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https://www.selleckchem.com/products/ml351.html Polymetatarsia is an atavistic anomaly characterised by one or more additional metatarsals. Usually found with a supernumerary digit (polydactyly), polymetatarsia without polydactyly is a rare variant. We report a case of a 34-year-old male with polymetatarsia within the first intermetatarsal spaces of both feet without polydactyly. Clinically, moderate dorsal spur formation was visible, and compressive pain from ankylosed additional metatarsals within the first intermetatarsal spaces was exhibited. Treatment involved resection of his additional metatarsals with concomitant correction of his hallux valgus deformities and bilateral second brachymetatarsia. He reported a reduction in pressure and pain that was maintained until his discharge appointment at six weeks postoperatively. Resection of additional metatarsals may provide effective pain relief in symptomatic patients.Resuscitative endovascular balloon occlusion of the aorta (REBOA) is an emergency procedure designed to treat non-compressible torso hemorrhage. Because this is a high-acuity low-occurrence event, it is difficult to train providers on the procedure and difficult for trained providers to stay proficient. Our primary objective was to develop a low-cost, high-fidelity teaching model to increase emergency medicine (EM) resident knowledge, confidence, and proficiency in performing REBOA. We utilized readily available materials to allow for ease of replication and cost-effectiveness. The aorta was simulated by a bicycle tire inner tube, and the femoral artery was simulated by natural rubber tubing. Once connected, these simulated vascular structures were threaded through a plastic torso mold and filled with simulated blood. Participants then performed the REBOA procedure with very little time required for reset between participants. After completing the training using our model, participants completed a survey rating aspects of the session on a five-point L

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