Archive for category: Clinical

Should We Use Skin Glue to Secure Peripheral IVs?

07 Apr
April 7, 2016

Background: Peripheral venous cannulation is the most frequently performed procedure in the Emergency Department (ED). The vast majority of patients admitted to the hospital will leave the ED with an intravenous catheter (IV). While these devices typically have a “life-span” of 72 hours from placement, they often fail prematurely as a result of infection, phlebitis, […]

Is Apneic Oxygenation Overhyped with Scott Weingart

04 Apr
April 4, 2016

Welcome back to the April 2016 edition of REBELCast. For this episode I was lucky enough to get Scott Weingart on the show to talk to us about all things Apneic Oxygenation (ApOx). ApOx is a concept that has been around for some time in the operating room literature, but only recently been gaining acceptance in the […]

Beyond ACLS: Pre-Charging the Defibrillator

24 Mar
March 24, 2016

Post Written By: Sam Ghali (Twitter: @EM_RESUS) In cardiac arrest care there has been a lot of focus over the years on limiting interruptions in chest compressions during CPR. In fact, this concept has become a major focus of the current AHA Guidelines. Why? Because we know interruptions are bad [1,2]. One particular aspect of […]

What is the Best Anatomic Location for Needle Thoracostomy?

21 Mar
March 21, 2016

Background: Currently the Advanced Trauma Life Support (ATLS) guidelines recommend initial treatment of decompression of a tension pneumothorax, as needle thoracostomy (NT) using a 5cm angiocatheter at the 2nd intercostal space (ICS2) in the mid clavicular line (MCL). With the growth of size in our population worldwide, there has been increasing evidence about two things: […]

Is ST-Segment Elevation in Lead aVR Getting Too Much Respect? with Amal Mattu

14 Mar
March 14, 2016

Lead aVR is a commonly ignored lead and I have even heard of it referred to as the Rodney Dangerfield of ECG leads as it gets no respect. I have anecdotally heard many EM physicians activate the cath lab for STE in lead aVR and many cardiologists say that these are not STEMI patients. So […]

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