Archive for category: Critical Care

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 […]

April 2015 REBELCast

06 Apr
April 6, 2015

Welcome to the April 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of articles just published this year. Today we are going to specifically tackle: Topic #1: Basic Life Support (BLS) vs Advanced Cardiac Life Support (ACLS) in Out of Hospital Cardiac Arrest (OHCA) Topic #2: PROMISE Trial – Anatomic vs […]

The Protocolised Management in Sepsis (ProMISe) Trial

17 Mar
March 17, 2015

Since 2002, the surviving sepsis campaign (SSC) has stated that best practice in sepsis care includes: early recognition, source control, appropriate/timely antibiotic therapy, resuscitation with intravenous fluids (IVF) and vasoactive medications. Resuscitation of the septic patient in the emergency department has been largely based off the 2001 Rivers trial. This single center study’s focus was […]

The New Age of Sepsis Management

16 Mar
March 16, 2015

There are more than 750,000 cases of severe sepsis and septic shock in the US each year.  Most patients who present with sepsis receive their initial care in the emergency department.  In 2001, there was a landmark study by Rivers et al that reported that among patients with severe sepsis or septic shock mortality was […]

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