REBEL Reviews Now an App by AgileMD

19 Mar
March 19, 2014

REBEL EM AgileMD LogoI am happy to announce that REBEL Reviews will now be an app by AgileMD, and can be found at REBEL Reviews on AgileMD.  REBEL Review cards started as my notes reviewing for board exams and useful clinical content on my rotations as a resident. They had been archived on the blog under REBEL Reviews, but required the internet to access. Now, once downloaded from electronic devices (iPhone/iPad, Android), the cards can be accessed on your mobile device without requiring internet access. The purpose of the cards is to take different board review topics and clinical content, remove the fluff, and consolidate the information into useful high-yield charts. This will remain a FREE resource. Read more →

Game Changers in Emergency Medicine

03 Mar
March 3, 2014

Game Changers in Emergency MedicineRecently, I have been asked if there are any studies that have been performed over the past few years that should shape the way emergency medicine physicians should practice and can greatly improve patient care. So I asked some of my friends and colleagues if there are any studies that stick out in their minds. Below is a list of four game changers in emergency medicine that others felt were of importance. Read more →

Five Critical Care Articles For Your Clinical Practice

17 Feb
February 17, 2014

Five Critical Care Articles For Your Clinical PracticeCritical illness is a life-threatening multisystem process that can result in significant morbidity and mortality. Timely, appropriate, and effective care for these patients is something all emergency physicians strive for. Using data from clinical trials of previous years, we can improve patient management and outcomes. In this post, I list my five critical care articles for your clinical practice in the care of these patients. Read more →

ECG Basics

15 Feb
February 15, 2014

ECG BasicsElectrocardiography is a fundamental part of cardiovascular assessment. It is an essential tool for investigating cardiac arrhythmias and ischemia. Just because electrocardiography is a basic skill in EM doesn’t mean that our skills should be basic…we must be the EXPERTS! Below is a summary of some ECG basics including:

  • ECG Measurements
  • ECG Rate
  • ECG Axis

 

Read more →

High Sensitivity Troponin Testing

06 Feb
February 6, 2014

High Sensitivity Troponin TestingTroponin testing is an important component of the diagnostic workup and management of acute coronary syndromes (ACS). The increasing sensitivity of troponin assays has lowered the number of potentially missed ACS diagnoses, but this has also created a diagnostic challenge due to a decrease in the specificity of the test. From 1995 to 2007, the limit of troponin detection fell from 0.5 ng/mL to 0.006 ng/mL (see below graph). Robert Jesse summed up this frustration with the following quote:

When troponin was a lousy assay it was a great test, but now that it’s becoming a great assay, it’s getting to be a lousy test. Read more →

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