Background: Care of trauma patients with severe bleeding has advanced in recent years with a focus on damage control resuscitation which includes permissive hypotension, hemostatic resuscitation (blood component resuscitation), and hemorrhage control. Minimizing crystalloids in favor of blood component-based resuscitation in the prehospital setting has the potential to reduce downstream complications by intervening closer to the […]
Archive for category: REBEL Cast
Background:There is a lack of high quality RCTs investigating optimal airway management in patients with out-of-hospital cardiac arrest (OHCA). The majority of evidence comes from observational studies and expert opinion. The observational trials have consistently favored basic airway management (i.e. BVM) over tracheal intubation . Supraglottic airway(SGA) devices offer an alternative advanced airway management technique to endotracheal […]
REBEL Cast Ep58 – Would you be SHoC-ED if POCUS did not Improve Clinical Outcomes in Patients with Undifferentiated Shock?
Background: POCUS has been touted as the stethoscope 2.0, a true game changer in patient care. There is no patient population that this statement should hold more true for, than in patients with undifferentiated shock (SBP <100mmHg or SI > 1). Everyone has a story about how ultrasound changed their management or even saved a patient’s life. Unfortunately, […]
Background: In the ED, POCUS has become one of the most important tools in discovering both the diagnosis and in the management of critically ill patients. cardiac arrest, is ultimately as sick as a person can get in the spectrum of critical illness. I mean how can someone be deader than dead, right? There has been […]
Recently I was asked to speak at the Texas College of Emergency Physicians (TCEP) conference April 2018. The particulars of this session were, five, 10 minute lectures on new indications for old drugs. My topic was the use of octreotide and somatostatin for undifferentiated upper gastrointestinal bleeding. This is a particular topic I have been […]