Archive for category: Clinical

The True Prevalence of PE in ED Syncope Patients

11 Feb
February 11, 2019

Background: Syncope, defined as a transient loss of consciousness with a complete recovery, is a common ED presentation. There are numerous causes of syncope ranging from the relatively benign (eg vasovagal syncope) to the potentially life-threatening (eg dysrhythmia, ectopic pregnancy, aortic dissection). Among the life-threatening diagnoses is pulmonary embolism (PE). PE is a common cause […]

REBELCast Ep62 – US Guided PIVs with Jacob Avila, MD

07 Feb
February 7, 2019

Welcome back to REBELCast.  In this episode we talked with Jacob Avila about US guided PIVs. Difficult IV access in an already busy department can be a frustrating thing, but it doesn’t have to be.  Patients and providers are often frustrated for different reasons.  Patients for multiple IV attempts and providers because of the time it […]

REBEL Core Cast 4.0 – RSI Cheat Codes

06 Feb
February 6, 2019

Take Home Points Bed Up Head Elevated (BUHE) position is a simple intervention that can reduce the rate of intubation-related complications. The bougie should be considered standard practice in all intubations and has an NNT = 11 for 1st pass success. Consider using Suction Assisted Laryngoscopy for Airway Decontamination (SALAD) for all intubations to avoid […]

POCUS for Endotracheal Tube Confirmation

31 Jan
January 31, 2019

Background Information: The successful placement of an endotracheal tube (ETT) is a necessary skill all emergency physicians must possess. Performing life-saving interventions are understandably stressful as their failure can lead to morbid consequences and expedited patient death.1,2 The intensive training of emergency physicians, the availability of multiple alternative airway adjuncts and the use of rapid-sequence intubation […]

Pediatric Concussion…Why is it such a headache?!

28 Jan
January 28, 2019

Diagnosis and management of concussion in children is part of our everyday bread and butter in the Emergency Department. Given the estimated 1.1 million – 1.9 million pediatric concussions we see annually in the United States, it is no wonder why. [1] We are well aware that pediatric concussions (more accurately termed mild traumatic brain […]