manley BSN, RN

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

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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