Author: Cara Borelli DO

REBEL Cast Ep102: High-Dose Buprenorphine Induction in the Emergency Department for Treatment of Opioid Use Disorder

Background information: Buprenorphine and buprenorphine-containing medications are being used in emergency departments for treatment of patients with opioid use disorder (1). Buprenorphine is a high-affinity partial agonist of the μ-opioid receptor. Buprenorphine has a higher affinity for the μ-opioid receptor …

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REBEL Cast Ep96: Heroin OD – Is a 2-Hour Observation Protocol Long Enough?

Background: Opioid-related emergency department visits have been increasing over the past two decades in correlation with increasing rates of heroin use in the United States. Naloxone, which is used to reverse heroin overdose, has a half-life of approximately 60 to …

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REBEL Cast Ep87: Video Laryngoscopy – Standard vs Hyperangulated Geometry

Background information: There are two popular blade shapes for video laryngoscopy, a standard-geometry blade comparable to a Macintosh blade and a hyperangulated blade. The standard-geometry blade permits both direct and indirect visualization during intubation, whereas the hyperangulated blade permits only …

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Procedures and SkillsResuscitation

E-Cigarette or Vaping Product Use-Associated Lung Injury (EVALI)

Background: Electronic cigarette use, or vaping, has been rising in popularity in the United States. Electronic cigarette use has been associated with respiratory symptoms that have collectively been labeled e-cigarette or vaping product use-associated lung injury (EVALI). In a recent …

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Thoracic and RespiratoryToxicology

Should Bed Up Head Elevated (BUHE) be the New Standard Position for RSI in the ED?

Background: Although the standard positioning for intubation is supine in the sniffing position, there has been recent literature in the past decade that elevating the head of the bed to 25 to 30 degrees may be a preferable setup for …

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Procedures and Skills