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A small number of children, teenagers, and young adults (up to 24 years of age) who took antidepressants (''mood elevators'') such as duloxetine during clinical studies became suicidal (thinking about harming or ing oneself or planning or trying to do so). Suicidal thoughts and tendencies weren't really a major facet of my depression, and they completely disappeared for months before I started taking this drug.

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In most cases of vasovagal syncope, treatment is unnecessary. In this episode on Pediatric Syncope & Adult Syncope, Dr. Anna Jarvis run through the key clinical pearls of the history, the physical, interpretation of the ECG and the value of clinical decision rules such as the ROSE rule and the San Francisco Syncope Rule in working up these patients. Jarvis answer such questions as: How can we diagnose Hypertrophic Cardiomyopathy in the ED?