Archive for category: Clinical

CPR in Out of Hospital Cardiac Arrest: Man vs Machine

26 Oct
October 26, 2015

Background: In cardiac arrest, high quality, uninterrupted CPR is essential to help improve survival rates. In theory, mechanical CPR should provide CPR at a standard depth and rate for prolonged periods without a decline in quality, which should help improve survival and survival with good neurologic outcomes. There are many types of mechanical chest compression […]

REBEL Cast Wee: Our Top 5 AHA 2015 Guideline Updates for CPR and ECC

22 Oct
October 22, 2015

In case you have not heard or not read it on the twittersphere, the American Heart Association just released their 2015 Guidelines Update for Cardiopulmonary Resuscitation (CPR) and Emergency Cardiovascular Care (ECC) in Circulation. I am joined by Mr. Security, Matt Astin for this episode and we both read through this massive 15 part document and […]

The HEAT Trial – Acetaminophen in ICU Patients with Fever

19 Oct
October 19, 2015

Background: Acetaminophen (paracetamol) is commonly used to lower the temperature of patients with fever suspected to be causeed by an infection in both homes across the world and the hospital. There are, however, opposing theories to the utility of decreasing fever in these situations. One side argues that fever places “additional physiological stress on patients,” […]

The SPLIT Trial: Saline vs Plasma-Lyte Fluid Therapy

15 Oct
October 15, 2015

There has been a lot of debate over the recent years about the safety of crystalloid fluid therapy in acutely ill patients. Several observational studies have shown an increased risk of acute kidney injury (AKI)  with the use of normal saline (NS). Other observational studies have shown a decreased risk of AKI when using a […]

The FELLOW Trial: An End to Apneic Oxygenation?

12 Oct
October 12, 2015

Background: Every year there are a handful of “game changing” publications that truly change how we care for our patients. One such paper was a paper by Scott Weingart and Richard Levitan in the Annals of Emergency Medicine in 2011 on the topics of preoxygenation and apneic oxygenation (This paper was already reviewed on REBEL […]

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