Archive for category: Clinical

The REVERT Trial: A Modified Valsalva Maneuver to Convert SVT

14 Sep
September 14, 2015

Background: In patients with cardiovascularly stable supraventricular tachycardia (SVT), the valsalva maneuver is recommended as an initial maneuver to help with cardioversion. The success rate of the valsalva maneuver alone is documented at 5 – 20%. The next option for patients who still remain in SVT is intravenous adenosine. Adenosine briefly stops all conduction through the […]

Ten (Trauma Resuscitation) Commandments

10 Sep
September 10, 2015

“I’ve been in this game for years, it made me an animal There’s rules to this sh*t; I wrote me a manual” — Notorious BIG You know, whether you sling crack rocks or not, there are some sage words of wisdom in the late Notorious BIG’s Ten Crack Commandments. Life pearls like “Never let ‘em […]

September 2015 REBELCast

07 Sep
September 7, 2015

Welcome to the September 2015 REBELCast, where Swami, Matt, and I are going to tackle a couple of topics in the world of Venous Thromboembolism (VTE). Seems like we are hearing more and more about VTE in terms of workup, management, etc. Lets face it, diagnosing someone with a pulmonary embolism (PE) is no longer as simple […]

More Dogma: Epinephrine in Digital Nerve Blocks

03 Sep
September 3, 2015

You are working as an EM resident and have just evaluated a patient with a right long finger DIP joint dislocation. You perform a digital nerve block with 1% lidocaine with 1:100,000 epinephrine, and go to present to your attending before attempting the reduction. Your attending, on hearing about the epinephrine use goes berserk, and […]

Dancing with the Devil: Taking Dabigatran to the OR

31 Aug
August 31, 2015

So you are minding your own business working in the ED at Big Hospital, when two dudes (paramedics) bring in a patient with abdominal pain. As luck would have it, this person has a perforated bowel and needs surgery pretty quickly. AND they are on, yes you guessed it… Wait for it… Dabigatran! You consult […]

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