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The Mental Health Crisis

Kelsey Bates, APRN Why, why, why??? Why is the mental health crisis in America currently at an all-time high? And what can we do to reverse the issue? The answer to both questions is a multifactorial one. Below I’ve listed a few of the general problems and potential solutions, not listed in any specific order. …

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Lactic Acidosis: It’s very basic and an “oxidant” waiting to happen

Rich Greene, PA-C You pick up the charts to begin your shift… After obtaining initial lab studies, you receive multiple phone calls from your lab and nursing staff informing you that due to elevated WBC and elevated lactic acid ALL of your patients now also meet sepsis alert criteria.  What do you do now?!? Better …

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Depression is a Challenging Diagnosis

Depression - A Challenging Diagnosis

Jason Thornton, APRN Depression is a very common disorder that severely limits quality of life. It is challenging to diagnose and also easily explained away as numerous other emotional or temporary conditions. Depression is in fact very difficult to identify and treat for many patients. Likewise, only 10% of primary care patients are treated for …

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Which Shoulder Reduction Techniques Work Best, And Which Should You Avoid?

Marsena Collins NP-C Shoulder dislocations are very common. In fact, they account for over 50 percent of all major joint dislocations. Further, the shoulder can dislocated in three difference ways: Reducing a dislocated shoulder requires an understanding of how the shoulder is dislocated. A successful reduction relies on choosing the correct technique. Fortunately, there are …

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Treatment of Acute Sinusitis/Rhinosinusitis

Kat Rodgers, PA-C Acute Viral Rhinosinusitis: The vast majority of cases of acute rhinosinusitis (ARS) is due to viral infection. Acute viral rhinosinusitis (AVRS) begins with viral inoculation via direct contact with the conjunctiva or nasal mucosa. The most common viruses that cause AVRS are rhinovirus, influenza virus, and parainfluenza virus.  Risk factors for ARS …

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Muscle Pain and Rhabdomyolysis

Lindee Abe, ARNP We just did a post about DOMS, so let’s explore muscle breakdown a little bit further. Next up….let’s talk rhabdomyolysis. Most of us don’t see rhabdomyolysis. The military is one environment that comes to mind that sees increased numbers of rhabdomyolysis, specifically exertional rhabdomyolysis. We also read about the elderly being at …

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