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{
    "pk": 1220,
    "title": "Bilateral Erector Spinae Plane Block for Man o’ War Stings: A Case Report",
    "subtitle": null,
    "abstract": "Introduction:\n The Portuguese man o’ war, an aquatic invertebrate, is responsible for a large proportion of cnidarian stings worldwide. Cnidaria is a phylum that contains the genus Physalia. These injuries result in severe pain and skin irritation, which are often difficult to control. Traditionally, cnidarian stings have been treated by emergency physicians with warm water, vinegar and, in severe cases, opioids. However, no concrete guidelines have been established for pain management in man o’ war stings.\nCase Report:\n Regional anesthesia (RA) is an increasingly used method of pain control in the emergency department. In the case of a 41-year-old female experiencing severe pain from a Portuguese man o’ war sting, RA with an erector spinae plane block (ESPB) provided her with rapid and long-lasting pain relief.\nConclusion:\n The standard of care has yet to be defined when managing pain from Physalia physalis stings. Although this is the first documented use of ESPB for treatment of cnidarian stings, RA should be considered by any emergency physician when treating injuries caused by a Portuguese man o’ war.",
    "language": "en",
    "license": {
        "name": "Creative Commons Attribution 4.0",
        "short_name": "CC BY 4.0",
        "text": "Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.",
        "url": "https://creativecommons.org/licenses/by/4.0"
    },
    "keywords": [
        {
            "word": "case report"
        },
        {
            "word": "Emergency Medicine"
        },
        {
            "word": "regional anesthesia"
        },
        {
            "word": "pain management"
        },
        {
            "word": "Portuguese man o’ war"
        },
        {
            "word": "jellyfish."
        }
    ],
    "section": "Case Reports",
    "is_remote": true,
    "remote_url": "https://escholarship.org/uc/item/0zx001qn",
    "frozenauthors": [
        {
            "first_name": "Luke",
            "middle_name": "",
            "last_name": "Weber",
            "name_suffix": "",
            "institution": "Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida",
            "department": "None"
        },
        {
            "first_name": "Michael",
            "middle_name": "",
            "last_name": "Shalaby",
            "name_suffix": "",
            "institution": "Mount Sinai Medical Center, Department of Emergency Medicine, Miami Beach, Florida",
            "department": "None"
        }
    ],
    "date_submitted": "2023-02-09T18:42:49Z",
    "date_accepted": "2023-02-09T18:42:49Z",
    "date_published": "2023-02-09T08:00:00Z",
    "render_galley": null,
    "galleys": [
        {
            "label": "",
            "type": "",
            "path": "https://journalpub.escholarship.org/uciem_cpcem/article/1220/galley/957/download/"
        }
    ]
}