Archive for category: Critical Care

Beyond ACLS: A New Pulseless Electrical Activity Algorithm

18 May
May 18, 2015

Patients with pulseless electrical activity (PEA) account for almost 1/3 of cardiac arrest and even more troublesome is that the survival rate is significantly worse than patients with shockable rhythms. Both the European and American ACLS guidelines stress the importance of quickly finding and addressing the cause of PEA. This is traditionally done with recalling […]

May 2015 REBELCast

14 May
May 14, 2015

Welcome to the May 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of articles just published this year.  First, there is a lack of research examining the efficacy of steroids in patients with allergic reactions or anaphylaxis. Despite this, corticosteroids are standard care for patients with these disorders. Second, current regulations […]

REBELCast: Sepsis Care in 2015

04 May
May 4, 2015

So I was recently invited to the Texas College of Emergency Physicians meeting in Austin, TX (April 23rd – 26th, 2015) and was asked to give a lecture on sepsis, titled “Optimizing ED Management of Sepsis.” I was able to record my audio from that lecture and will summarize it on this blogpost and attach […]

Hands-On Defibrillation: If the Glove Fits…You Must Acquit!

27 Apr
April 27, 2015

We’ve had some heated debates on the topic of hands-on defibrillation (HOD) for the past few years. We all know the most important time to avoid a pause during CPR is the perishock pause (). We also know that despite lots of safety data (, ) and safe experience doing HOD (, Johnson) there are still concerns […]

April 2015 “Skeptical Edition” REBELCast

20 Apr
April 20, 2015

Welcome back to a special edition, or should I say “skeptical edition” of REBELCast. We have started to do something new by inviting guests onto the show to discuss papers in the literature they find interesting.  This month I had the pleasure of working with Ken Milne, an emergency room physician in Canada. Today, Ken and […]

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