Nikhil Mohan, DO, FACEP

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Director of Ultrasound
ProMedica Monroe Regional Hospital

Residency: Mercy St. Vincent Medical Center
Medical school: Lake Erie College of Osteopathic Medicine

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Digital ischemia after accidental injection of an epinephrine autoinjector can be treated with subcutaneous terbutaline injection. Terbutaline is a selective beta-2-agonist, resulting in vasodilation.
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Epistaxis is a complaint that is frequently seen in the emergency department. As a physician, we took an oath to do no harm, but what if we end up doing more harm than good when managing epistaxis?