Archive for category: Clinical

Hate Using Electronic Hospital Records? An Evaluation of Medical Scribes in Emergency Departments.

21 Feb
February 21, 2019

Background: Emergency Physicians and trainees spend the majority of their clinical day performing clerical tasks which are widely disliked(Füchtbauer LM, 2013). Core tasks such as obtaining information, cognitive synthesis and communication are punctuated with other tasks including hours of electronic hospital record data entry, relaying information to multiple colleagues, sending investigation requests, booking beds, coordinating patient […]

REBEL Core Cast 5.0 – Accidental Hypothermia

20 Feb
February 20, 2019

Take Home Points: Hypothermia is neuroprotective and patients can survive prolonged periods of cardiac arrest. Termination of resuscitative efforts in cardiac arrest should not considered until the patient is >32°C or has a K > 12 mEq/L Active internal rewarming is the keystone of treatment for unstable hypothermic patients. Utilize available resources including ECMO to […]

REBELCast Ep63: LIDOKET – IV Lidocaine for Renal Colic?

18 Feb
February 18, 2019

Background: The use of intravenous lidocaine for analgesia in patients presenting to the emergency department (ED) with renal colic has gained recent traction and interest, and was previously explored on the REBEL EM blog. Literature has been mixed, with one trial (Soleimanpour 2012) demonstrating analgesic benefit, but two smaller trials (Firouzian 2016) (Motamed 2017) finding […]

No More Heparin for NSTEMI?

14 Feb
February 14, 2019

Background: The 2014 AHA guidelines for the management of NSTEMI, recommend unfractionated heparin with an initial loading dose of 60IU/KG (maximum 4,000 IU) with an initial infusion of 12 IU/kg/hr (maximum 1,000 IU/hr) adjusted per active partial thromboplastin time to maintain therapeutic anticoagulation according to the specific hospital protocol, continued for 48 hours or until PCI […]

FOAM Impact Study

13 Feb
February 13, 2019

Online educational resources, social media, and asynchronous education increasingly dominate innovation and continuing medical education for practicing emergency physicians. The “Free Open-Access Medical Education” (FOAM) movement has utilized the power of global connectivity to drive narrowing of the knowledge translation window, however critics have urged caution and warned of error, as many of these resources […]