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The DEA Rule is here. For many decades, the EMS storage and administration of controlled substances was regulated by the Drug Enforcement Administration (DEA) using regulations that predated modern EMS that did not conceive of EMS medical directors, EMS agencies, or the administration of medications by paramedics using protocols. This led to inconsistent and impractical rulings by the DEA in various regions across the U.S. NAEMSP sponsored the Protecting Patient Access to Emergency Medications A
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Sandifer syndrome is often misunderstood and missed. It’s a condition seen in some infants where reflux causes abnormal movements or posturing, like arching, stiffening, or turning the head to one side. It can look scary, but it’s the body’s response to discomfort, not a seizure disorder. Because reflux, feeding difficulty, and discomfort are closely connected, babies with Sandifer syndrome often benefit from a full feeding and oral function evaluation, not just symptom management. When feeding
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