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"The medication gets people started, but what happens between appointments matters enormously," said Dr
Emsella and Exomind are quite revolutionary for a non-invasive treatment
Reconstituted (with bacteriostatic water): Refrigerate at 28 C (35.646.4 F)
But Aviles also warns of potential pitfalls
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In the ED: Fasting history is unreliable Treat as higher aspiration risk especially if symptomatic Anticipate vomiting and difficult visualization Practical considerations: Optimize positioning (ramped, head elevated, or slight reverse Trendelenburg) Use RSI when appropriate Minimize bag-mask ventilation Ensure suction is immediately available and functioning
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