Archive for category: REBEL EM

Reflections on the Closing of a Hospital

17 Dec
December 17, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketI know, I know. We here at REBEL EM are normally very clinically oriented. We take recent articles or hot topics and give you the breakdown and clinical take home points. But a recent event happened that made me look at my own practice, and now on the other […]

The Countdown has Begun for smaccDUB

21 Oct
October 21, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket The countdown has begun: #smaccDUB registration opens next week!

Got FOAM?

05 Oct
October 5, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketI recently gave a talk at my old alma mater (Texas A&M College of Medicine) on creating a Professional and Scholarly Community with FOAM in early September of 2015.  One of the things I was most amazed by was how many people had not heard of the concept of […]

The Modern Day Superhero

30 Sep
September 30, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketI was recently invited by Rick Body and Natalie May to speak at the Royal College of Emergency Medicine (RCEM) Meeting in Manchester, England, September 2015.  The topic was “The Essence of Emergency Medicine.”  I was allotted 20 minutes to give this talk and in my mind I immediately […]

Ten (Trauma Resuscitation) Commandments

10 Sep
September 10, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket“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. […]

More Dogma: Epinephrine in Digital Nerve Blocks

03 Sep
September 3, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketYou 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 […]

Medical Expulsion Therapy in Ureteral Colic: An Update

06 Aug
August 6, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketBack in August 2014, we posted an in depth review on medical expulsion therapy (MET) with tamsulosin in patients with renal colic. The summary of that post was: “Clearly, there is disagreement in the literature. None of the studies are ideal. We continue to lack a large, RDCT done […]

Skin Anesthesia: Lidocaine vs Bupivacaine +/- Epinephrine

23 Apr
April 23, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit Pocket  When selecting a local anesthetic agent for skin wounds I have historically been taught to use lidocaine to provide a faster onset, and to use bupivacaine for a longer duration of action. It can be time consuming to find 0.5% Bupivacaine with epinephrine and 2% Lidocaine with Epinephrine […]

Do Patients with Posterior Epistaxis Managed by Posterior Packs Require ICU Admission?

13 Apr
April 13, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketThis post is part 2 of epistaxis dogma. In the first post, we discussed the (dis)utility of prophylactic antibiotics in patients with epistaxis who require nasal packing. Here, we will take on dogma #2: Dogma #2: Patients with posterior packs for epistaxis should be admitted to the ICU for […]

Do Patients with Epistaxis Managed by Nasal Packing Require Prophylactic Antibiotics?

30 Mar
March 30, 2015

Facebook Twitter Google+ Pinterest LinkedIn Reddit PocketEpistaxis is a common Emergency Department (ED) complaint with over 450,000 visits per year and a lifetime incidence of 60% (Gifford 2008, Pallin 2005). Posterior epistaxis is considerably less common than anterior epistaxis and represents about 5-10% of all presentations. Many patients with posterior epistaxis will be managed with […]

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